Evidence map›Paper›PMID 38600275›Full record

ArticleHypertension research : official journal of the Japanese Society of Hypertension2024

Comparison of incident hypertension between SGLT2 inhibitors vs. DPP4 inhibitors.

Yuta Suzuki, Hidehiro Kaneko, Akira Okada, Jin Komuro, Katsuhito Fujiu, Norifumi Takeda, Hiroyuki Morita, Junya Ako, Akira Nishiyama, Yuichiro Yano and 4 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 2 countries.

Yuta SuzukiThe Department of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
Hidehiro KanekoThe Department of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan. kanekohidehiro@gmail.com.
Akira OkadaDepartment of Prevention of Diabetes and Lifestyle-Related Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Jin KomuroThe Department of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
Katsuhito FujiuThe Department of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
Norifumi TakedaThe Department of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
Hiroyuki MoritaThe Department of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
Junya AkoDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
Akira NishiyamaDepartment of Pharmacology, Faculty of Medicine, Kagawa University, Kagawa, Japan.
Yuichiro YanoDepartment of General Medicine, Juntendo University Faculty of Medicine, Tokyo, Japan.
Masaki IedaDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Koichi NodeDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
Hideo YasunagaDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan.
Issei KomuroThe Department of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
The University of Tokyo · JPKeio University · JPInternational University of Health and Welfare · JPJuntendo University · JPKagawa University · JPKitasato University · JPNational Institute of Public Health · JPSaga University · JPUniversity of Tokyo Health Sciences · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although several randomized clinical trials have reported the potential benefit of sodium-glucose cotransporter 2 inhibitors (SGLT2i) in reducing blood pressure (BP), whether SGLT2i can reduce incident hypertension is unknown. We analyzed individuals with diabetes who were newly prescribed SGLT2i or dipeptidyl peptidase 4 inhibitors (DPP4i) in a large-scale epidemiological database. The primary outcome was the incidence of hypertension. A propensity score matching algorithm was employed to compare the subsequent development of hypertension between the SGLT2i and DPP4i groups. After propensity score matching, 5708 well-balanced pairs of SGLT2i and DPP4i users were identified. SGLT2i administration was associated with a reduced risk of hypertension (HR 0.91, 95% CI: 0.84-0.97). The advantage of SGLT2i use over DPP4i use for incident hypertension was generally consistent in several sensitivity analyses, and subgroup analyses showed that SGLT2i use was significantly associated with a lower risk of hypertension in men, patients with baseline HbA1c of <7.5%, and baseline systolic blood pressure ≥127 mmHg. Our investigation using nationwide real-world data demonstrated the potential advantage of SGLT2i over DPP4i in reducing the development of hypertension in individuals with diabetes.

Indexed as

Diabetes Mellitus, Type 2Dipeptidyl-Peptidase IV InhibitorsHypertensionSodium-Glucose Transporter 2 InhibitorsAdultAgedBlood PressureFemaleHumansIncidenceMaleMiddle AgedDipeptidyl-Peptidase IV InhibitorsSodium-Glucose Transporter 2 InhibitorsDiabetesEpidemiologyHypertensionSGLT2 inhibitors

Identifiers

PMID38600275
PMCPMC11224012
OpenAlexW4394688267

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.