Evidence map›Paper›PMID 39966427›Full record

Observational studyScientific reports2025

SGLT2 inhibitors reduce the risk of renal failure in CKD stage 5 patients with Type 2 DM.

Birdie Huang, Chieh-Li Yen, Chao-Yi Wu, Chung-Ying Tsai, Jia-Jin Chen, Ching-Chung Hsiao, Yung-Chang Chen, I-Chang Hsieh, Huang-Yu Yang

Erratum issuedAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Dapagliflozin Beyond Glucose Lowering: Mechanisms of Renal and Systemic Protection.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Birdie Huang *Department of Cardiology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan, Taiwan.
Chieh-Li Yen *Kidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No. 5, Fusing St., Gueishan District, Taoyuan, 333, Taiwan.
Chao-Yi WuCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Chung-Ying TsaiKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No. 5, Fusing St., Gueishan District, Taoyuan, 333, Taiwan.
Jia-Jin ChenKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No. 5, Fusing St., Gueishan District, Taoyuan, 333, Taiwan.
Ching-Chung HsiaoKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No. 5, Fusing St., Gueishan District, Taoyuan, 333, Taiwan.
Yung-Chang ChenKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No. 5, Fusing St., Gueishan District, Taoyuan, 333, Taiwan.
I-Chang Hsieh *Department of Cardiology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan, Taiwan.
Huang-Yu Yang *Kidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No. 5, Fusing St., Gueishan District, Taoyuan, 333, Taiwan. hyyang01@gmail.com.

Funding

Chang Gung Memorial Hospital, Linkou CORPG3J0301Chang Gung Memorial Hospital, Linkou CORPG3L0451
6 · The paper itself

Abstract

Sodium-glucose cotransporter-2 (SGLT2) inhibitors have emerged as a promising therapy for diabetes and CKD patients. However, the pros and cons of SGLT2i in Type2 diabetes patients with CKD stage 5 remained largely unexplored. By using Taiwan's national health insurance research database (NHIRD), this observational cohort study enrolled T2DM patients with newly identified as having CKD5, and the index date defined as the date of CKD5 identification. The enrollees were divided into 2 groups depending on whether SGLT2 inhibitors were used for more than 3 months or not following the index date. A 1:4 propensity score matching was performed to balance characteristics between two groups. The SGLT2-inhibitor group exhibited significantly lower risks of new-onset ESRD (35.9% vs. 58.2%, hazard ratio [HR] 0.59, 95% confidence interval [CI]: 0.59-0.74). For the risks of MACCEs (16.72% vs. 17.66%, HR 0.84, 95% CI: 0.62-1.15), infections related hospitalization (2.4% vs. 2.61%, HR:1.02, 95% CI:0.80-1.31), Infection-associated mortality (3.45% vs. 4.18% HR:0.80, 95% CI:0.41-1.56) and all-cause mortality (13.79% vs. 13.83%, HR:0.95, 95% CI:0.68-1.32), no significant differences were observed between two groups. In conclusion, we provide evidence suggesting that SGLT2 inhibitors may offer renal protection and did not increase infection risks for CKD5 patients with type2 diabetes.

Indexed as

Diabetes Mellitus, Type 2Kidney Failure, ChronicRenal Insufficiency, ChronicSodium-Glucose Transporter 2 InhibitorsAgedFemaleHumansMaleMiddle AgedRisk FactorsTaiwanSodium-Glucose Transporter 2 InhibitorsCKDDiabetesESRDMACCESGLT2 inhibitor

Identifiers

PMID39966427
PMCPMC11836049

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.