Evidence map›Paper›PMID 35800782›Full record

ReviewCureus2022

The Effects of Sodium-Glucose Cotransporter-2 Inhibitors (SLGT-2i) on Cardiovascular and Renal Outcomes in Non-diabetic Patients: A Systematic Review.

Suganya Giri Ravindran, Meghana Kakarla, Musa Ausaja Gambo, Mustafa Yousri Salama, Nathalie Haidar Ismail, Pardis Tavalla, Pulkita Uppal, Shaza A Mohammed, Shriya Rajashekar, Pousette Hamid

Abstract readReview
In one paragraph

Review in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. The Ketogenic Effect of SGLT-2 Inhibitors-Beneficial or Harmful?Journal of cardiovascular development and disease · 2023
    Review
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

10 authors.

Suganya Giri RavindranInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Meghana KakarlaInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Musa Ausaja GamboInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Mustafa Yousri SalamaInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Nathalie Haidar IsmailResearch, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Pardis TavallaInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Pulkita UppalInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Shaza A MohammedInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Shriya RajashekarInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Pousette HamidNeurology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Globally, cardiovascular disease (CVD) and chronic kidney disease (CKD) are the leading causes of mortality. Despite medical advances, these illnesses are still underdiagnosed and undermanaged. Sodium-glucose cotransporter-2 inhibitors (SGLT-2i) have recently emerged as a potential class of medications with promising cardiovascular and renal safety in non-diabetic patients. In this systematic review, we explored the outcomes of cardiovascular and renal protective effects utilizing SGLT-2i in three large randomized clinical trials with a cohort of both diabetes and non-diabetes patients. In these studies, data conferred that there is a significant reduction in heart failure (HF) hospitalization, as well as cardiovascular and all-cause mortality. Moreover, SGLT-2i impede the progression to and death from CKD. Additionally, we reviewed trials solely done on non-diabetics which demonstrated benefits in patients with established HF with reduced ejection fraction, though the fact that these studies had a smaller sample size. We also discussed some of the potential mechanisms of action of SGLT-2i on cardiovascular and renal outcomes that are beyond anti-hyperglycemic control. There is ongoing research involving a larger number of non-diabetes patients that may provide more information about the efficacy of these drugs besides anti-diabetic medications in the future. Finally, this is the first systematic review that has provided a perspective on the currently available trials, which offer evidence supporting the potential benefits of SGLT-2i on cardiovascular and renal outcomes in non-diabetic individuals.

Indexed as

cardiovascular effectsdapagliflozindiabetesempagliflozinnon-diabetesrenal effectssglt-2 inhibitorsodium-glucose cotransporter-2 (sglt-2) inhibitors

Identifiers

PMID35800782
PMCPMC9246463

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.