Evidence map›Paper›PMID 37097298›Full record

SynthesisEuropean journal of clinical pharmacology2023

Effects of sodium-glucose cotransporter 2 inhibitors on renal risk factors in patients with abnormal glucose metabolism: a meta-analysis of randomized controlled trials.

Mengnan Li, Jian Zhang, Guimei Yang, Jiaxin Zhang, Minmin Han, Yi Zhang, Yunfeng Liu

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in European journal of clinical pharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Mengnan LiDepartment of Endocrinology, First Hospital of Shanxi Medical University, Taiyuan, China.
Jian ZhangDepartment of Endocrinology, First Hospital of Shanxi Medical University, Taiyuan, China.
Guimei YangDepartment of Endocrinology, First Hospital of Shanxi Medical University, Taiyuan, China.
Jiaxin ZhangDepartment of Endocrinology, First Hospital of Shanxi Medical University, Taiyuan, China.
Minmin HanDepartment of Endocrinology, First Hospital of Shanxi Medical University, Taiyuan, China.
Yi ZhangDepartment of Pharmacology, Shanxi Medical University, Taiyuan, China. yizhang313@163.com.
Yunfeng LiuDepartment of Endocrinology, First Hospital of Shanxi Medical University, Taiyuan, China. nectarliu@163.com.

Funding

Shanxi Scholarship Council of China 2020-172the National Natural Science Foundation of China 81973378the National Natural Science Foundation of China 82073909the Shanxi Provincial Central Leading Local Science and Technology Development Fund Project YDZJSX2022A059
6 · The paper itself

Abstract

aimsSeveral trials have assessed the antihyperglycemic effects of sodium-glucose cotransporter 2 inhibitors (SGLT2Is) in patients with type 2 diabetes mellitus (T2DM). We conducted a quantitative analysis to assess the effects of SGLT2Is on renal risk factors in patients with abnormal glucose metabolism. MATERIALS AND

methodsRandomized controlled trials (RCTs) were identified by searching the PubMed, Embase, Scopus, and Web of Science databases published before September 30, 2022. The intervention group received SGLT2Is as monotherapy or add-on treatment, and the control group received placebos, standard care, or active control. Risk of bias assessment was performed using the Cochrane risk of bias assessment tool. Meta-analysis was performed on studies with abnormal glucose metabolism populations and studies using the weighted mean differences (WMDs) as the measure of the effect size. Clinical trials providing changes in serum uric acid (SUA) were included. The mean change of SUA, glycated hemoglobin (HbA1c), body mass index (BMI), and estimated glomerular filtration rate (eGFR) were calculated.

resultsAfter a literature search and detailed evaluation, a total of 11 RCTs were included for quantitative analysis to analyze the differences between the SGLT2I group and the control group. The results showed that SGLT2I significantly reduced SUA (MD =  -0.56, 95% CI =  -0.66 ~ -0.46, I

conclusionsThese results showed that the SGLT2I group caused greater reductions in SUA, HbA1c, and BMI but had no effect on eGFR. These data suggested that SGLT2Is may have numerous potentially beneficial clinical effects in patients with abnormal glucose metabolism. However, these results need to be consolidated by further studies.

Indexed as

Diabetes Mellitus, Type 2Sodium-Glucose Transporter 2 InhibitorsGlucoseGlycated HemoglobinHumansHypoglycemic AgentsRandomized Controlled Trials as TopicRisk FactorsSodiumGlucoseGlycated HemoglobinHypoglycemic AgentsSodiumSodium-Glucose Transporter 2 InhibitorsDiabetic nephropathyMeta-analysisSodium-glucose cotransporter 2 inhibitors (SGLT2Is)Type 2 diabetesUric acid

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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.