Evidence map›Paper›PMID 38030828›Full record

SynthesisEndocrine2024

Association of SGLT2is with cardiovascular and reproductive diseases: a meta-analysis based on 14 large-scale randomized trials.

Lei Li, Yun-Hua Dong, Yun Bai, Zou-Ying Tang, Yu-Mei Deng, Ze Wu, Wei-Yuan Li

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Endocrine, 2024. 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.

Lei LiDepartment of Reproductive Medicine, The First People's Hospital of Yunnan Province, Kunming, Yunnan Province, China.
Yun-Hua DongDepartment of Reproductive Medicine, The First People's Hospital of Yunnan Province, Kunming, Yunnan Province, China.
Yun BaiDepartment of Reproductive Medicine, The First People's Hospital of Yunnan Province, Kunming, Yunnan Province, China.
Zou-Ying TangDepartment of Reproductive Medicine, The First People's Hospital of Yunnan Province, Kunming, Yunnan Province, China.
Yu-Mei DengDepartment of Reproductive Medicine, The First People's Hospital of Yunnan Province, Kunming, Yunnan Province, China.
Ze WuDepartment of Reproductive Medicine, The First People's Hospital of Yunnan Province, Kunming, Yunnan Province, China. wuzes2010@163.com.
Wei-Yuan LiDepartment of Reproductive Medicine, The First People's Hospital of Yunnan Province, Kunming, Yunnan Province, China. weiyuanli_szyx@163.com.ORCID 0000-0002-4832-8932

Funding

Social development projects of Yunnan Province 202302AA310044Ten Thousand Talent Plans for Young Top-notch Talents of Yunnan Province 2023-KHRCBZ-B08
6 · The paper itself

Abstract

aimSodium-glucose cotransporter 2 inhibitors (SGLT2is) can improve long-term cardio-renal outcomes in patients with diabetes, heart failure (HF), or renal failure. We aimed to investigate the association of SGLT2is with the risks of various cardiovascular and reproductive diseases.

methodsLarge-scale randomized trials enrolling more than 1000 participants and assessing SGLT2is were included. Outcomes of interest were the various serious adverse events related to cardiovascular or reproductive diseases. Meta-analysis was done to generate pooled risk ratio (RR) and 95% confidence interval (CI).

resultsWe included 14 large trials and evaluated 169 types of cardiovascular and reproductive diseases. SGLT2is were significantly associated with the lower risks of 13 types of cardiovascular diseases, e.g., cardiac failure chronic (RR 0.70, 95% CI 0.57-0.87), cardiac failure congestive (RR 0.74, 95% CI 0.66-0.83), acute cardiac failure (RR 0.72, 95% CI 0.60-0.86), coronary artery disease (RR 0.75, 95% CI 0.58-0.97), ischemic cardiomyopathy (RR 0.72, 95% CI 0.52-0.99), atrial fibrillation (RR 0.88, 95% CI 0.78-0.99), bradycardia (RR 0.72, 95% CI 0.53-0.99), and hypertension (RR 0.70, 95% CI 0.54-0.91). SGLT2is were not significantly associated with 18 types of reproductive diseases, e.g., adenomyosis, endometrial hyperplasia, and metrorrhagia. Although SGLT2is were observed to have a significant association with a higher risk of uterine prolapse, the 95% CI of RR for this outcome was relatively wide.

conclusionThis meta-analysis confirms the benefits of SGLT2is against chronic congestive HF again; reveals the possible benefits of SGLT2is against acute HF, myocardial infarction, arrhythmias, and hypertension; and identifies that SGLT2is are safe in general for the reproductive system.

Indexed as

Cardiovascular DiseasesRandomized Controlled Trials as TopicSodium-Glucose Transporter 2 InhibitorsDiabetes Mellitus, Type 2FemaleHumansMalePregnancySodium-Glucose Transporter 2 InhibitorsAtrial fibrillationCoronary artery diseaseHeart failureHypertensionReproductive diseasesSGLT2is

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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.