Evidence map›Paper›PMID 36325584›Full record

Trial reportEuropean journal of heart failure2023

Weight change and clinical outcomes in heart failure with reduced ejection fraction: insights from EMPEROR-Reduced.

Stefan D Anker, Muhammad Shahzeb Khan, Javed Butler, Anne Pernille Ofstad, Barbara Peil, Egon Pfarr, Wolfram Doehner, Naveed Sattar, Andrew J S Coats, Gerasimos Filippatos and 4 more

Erratum issuedOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of heart failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
6.6field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Review
  6. Article
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  10. Obesity and its management in primary care setting.Journal of diabetes and its complications · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. The Impact of Obesity on Cardiovascular Diseases: Heart Failure.Methodist DeBakey cardiovascular journal · 2025
    Review
  15. Review
  16. Review
  17. Article
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  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 8 countries.

Stefan D AnkerDepartment of Cardiology and Berlin Institute of Health Center for Regenerative Therapies, and German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité Universitätsmedizin Berlin, Berlin, Germany.
Muhammad Shahzeb KhanDivision of Cardiology, Duke University School of Medicine, Durham, NC, USA.
Javed ButlerBaylor Scott and White Research Institute, Dallas, TX, USA.
Anne Pernille OfstadMedical Department, Boehringer Ingelheim Norway KS, Asker, Norway.
Barbara PeilBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany.
Egon PfarrBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany.
Wolfram DoehnerDepartment of Cardiology and Berlin Institute of Health Center for Regenerative Therapies, and German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité Universitätsmedizin Berlin, Berlin, Germany.
Naveed SattarSchool of Cardiovascular and Metabolic Health University of Glasgow, BHF Glasgow Cardiovascular Research Centre (GCRC), Glasgow, UK.
Andrew J S CoatsUniversity of Warwick, Coventry, UK.
Gerasimos FilippatosNational and Kapodistrian University of Athens School of Medicine, Athens University Hospital Attikon, Athens, Greece.
João Pedro FerreiraCentre d'Investigation Clinique-Plurithématique INSERM CIC-P 1433, and INSERM U1116 CHRU Nancy Brabois F-CRIN INI-CRCT, Université de Lorraine, Nancy, France.
Faiez ZannadCentre d'Investigation Clinique-Plurithématique INSERM CIC-P 1433, and INSERM U1116 CHRU Nancy Brabois F-CRIN INI-CRCT, Université de Lorraine, Nancy, France.
Stuart PocockLondon School of Hygiene and Tropical Medicine, London, UK.
Milton PackerBaylor Heart and Vascular Institute, Baylor University Medical Center, Dallas, TX, USA.
Boehringer Ingelheim (Germany) · DEInserm · FRBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DEBoehringer Ingelheim (Norway) · NODuke University · USImperial College London · GBLondon School of Hygiene & Tropical Medicine · GBNational and Kapodistrian University of Athens · GRUniversity of Glasgow · GBUniversity of Mississippi · USUniversity of Warwick · GBWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsBaseline body mass index (BMI) and weight loss promoted by sodium-glucose cotransporter 2 inhibitors may impact outcomes in patients with heart failure with reduced ejection fraction (HFrEF). We assessed in the EMPEROR-Reduced population treated with empagliflozin versus placebo the relationship between baseline BMI, weight loss and effects on the primary (time to first hospitalization for heart failure [HHF] or cardiovascular death) and key secondary outcomes. METHODS AND

resultsWe categorized patients according to their baseline BMI: <20 kg/m

conclusionThe benefits of empagliflozin versus placebo were consistently present across all BMI categories in HFrEF patients. Weight loss was associated with higher risk of all-cause mortality, regardless of treatment group.

Indexed as

Heart FailureSodium-Glucose Transporter 2 InhibitorsWeight LossBenzhydryl CompoundsBody Mass IndexGlucosidesHumansStroke VolumeBenzhydryl CompoundsempagliflozinGlucosidesSodium-Glucose Transporter 2 InhibitorsBody mass indexEmpagliflozinHeart failureWeight loss

Identifiers

PMID36325584
PMCPMC10098519
OpenAlexW4308054827

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.