Evidence map›Paper›PMID 34068655›Full record

ReviewJournal of clinical medicine2021

SGLT2 Inhibitors, What the Emergency Physician Needs to Know: A Narrative Review.

Henri Lu, Hortense Lu, Christophe Kosinski, Anne Wojtusciszyn, Anne Zanchi, Pierre-Nicolas Carron, Martin Müller, Philippe Meyer, Jehan Martin, Olivier Muller and 1 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Defining the Role of SGLT2 Inhibitors in Primary Care: Time to Think Differently.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2022
    Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Henri LuService of Cardiology, Cardiovascular Department, Lausanne University Hospital, 1011 Lausanne, Switzerland.ORCID 0000-0002-9074-6505
Hortense LuEmergency Department, Saint-Joseph Hospital, 75014 Paris, France.
Christophe KosinskiService of Endocrinology, Diabetes and Metabolism, Lausanne University Hospital, 1011 Lausanne, Switzerland.ORCID 0000-0002-7544-498X
Anne WojtusciszynService of Endocrinology, Diabetes and Metabolism, Lausanne University Hospital, 1011 Lausanne, Switzerland.
Anne ZanchiService of Endocrinology, Diabetes and Metabolism, Lausanne University Hospital, 1011 Lausanne, Switzerland.
Pierre-Nicolas CarronEmergency Department, Lausanne University Hospital, 1011 Lausanne, Switzerland.
Martin MüllerEmergency Department, Bern University Hospital, 3010 Bern, Switzerland.ORCID 0000-0003-4067-7174
Philippe MeyerCardiology Service, Geneva University Hospitals, 1205 Geneva, Switzerland.
Jehan MartinEmergency Department, Geneva University Hospital, 1205 Geneva, Switzerland.
Olivier MullerService of Cardiology, Cardiovascular Department, Lausanne University Hospital, 1011 Lausanne, Switzerland.
Roger HullinService of Cardiology, Cardiovascular Department, Lausanne University Hospital, 1011 Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Canagliflozin, dapagliflozin, empagliflozin, and ertugliflozin belong to a class of antidiabetic treatments referred to as sodium-glucose cotransporter 2 inhibitors (SGLT2 inhibitors, or SGLT2is). SGLT2is are currently indicated in North America and in Europe in type 2 diabetes mellitus, especially in patients with cardiovascular (CV) disease, high CV risk, heart failure, or renal disease. In Europe, dapagliflozin is also approved as an adjunct to insulin in patients with type 1 diabetes mellitus. New data provide evidence for benefits in heart failure with reduced ejection fraction and chronic kidney disease, including in patients without diabetes. The use of SGLT2is is expected to increase, suggesting that a growing number of patients will present to the emergency departments with these drugs. Most common adverse events are easily treatable, including mild genitourinary infections and conditions related to volume depletion. However, attention must be paid to some potentially serious adverse events, such as hypoglycemia (when combined with insulin or insulin secretagogues), lower limb ischemia, and diabetic ketoacidosis. We provide an up-to-date practical guide highlighting important elements on the adverse effects of SGLT2is and their handling in some frequently encountered clinical situations such as acute heart failure and decompensated diabetes.

Indexed as

diabetesguidelinesheart failurerenal

Identifiers

PMID34068655
PMCPMC8126052

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.