Evidence map›Paper›PMID 36579248›Full record

ReviewCureus2022

Efficacy and Safety of Sodium Glucose Cotransporter-2 (SGLT2) Inhibitors in Patients With Diabetes and Chronic Kidney Disease (CKD): A Meta-analysis of Randomized Control Trials.

Sidra Jamil, Arfa Zainab, Avneet Kaur Manjeet Singh Arora, Tanveer Ahamad Shaik, Vimal Khemani, Favour C Mekowulu, Yared N Aschalew, Saima Khan

Open access · diamondAbstract 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. 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

8 authors at 5 institutions in 4 countries.

Sidra JamilInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Arfa ZainabMedicine, Mohammad ud din Islamic Medical College, Mir Pur, PAK.
Avneet Kaur Manjeet Singh AroraPublic Health, Epidemiology, University of California Berkeley, Berkeley, USA.
Tanveer Ahamad ShaikCardiovascular Medicine, University of Louisville School of Medicine, Louisville, USA.
Vimal KhemaniInternal Medicine, Jinnah Sindh Medical University, Karachi, PAK.
Favour C MekowuluInternal Medicine, V.N. Karazin Kharkiv National University, Kharkiv, UKR.
Yared N AschalewInternal Medicine, Inova Alexandria Hospital, Alexandria, USA.
Saima KhanInternal Medicine, Sir Syed College of Medical Sciences for Girls, Waterbury, USA.
Berkeley Public Health Division · USMahatma Gandhi Mission Institute of Health Sciences · INV. N. Karazin Kharkiv National University · UAMahatma Gandhi Mission's Dental College and Hospital · INMohi-ud-Din Islamic University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current meta-analysis aims to assess the efficacy and safety of sodium glucose cotransporter 2 (SGLT2) inhibitors in individuals with diabetes and chronic kidney disease (CKD). The current meta-analysis was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A systematic search was conducted to identify all relevant studies related to the efficacy and safety of SGLT2 inhibitors in individuals with diabetes and CKD. The search was undertaken in PubMed, EMBASE, and Cochrane Library from January 2000 to September 2022. The primary efficacy outcome assessed in the current meta-analysis included major adverse cardiovascular events (MACE). Other efficacy outcomes included all-cause mortality and change in hemoglobin A1c (HbA1c) (%). Safety outcomes included serious adverse events, acute kidney injury, hypoglycemia, and hyperkalemia. In total 11 articles met the inclusion criteria and were included in the final analysis enrolling 27520 patients (14491 in the SGLT2 inhibitors and 13029 in the placebo group). The findings of this meta-analysis have shown that the risk of MACE and all-cause mortality was significantly lower in patients receiving SGLT2 inhibitors. Additionally, Hb1AC change was also significantly greater in SGLT2 inhibitors group. In relation to safety outcomes, serious adverse events, risk of acute kidney injury, and hyperkalemia were significantly lower in the SGLT2 inhibitors group. The SGLT2 inhibitors significantly decreased the risk of major cardiovascular events and all-cause mortality in patients with CKD and diabetes. Furthermore, SGLT2 inhibitor is also effective in reducing Hb1Ac levels in patients.

Indexed as

chronic kidney diseasediabetesefficacysafetysodium-glucose cotransporter-2 (sglt2) inhibitors

Identifiers

PMID36579248
PMCPMC9791678
OpenAlexW4310022991

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.