Evidence map›Paper›PMID 36199242›Full record

ArticleDiabetes, obesity & metabolism2023

Cardiovascular risk and lifetime benefit from preventive treatment in type 2 diabetes: A post hoc analysis of the CAPTURE study.

Helena Bleken Østergaard, Valerie Humphreys, Ellen Margo Hengeveld, Julie Broe Honoré, François Mach, Frank L J Visseren, Jan Westerink, Gourav Yadav, Ofri Mosenzon, CAPTURE investigators

Open access · hybridAbstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Atherosclerotic Cardiovascular Disease in Type 2 Diabetes: A Retrospective, Observational Study of Economic and Clinical Burden in Sweden.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Article
  3. Article
4 · The record

Corrections and comments

  • Commented on by
    2023
5 · Who and what money

Authors and funding

10 authors at 5 institutions in 5 countries.

Helena Bleken ØstergaardDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht, the Netherlands.
Valerie HumphreysDublin, Ireland, Diabetes Ireland Advocacy Group.
Ellen Margo HengeveldNovo Nordisk A/S, Søborg, Denmark.ORCID 0000-0002-1029-5047
Julie Broe HonoréNovo Nordisk A/S, Søborg, Denmark.
François MachCardiology Division, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Frank L J VisserenDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht, the Netherlands.ORCID 0000-0003-3951-5223
Jan WesterinkDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht, the Netherlands.ORCID 0000-0001-5021-5227
Gourav YadavNovo Nordisk Global Business Services, Bengaluru, India.
Ofri MosenzonDiabetes Unit, Department of Endocrinology and Metabolism, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.ORCID 0000-0002-5702-7584
CAPTURE investigators
University Medical Center Utrecht · NLNovo Nordisk (Denmark) · DKHebrew University of Jerusalem · ILNovo Nordisk (India) · INUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the potential gain in the number of life-years free of a (recurrent) cardiovascular disease (CVD) event with optimal cardiovascular risk management (CVRM) and initiation of glucose-lowering agents with proven cardiovascular benefit in people with type 2 diabetes (T2D). MATERIALS AND

methods9,416 individuals with T2D from the CAPTURE study, a non-interventional, cross-sectional, multinational study, were included. The diabetes lifetime-perspective prediction model was used for calculating individual 10-year and lifetime CVD risk. The distribution of preventive medication use was assessed according to predicted CVD risk and stratified for history of CVD. For the estimation of absolute individual benefit from lifelong preventive treatment, including optimal CVRM and the addition of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and sodium-glucose co-transporter-2 inhibitors (SGLT-2is), the model was combined with treatment effects from current evidence.

resultsGLP-1 RA or SGLT-2i use did not greatly differ between patients with and without CVD history, while use of blood pressure-lowering medication, statins and aspirin was more frequent in patients with CVD. Mean (standard deviation [SD]) lifetime benefit from optimal CVRM was 3.9 (3.0) and 1.3 (1.9) years in patients with and without established CVD, respectively. Further addition of a GLP-1 RA and an SGLT-2i in patients with CVD gave an added mean (SD) lifetime benefit of 1.2 (0.6) years.

conclusionsLife-years gained free of (recurrent) CVD by optimal CVRM and the addition of a GLP-1 RA or aSGLT-2i is dependent on baseline CVD status. These results aid individualizing prevention and promote shared decision-making in patients with T2D.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Sodium-Glucose Transporter 2 InhibitorsCross-Sectional StudiesGlucagon-Like Peptide 1Glucagon-Like Peptide-1 Receptor AgonistsGlucoseHeart Disease Risk FactorsHumansHypoglycemic AgentsRisk FactorsGlucagon-Like Peptide 1Glucagon-Like Peptide-1 Receptor AgonistsGlucoseHypoglycemic AgentsSodium-Glucose Transporter 2 Inhibitorsantidiabetic drugcardiovascular diseaseGLP-1SGLT2 inhibitortype 2 diabetes

Identifiers

PMID36199242
PMCPMC10092227
OpenAlexW4302286656

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.