Evidence map›Paper›PMID 38273008›Full record

SynthesisScientific reports2024

Effect of pharmacological selectivity of SGLT2 inhibitors on cardiovascular outcomes in patients with type 2 diabetes: a meta-analysis.

Alex Ali Sayour, Attila Oláh, Mihály Ruppert, Bálint András Barta, Béla Merkely, Tamás Radovits

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
7.5field-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

14 citing papers in PubMed, 21 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Alex Ali SayourHeart and Vascular Center, Department of Cardiology, Semmelweis University, Városmajor Str. 68, 1122, Budapest, Hungary. alexali.sayour@gmail.com.ORCID 0000-0001-7728-4775
Attila OláhHeart and Vascular Center, Department of Cardiology, Semmelweis University, Városmajor Str. 68, 1122, Budapest, Hungary.
Mihály RuppertHeart and Vascular Center, Department of Cardiology, Semmelweis University, Városmajor Str. 68, 1122, Budapest, Hungary.
Bálint András BartaHeart and Vascular Center, Department of Cardiology, Semmelweis University, Városmajor Str. 68, 1122, Budapest, Hungary.
Béla Merkely *Heart and Vascular Center, Department of Cardiology, Semmelweis University, Városmajor Str. 68, 1122, Budapest, Hungary.
Tamás Radovits *Heart and Vascular Center, Department of Cardiology, Semmelweis University, Városmajor Str. 68, 1122, Budapest, Hungary.
Semmelweis University · HU

Funding

European Union RRF-2.3.1-21-2022-00003Ministry of Innovation and Technology of Hungary 2020-4.1.1.-TKP2020National Research, Development and Innovation Fund of Hungary NVKP_16-1-2016-0017National Research, Development and Innovation Office (NKFIH) of Hungary K134939
6 · The paper itself

Abstract

Sodium-glucose cotransporter 2 (SGLT2) inhibitors reduce major adverse cardiovascular events (MACE) in type 2 diabetic (T2DM) patients. Pharmacological selectivity of these agents to SGLT2 over SGLT1 is highly variant, with unknown clinical relevance. Genetically reduced SGLT1-but not SGLT2-activity correlates with lower risk of heart failure and mortality, therefore additional non-selective SGLT1 inhibition might be beneficial. In this prespecified meta-analysis, we included 6 randomized, placebo-controlled cardiovascular outcome trials of SGLT2 inhibitors assessing MACE in 57,553 patients with T2DM. Mixed-effects meta-regression revealed that pharmacological selectivity of SGLT2 inhibitors (either as continuous or dichotomized variable) had no significant impact on most outcomes. However, lower SGLT2 selectivity correlated with significantly lower risk of stroke (pseudo-R

Indexed as

Diabetes Mellitus, Type 2Sodium-Glucose Transporter 2 InhibitorsStrokeHumansHypoglycemic AgentsSodium-Glucose Transporter 2Hypoglycemic AgentsSodium-Glucose Transporter 2Sodium-Glucose Transporter 2 Inhibitors

Identifiers

PMID38273008
PMCPMC10810805
OpenAlexW4391220423

What OpenQuestion holds

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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.