Evidence map›Paper›PMID 36739502›Full record

ReviewAnnals of Saudi medicine

Efficacy and safety of empagliflozin: a "real-world" experience from Saudi Arabia.

Muhammad Imran Butt, Hadeel Aljamei, Muhammad Riazuddin, Lamia AlHaqbani, Roaa Albalwi, Fayha Farraj Mansour Abothenain, Nahlah Abdullah Mohammed Alagla, Najeeb Waheed

Open access · diamondAbstract readReview
In one paragraph

Review in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  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 2 institutions in 2 countries.

Muhammad Imran ButtFrom the Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.ORCID 0000-0002-2143-7303
Hadeel AljameiFrom the Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Muhammad RiazuddinFrom the Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Lamia AlHaqbaniFrom the Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Roaa AlbalwiFrom the Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Fayha Farraj Mansour AbothenainFrom the Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Nahlah Abdullah Mohammed AlaglaFrom the Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Najeeb WaheedFrom the Department of Endocrinology, Imperial College London Diabetes Centre, Al Ain, United Arab Emirates.
King Faisal Specialist Hospital & Research Centre · SAImperial College London Diabetes Centre · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSodium-glucose cotransporter 2 (SGLT2) inhibitors are new agents for treating type 2 diabetes. In addition to the glycemic benefits, these agents provide cardiorenal protection in patients with diabetes and without diabetes. There is consistent evidence that these agents increase the risk of genitourinary infections and dehydration, but randomized controlled trials have not included patients from the Middle East.

objectivesDetermine the efficacy and safety of empagliflozin, specifically whether the genitourinary infection risk differs in our population and whether there is an increased risk of dehydration, ketoacidosis, hypoglycemia, and hospitalization with fasting.

designRetrospective review of medical records. SETTINGS: Department of medicine at tertiary care center. PATIENTS AND

methodsWe reviewed the electronic records of patients with type 2 diabetes who took empagliflozin from 1 December 2018 to 30 November 2019. We collected safety and efficacy data for 12 months from the initiation of treatment. MAIN OUTCOMES MEASURES: Glycemic and weight loss efficacy, risk of hospitalization due to hypoglycemia, dehydration, and genitourinary infections. SAMPLE SIZE: 637 patients.

resultsWe observed an improvement in glycated hemoglobin, a 4.2% weight loss, improved left ventricular function, stable serum creatinine, and reduced albuminuria. Our patients did not have an increased risk of genitourinary infections, hypoglycemia, dehydration, ketoacidosis, or hospitalizations. Fasting did not increase the incidence of adverse events.

conclusionsEmpagliflozin is safe and effective in our local population. We hypothesize that glycosuria induced by empagliflozin is not the sole contributor to the increased risk of genitourinary infections. Local hygiene and circumcision might reduce this risk. Empagliflozin can be used safely during fasting. LIMITATIONS: Retrospective design. CONFLICT OF INTEREST: None.

Indexed as

Diabetes Mellitus, Type 2HypoglycemiaSodium-Glucose Transporter 2 InhibitorsBenzhydryl CompoundsBlood GlucoseDehydrationGlucosidesHumansHypoglycemic AgentsMaleRetrospective StudiesSaudi ArabiaWeight LossBenzhydryl CompoundsBlood GlucoseempagliflozinGlucosidesHypoglycemic AgentsSodium-Glucose Transporter 2 Inhibitors

Identifiers

PMID36739502
PMCPMC9899336
OpenAlexW4319262291

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.