Evidence map›Paper›PMID 34668637›Full record

ArticleDiabetes, obesity & metabolism2022

Cardiovascular risk profiles: A cross-sectional study evaluating the generalizability of the glucagon-like peptide-1 receptor agonist cardiovascular outcome trials REWIND, LEADER and SUSTAIN-6 to the real-world type 2 diabetes population in the United Kingdom.

Joanne Webb, Julie Mount, Lill-Brith von Arx, Jonathan Rachman, Dionysis Spanopoulos, Robert Wood, Theo Tritton, Olivia Massey, Iskandar Idris

Abstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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  4. A cohort description and comparison of four European national diabetes registries for the REDDIE project.Diabetic medicine : a journal of the British Diabetic Association · 2025
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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

9 authors.

Joanne WebbEli Lilly and Company, Basingstoke, UK.ORCID 0000-0001-5883-9077
Julie MountEli Lilly and Company, Basingstoke, UK.
Lill-Brith von ArxEli Lilly and Company, Herlev, Denmark.
Jonathan RachmanEli Lilly and Company, Basingstoke, UK.
Dionysis SpanopoulosEli Lilly and Company, Basingstoke, UK.
Robert WoodAdelphi Real World, Bollington, UK.
Theo TrittonAdelphi Real World, Bollington, UK.
Olivia MasseyAdelphi Real World, Bollington, UK.
Iskandar IdrisUniversity of Nottingham, Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo determine the proportion of UK patients with type 2 diabetes (T2D) who meet the cardiovascular (CV) or combined CV/core eligibility criteria used for the CV outcome trials (CVOTs) of UK-marketed glucagon-like peptide-1 receptor agonists (GLP-1RAs) showing CV benefit (dulaglutide in REWIND, liraglutide in LEADER and injectable semaglutide in SUSTAIN-6). MATERIALS AND

methodsAdults with T2D on/before June 2018 were identified from the UK Clinical Practice Research Datalink GOLD primary care database and linked to Hospital Episode Statistics data (Protocol 19_262). Patient CV and clinical data were evaluated against the CVOT eligibility criteria. Data were analysed descriptively.

resultsThe study cohort (N = 33 118 patients with T2D) had a mean (standard deviation) age of 66.0 (13.3) years and 56.6% were male. Almost two-thirds (64.5%) of the study cohort met the CV criteria for REWIND, versus 43.0% for both LEADER and SUSTAIN-6. The proportions of the study cohort who met the CVOT criteria of "established CV disease" and "CV risk factors only" for REWIND were 22.4% and 42.1%, respectively, versus 38.7% and 4.3%, respectively, for both LEADER and SUSTAIN-6. The proportions of patients satisfying both CV and core criteria were 44.4% for REWIND, 13.3% for LEADER and 13.5% for SUSTAIN-6. Study findings remained consistent when restricted to GLP-1RA users.

conclusionsREWIND captured a trial population more representative of the real-world T2D population in the United Kingdom than LEADER or SUSTAIN-6 with regard to both CV and combined CV/core eligibility criteria.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2AgedClinical Trials as TopicCross-Sectional StudiesFemaleGlucagon-Like Peptide-1 Receptor AgonistsGlucagon-Like PeptidesHeart Disease Risk FactorsHumansHypoglycemic AgentsMaleRisk FactorsGlucagon-Like Peptide-1 Receptor AgonistsGlucagon-Like PeptidesHypoglycemic Agentscardiovascular diseasecardiovascular outcome trialsGLP-1RAreal-world evidencetype 2 diabetes

Identifiers

PMID34668637
PMCPMC9299650

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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.