Evidence map›Paper›PMID 39438867›Full record

ArticleCardiovascular diabetology2024

Sodium-glucose cotransporter 2 inhibitors and cardiovascular events among patients with type 2 diabetes and low-to-normal body mass index: a nationwide cohort study.

Yuichiro Mori, Toshiaki Komura, Motohiko Adomi, Ryuichiro Yagi, Shingo Fukuma, Naoki Kondo, Motoko Yanagita, O Kenrik Duru, Katherine R Tuttle, Kosuke Inoue

Abstract readComparative Study
In one paragraph

Article in Cardiovascular diabetology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Trial
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  4. Heart failure with preserved ejection fraction: current insights and emerging therapeutic directions.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2026
    Review
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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

10 authors.

Yuichiro MoriDepartment of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Toshiaki Komura *Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA.
Motohiko AdomiDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Ryuichiro YagiDivision of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Shingo FukumaDepartment of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Naoki KondoDepartment of Social Epidemiology, Graduate School of Medicine, Kyoto University, Yoshida-Konoecho, Sakyo-Ku, Kyoto-Shi, Kyoto, 6068315, Japan.
Motoko YanagitaDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
O Kenrik DuruDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Katherine R TuttleKidney Research Institute, University of Washington, Seattle, WA, USA.
Kosuke InoueDepartment of Social Epidemiology, Graduate School of Medicine, Kyoto University, Yoshida-Konoecho, Sakyo-Ku, Kyoto-Shi, Kyoto, 6068315, Japan. inoue.kosuke.2j@kyoto-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with low-to-normal body mass index (BMI; < 25.0 kg/m

methodsThis cohort study with a target trial emulation framework was conducted using insurance claims and health screening records of more than 30 million working-age citizens in Japan acquired from April 1, 2015 to March 31, 2022. 139,783 new users of SGLT2 inhibitors matched to 139,783 users of dipeptidyl protease (DPP) 4 inhibitors with stratification by BMI category (< 20.0, 20.0-22.4, 22.5-24.9, 25.0-29.9, 30.0-34.9, and 35.0 ≤ kg/m

resultsAmong participants, 17.3% (n = 48,377) were female and 31.0% (n = 86,536) had low-to-normal BMI (< 20.0 kg/m

conclusionsThe protective effect of SGLT2 inhibitors on cardiovascular events among patients with type 2 diabetes appeared to decrease with lower BMI and was not significant among patients with low-to-normal BMI (< 25.0 kg/m2). These findings suggest the importance of considering BMI when initiating SGLT2 inhibitors.

Indexed as

Body Mass IndexCardiovascular DiseasesDiabetes Mellitus, Type 2Sodium-Glucose Transporter 2 InhibitorsAdultAgedDatabases, FactualDipeptidyl-Peptidase IV InhibitorsFemaleHeart Disease Risk FactorsHumansIncidenceJapanMaleMiddle AgedRetrospective StudiesDipeptidyl-Peptidase IV InhibitorsSodium-Glucose Transporter 2 Inhibitors

Identifiers

PMID39438867
PMCPMC11515712

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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.