Evidence map›Paper›PMID 41276093›Full record

ArticleJournal of vascular surgery2026

Glucagon-like peptide-1 receptor agonists are associated with reduced abdominal aortic aneurysm-related events.

Hyunjun Ahn, David C Kaelber, Nicholas Hoell, Ravi Ambani, Jon G Quatromoni, Ali Khalifeh, Lee Kirksey, Courtney Hanak, Scott J Cameron, Sean P Lyden and 1 more

Abstract read
In one paragraph

Article in Journal of vascular surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
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

11 authors.

Hyunjun AhnLerner College of Medicine, Cleveland Clinic, Cleveland, OH.
David C KaelberCenter for Clinical Informatics Research and Education, The MetroHealth System, Case Western Reserve University, Cleveland, OH; Department of Internal Medicine, Case Western Reserve University, Cleveland, OH.
Nicholas HoellDepartment of Vascular Surgery and Aortic Center, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH.
Ravi AmbaniDepartment of Vascular Surgery and Aortic Center, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH.
Jon G QuatromoniDepartment of Vascular Surgery and Aortic Center, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH.
Ali KhalifehDepartment of Vascular Surgery and Aortic Center, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH.
Lee KirkseyDepartment of Vascular Surgery and Aortic Center, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH.
Courtney HanakDepartment of Vascular Surgery and Aortic Center, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH.
Scott J CameronDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH.
Sean P LydenDepartment of Vascular Surgery and Aortic Center, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH.
Francis J CaputoDepartment of Vascular Surgery and Aortic Center, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH. Electronic address: caputof@ccf.org.

Funding

The Cleveland Clinic Innovation AcceleratorU54HL119810 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI VINCE, D. GEOFFREY · 2013 to 2020
$14.4M
Platelets as Biosensors and Mediators of Aortic Aneurysm GrowthR01HL158801 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI CAMERON, SCOTT JAMES · 2021 to 2025
$2.5M
NHLBI NIH HHS R01 HL158801NHLBI NIH HHS U54 HL119810
6 · The paper itself

Abstract

objectiveGlucagon-like peptide 1 receptor agonists (GLP-1RAs) have shown to possess cardiovascular protective effects, with preclinical data, suggesting potential benefits in slowing abdominal aortic aneurysm (AAA) growth. However, their effect on AAA in humans remains underexplored. This study evaluates the effects of GLP-1RAs on all-cause mortality, AAA repair, and acute abdominal aortic syndrome in patients with unruptured AAA.

methodsWe used the US collaborative network of the TriNetX platform to identify patients aged ≥18 years with unruptured AAA, based on International Classification of Disease, 10th Revision (ICD-10), codes from January 1, 2015, to March 1, 2020. Patients with prior AAA rupture, dissection, repair, and connective tissue disorders were excluded. The remaining cohort was stratified by type 2 diabetes (T2D) status and divided into two cohorts: patients who had GLP-1RA prescription within 6 months before or any time after their first AAA encounter diagnosis during the study period and non-GLP-1RA users who were never prescribed GLP-1RAs. Propensity score matching (1:1) adjusted for demographics, tobacco use, comorbidities, and medications. Five-year odds ratios (ORs) and Kaplan-Meier survival analyses assessed outcomes.

resultsOf the 1407 patients prescribed GLP-1RAs and 38,994 not prescribed GLP-1RAs with T2D, 1401 patients were matched and analyzed. Similarly, among 336 patient prescribed GLP-1RAs and 129,790 not prescribed non-GLP-1RAs without T2D, 336 matched pairs were analyzed. Patient prescribed GLP-1RAs had significantly lower risks of the composite outcome of mortality, AAA repair, and acute abdominal aortic syndrome in both T2D (OR, 0.56; 95% confidence interval [CI], 0.47-0.66) and non-T2D cohorts (OR, 0.42; 95% CI, 0.28-0.63). Specifically, those prescribed GLP-1RAs had reduced mortality (T2D: OR, 0.54; 95% CI, 0.45-0.65; non-T2D: OR, 0.47; 95% CI, 0.30-0.74) and were less likely to undergo AAA repair (T2D: OR, 0.66; 95% CI, 0.45-0.95; non-T2D: OR, 0.45; 95% CI, 0.21-0.96). Kaplan-Meier analysis also demonstrated the benefits of GLP-1RAs in delaying outcome.

conclusionsGLP-1RA prescriptions were associated with a lower risk of clinically important events in patients with unruptured AAA. These findings suggest potential benefits of GLP-1RAs in AAA management, warranting further research on their effect on aneurysm growth and progression.

Indexed as

Aortic Aneurysm, AbdominalDiabetes Mellitus, Type 2Glucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsIncretinsAgedAged, 80 and overDatabases, FactualFemaleHumansMaleMiddle AgedProtective FactorsRetrospective StudiesRisk AssessmentRisk FactorsGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsIncretinsAbdominal aortic aneurysmAneurysm growthAneurysm repairGlucagon-like peptide receptor agonistsMedical management

Identifiers

PMID41276093
PMCPMC13395541

What OpenQuestion holds

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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.