Evidence map›Paper›PMID 41987126›Full record

ArticleBMC endocrine disorders2026

Impact of herpes zoster and post-zoster SGLT2 inhibitors initiation on cardiorenal outcomes in type 2 diabetes mellitus.

Mei-Zhen Wu, Christopher Tze-Wei Tsang, Cheng Peng, Jia-Yi Huang, Ran Guo, Yi-Kei Tse, Yap-Hang Chan, Chi-Ho Lee, Jing-Nan Zhang, Wen-Li Gu and 3 more

Abstract read
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Article in BMC endocrine disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Mei-Zhen Wu *Department of Geriatrics, National Key Clinical Specialty, School of Medicine, The Second Affiliated Hospital of South China University of Technology (Guangzhou First People's Hospital), Guangzhou, China.
Christopher Tze-Wei Tsang *Division of Cardiology, Department of Medicine, The University of Hong Kong, Room 1928, Block K, Queen Mary Hospital, Hong Kong, China.
Cheng PengDepartment of Geriatrics, National Key Clinical Specialty, School of Medicine, The Second Affiliated Hospital of South China University of Technology (Guangzhou First People's Hospital), Guangzhou, China.
Jia-Yi HuangDivision of Cardiology, Department of Medicine, The University of Hong Kong, Room 1928, Block K, Queen Mary Hospital, Hong Kong, China.
Ran GuoDivision of Cardiology, Department of Medicine, The University of Hong Kong, Room 1928, Block K, Queen Mary Hospital, Hong Kong, China.
Yi-Kei TseDivision of Cardiology, Department of Medicine, The University of Hong Kong, Room 1928, Block K, Queen Mary Hospital, Hong Kong, China.
Yap-Hang ChanDivision of Cardiology, Department of Medicine, The University of Hong Kong, Room 1928, Block K, Queen Mary Hospital, Hong Kong, China.
Chi-Ho LeeDivision of Endocrinology, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
Jing-Nan ZhangDivision of Cardiology, Department of Medicine, The University of Hong Kong, Room 1928, Block K, Queen Mary Hospital, Hong Kong, China.
Wen-Li GuDivision of Cardiology, Department of Medicine, The University of Hong Kong, Room 1928, Block K, Queen Mary Hospital, Hong Kong, China.
Xin-Li LiJiangsu People's Hospital, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Qing-Wen RenDivision of Cardiology, Department of Medicine, The University of Hong Kong, Room 1928, Block K, Queen Mary Hospital, Hong Kong, China.
Kai-Hang YiuDivision of Cardiology, Department of Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China. khkyiu@hku.hk.

Funding

Sanming Project of Medicine in Shenzhen SZSM202411021the General Guidance Project of Guangzhou Municipal Health Commission 20251A011017the National Natural Science Foundation of China 82270400the Natural Science Foundation of Guangdong Province 2023A1515010731
6 · The paper itself

Abstract

backgroundThis study aimed to investigate the impact of new-onset herpes zoster (HZ) on the risk of cardiorenal outcomes in patients with type 2 diabetes mellitus (T2DM) and to evaluate whether subsequent initiation of sodium-glucose cotransporter-2 (SGLT2) inhibitors modified this risk.

methodsPatients with T2DM were identified from a territory-wide cohort from 2016 to 2021. The primary outcomes were primary renal composite outcomes (defined as a composite of end-stage renal failure, a 50% decline in estimated glomerular filtration rate [eGFR], or all-cause mortality) and primary cardiovascular composite outcomes (defined as a composite of heart failure hospitalization, myocardial infarction, stroke or all-cause mortality).

resultsNew-onset HZ occurred in 3,306/171,474 patients (incidence rate 5.70/1,000 person-years) and was independently associated with higher risks of the primary renal composite outcomes (adjusted HR 1.42, 95% CI 1.30–1.55) and primary cardiovascular composite outcomes (adjusted HR 1.59, 95% CI 1.42–1.77) in patients with T2DM. This association was more pronounced within the first three months following infection and attenuated thereafter. Among patients who developed HZ, the initiation of SGLT2 inhibitors was associated with a lower risk of adverse renal (HR 0.57, 95% CI 0.42–0.78) and cardiovascular (HR 0.54, 95% CI 0.32–0.91) outcomes.

conclusionsNew-onset HZ was associated with increased cardiorenal risk among patients with T2DM, and subsequent SGLT2 inhibitors initiation was associated with a reduced risk of these adverse events. These findings underscore the significance of HZ prevention and the potential benefits of early initiation of SGLT2 inhibitors post-HZ to mitigate cardiorenal adverse events in patients with T2DM. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Herpes ZosterSodium-Glucose Transporter 2 InhibitorsAgedFemaleGlomerular Filtration RateHumansMaleMiddle AgedPrognosisSodium-Glucose Transporter 2 InhibitorsHerpes zosterPrimary cardiovascular composite outcomesPrimary renal composite outcomesPrognosisSGLT2 inhibitorsType 2 diabetes mellitus

Identifiers

PMID41987126
PMCPMC13200425

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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.