Evidence map›Paper›PMID 41853136›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2026

Real-World Outcomes of Sodium-Glucose Cotransporter 2 Inhibitor Therapy in Nondiabetic Autosomal-Dominant Polycystic Kidney Disease: Effects on Progression to Dialysis in a TrinetX Cohort.

Chia-Hua Chang, Yuan-Chuan Kuo, Yu-Hsiang Kuan, Paik-Seong Lim, Mu-Chi Chung, Ying-Ru Pan, Ci-Wen Luo, Tsai-Kun Wu

Erratum issuedAbstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2026. 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Pseudo-Index Events Cannot be Configured on the TriNetX Platform.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026
    Article
  2. In Reply: Pseudo-Index Events cannot be Configured on the TriNetX Platform.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Chia-Hua ChangDivision of Renal Medicine Tungs', Taichung Metro Harbor Hospital, Taichung, Taiwan.
Yuan-Chuan KuoDivision of Renal Medicine Tungs', Taichung Metro Harbor Hospital, Taichung, Taiwan.
Yu-Hsiang KuanDepartment of Pharmacology, School of Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan.
Paik-Seong LimDivision of Renal Medicine Tungs', Taichung Metro Harbor Hospital, Taichung, Taiwan.
Mu-Chi ChungDivision of Nephrology, Department of Medicine, Taichung, Taiwan.
Ying-Ru PanDivision of Renal Medicine Tungs', Taichung Metro Harbor Hospital, Taichung, Taiwan.
Ci-Wen LuoDepartment of Medical Research, Tungs' Taichung Metro Harbor Hospital, Taichung, Taiwan.
Tsai-Kun WuDivision of Renal Medicine Tungs', Taichung Metro Harbor Hospital, Taichung, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the association between sodium-glucose cotransporter-2 inhibitor (SGLT2i) use and the risk of progression to chronic dialysis in nondiabetic adults with autosomal-dominant polycystic kidney disease (ADPKD). Patients and Methods: This retrospective cohort study used the TriNetX Global Collaborative Network to identify nondiabetic adults newly diagnosed with ADPKD since 2018. We performed 1:1 propensity score matching to balance 21 baseline covariates between SGLT2i users and controls. Secondary analyses compared tolvaptan users with matched controls and performed a direct comparison between SGLT2i and tolvaptan. The primary outcome was chronic dialysis initiation, analyzed via Kaplan-Meier and Cox proportional hazards models. Results: After matching, 187 patients were included in each cohort. Dialysis initiation occurred in 19 (10.16%) SGLT2i users vs 43 (22.99%) controls ( Conclusion: Sodium-glucose cotransporter-2 inhibitor therapy was associated with a substantially reduced risk of progressing to dialysis in this real-world nondiabetic ADPKD cohort. Although these findings are promising, prospective randomized trials are essential to confirm these results and to evaluate the longitudinal impact of SGLT2i on cyst growth and total kidney volume.

Identifiers

PMID41853136
PMCPMC12993020

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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.