Evidence map›Paper›PMID 41146468›Full record

ArticlePhysiological reports2025

Association between caffeine and the eGFR dip after initiation of SGLT2 inhibitors in adult patients.

Zach Kisley, Amanda J Kalishman, Aliza A Memon, Sandeep S Dhindsa, John C Edwards, Amy Mosman, Krista L Lentine, Paul Kunnath, Emily Wood, Kana N Miyata

Abstract read
In one paragraph

Article in Physiological reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Zach KisleyDepartment of Internal Medicine, Saint Louis University, St Louis, Missouri, USA.
Amanda J KalishmanDepartment of Internal Medicine, Saint Louis University, St Louis, Missouri, USA.
Aliza A MemonDepartment of Internal Medicine, Saint Louis University, St Louis, Missouri, USA.
Sandeep S DhindsaDepartment of Internal Medicine, Saint Louis University, St Louis, Missouri, USA.
John C EdwardsDepartment of Internal Medicine, Saint Louis University, St Louis, Missouri, USA.
Amy MosmanDepartment of Internal Medicine, Saint Louis University, St Louis, Missouri, USA.
Krista L LentineDepartment of Internal Medicine, Saint Louis University, St Louis, Missouri, USA.
Paul KunnathDepartment of Internal Medicine, Saint Louis University, St Louis, Missouri, USA.
Emily WoodDepartment of Internal Medicine, Saint Louis University, St Louis, Missouri, USA.
Kana N MiyataDepartment of Internal Medicine, Saint Louis University, St Louis, Missouri, USA.ORCID 0000-0001-6486-4666

Funding

Bander Foundation Grant 2022-2023Mid-America Transplant
6 · The paper itself

Abstract

Sodium-glucose cotransporter-2 inhibitors (SGLT2i) are cornerstone therapies for heart failure and chronic kidney disease. Clinical trials have demonstrated that the estimated glomerular filtration rate (eGFR) typically declines within the first few weeks after SGLT2i initiation. One proposed mechanism of the acute eGFR dip is the reduced intraglomerular pressure through tubuloglomerular feedback (TGF). Adenosine is a key mediator in TGF signaling, and caffeine, a nonselective adenosine receptor antagonist, may influence this process. We conducted a retrospective cohort study at SSM Health Saint Louis University Hospital to examine whether caffeine intake influences the initial eGFR dip following SGLT2i initiation. Eligible patients completed a caffeine consumption survey, and chart reviews assessed creatinine and proteinuria at baseline and 1 month post-initiation. Data from 62 patients (mean age 60.1 ± 12.4 years; median eGFR 50.0 [IQR 37.2-66.9] mL/min/1.73 m

Indexed as

CaffeineGlomerular Filtration RateRenal Insufficiency, ChronicSodium-Glucose Transporter 2 InhibitorsAdultAgedCreatinineFemaleHumansMaleMiddle AgedRetrospective StudiesCaffeineCreatinineSodium-Glucose Transporter 2 Inhibitorsadenosinecaffeineestimated glomerular filtration ratesodium‐glucose cotransporter‐2 inhibitorstubuloglomerular feedback

Identifiers

PMID41146468
PMCPMC12559023

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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.