Evidence map›Paper›PMID 38654455›Full record

ArticleKorean circulation journal2024

Lower Atrial Fibrillation Risk With Sodium-Glucose Cotransporter 2 Inhibitors Than With Dipeptidyl Peptidase-4 Inhibitors in Individuals With Type 2 Diabetes: A Nationwide Cohort Study.

Min Kim, Kyoung Hwa Ha, Junyoung Lee, Sangshin Park, Kyeong Seok Oh, Dae-Hwan Bae, Ju Hee Lee, Sang Min Kim, Woong Gil Choi, Kyung-Kuk Hwang and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Korean circulation journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
1.4field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. 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

14 authors at 3 institutions in 1 country.

Min Kim *Department of Cardiology, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0000-0002-8132-9873
Kyoung Hwa Ha *Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0002-3408-7568
Junyoung LeeDepartment of Cardiology, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0009-0003-9428-3362
Sangshin ParkDepartment of Cardiology, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0000-0002-0990-3682
Kyeong Seok OhDepartment of Cardiology, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0000-0002-1638-4470
Dae-Hwan BaeDepartment of Cardiology, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0000-0002-4464-8613
Ju Hee LeeDepartment of Cardiology, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0000-0002-0858-0973
Sang Min KimDepartment of Cardiology, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0000-0002-1300-6079
Woong Gil ChoiDepartment of Cardiology, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0000-0002-2235-8041
Kyung-Kuk HwangDepartment of Cardiology, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0000-0003-3464-3023
Dong-Woon KimDepartment of Cardiology, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0000-0002-1988-2002
Myeong-Chan ChoDepartment of Cardiology, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0000-0002-0047-0227
Dae Jung KimDepartment of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea. djkim@ajou.ac.kr.ORCID https://orcid.org/0000-0003-1025-2044
Jang-Whan BaeDepartment of Cardiology, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0000-0003-1362-9804
Chungbuk National University Hospital · KRChungbuk National University · KRAjou University · KR

Funding

Chungbuk National University Hospital
6 · The paper itself

Abstract

BACKGROUND AND

objectivesAccumulating evidence shows that sodium-glucose cotransporter 2 inhibitors (SGLT2is) reduce adverse cardiovascular outcomes. However, whether SGLT2i, compared with other antidiabetic drugs, reduce the new development of atrial fibrillation (AF) is unclear. In this study, we compared SGLT2i with dipeptidyl peptidase-4 inhibitors (DPP-4is) in terms of reduction in the risk of AF in individuals with type 2 diabetes.

methodsWe included 42,786 propensity score-matched pairs of SGLT2i and DPP-4i users without previous AF diagnosis using the Korean National Health Insurance Service database between May 1, 2016, and December 31, 2018.

resultsDuring a median follow-up of 1.3 years, SGLT2i users had a lower incidence of AF than DPP-4i users (1.95 vs. 2.65 per 1,000 person-years; hazard ratio [HR], 0.73; 95% confidence interval [CI], 0.55-0.97; p=0.028]). In individuals without heart failure, SGLT2i users was associated with a decreased risk of AF incidence (HR, 0.70; 95% CI, 0.52-0.94; p=0.019) compared to DPP-4i users. However, individuals with heart failure, SGLT2i users was not significantly associated with a change in risk (HR, 1.04; 95% CI, 0.44-2.44; p=0.936).

conclusionsIn this nationwide cohort study of individuals with type 2 diabetes, treatment with SGLT2i was associated with a lower risk of AF compared with treatment with DPP-4i.

Indexed as

Atrial fibrillationDiabetes mellitusDipeptidyl-peptidase IV inhibitorsSodium-glucose transporter 2 inhibitors

Identifiers

PMID38654455
PMCPMC11109837
OpenAlexW4395098295

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.