Evidence map›Paper›PMID 42121200›Full record

ArticleBMC medicine2026

Sodium-glucose cotransporter 2 inhibitors and the risk of kidney cancer among patients with type 2 diabetes: a population-based cohort study.

Minyoung Lee, Hokyou Lee, Eun-Jin Kim, Dasom Son, Hyeok-Hee Lee, Hyeon Chang Kim, Eun Seok Kang

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Article in BMC medicine, 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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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Minyoung Lee *Department of Internal Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea.
Hokyou Lee *Department of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea.
Eun-Jin KimDepartment of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea.
Dasom SonDepartment of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea.
Hyeok-Hee LeeDepartment of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea.
Hyeon Chang Kim *Department of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea. HCKIM@yuhs.ac.
Eun Seok Kang *Department of Internal Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea. EDGO@yuhs.ac.

Funding

Korea Health Industry Development Institute RS-2023-KH136889Ministry of Science and ICT, South Korea 2022R1F1A1066181Ministry of Science and ICT, South Korea RS-2023-00209104National Research Foundation of Korea NRF‒2021R1I1A1A01048435
6 · The paper itself

Abstract

backgroundThere is an important need to develop clinical strategies to reduce the risk of incident kidney cancer, especially in patients with type 2 diabetes (T2D) often accompanied by chronic kidney disease. Here, we investigated whether sodium-glucose cotransporter 2 (SGLT2) inhibitor use is associated with reduced kidney cancer risk compared to dipeptidyl peptidase-4 (DPP-4) inhibitor use in patients with T2D, using a nationwide cohort of the Korean national health insurance claims and health examination database.

methodsAfter 1:1 propensity score matching, 57,103 SGLT2 inhibitor new users and 57,103 DPP-4 inhibitor new users were selected from 581,702 kidney cancer-free participants, aged 20 to 79 years, who started oral glucose-lowering drugs for T2D from 2014 to 2018.

resultsDuring 408,481 person-years of follow-up, 102 (25.0 per 100,000 person-years) new kidney cancer events occurred. SGLT2 inhibitor use was associated with a 40% reduced risk of kidney cancer compared with DPP-4 inhibitor use (18.9 vs. 30.8 per 100,000 person-years; hazard ratio [HR] 0.60, 95% CI 0.40 to 0.89). The reduced kidney cancer risk associated with SGLT2 inhibitor use versus DPP-4 inhibitor use was consistent even after additional adjustment for all variables composing the propensity scores (HR 0.60, 95% CI 0.40 to 0.90) and regardless of age, sex, body mass index, current smoking, hypertension, medication use, or diabetic complications including nephropathy (all p > 0.05 for interaction). When comparing SGLT2 inhibitor users with 1:1 propensity score-matched non-users, SGLT2 inhibitor use was associated with a 34% reduced risk of kidney cancer compared to non-use (HR 0.66, 95% CI 0.49 to 0.89).

conclusionsOur findings suggest a potential association between SGLT2 inhibitor use and a lower risk of kidney cancer, which needs to be further validated.

Indexed as

Diabetes Mellitus, Type 2Kidney NeoplasmsSodium-Glucose Transporter 2 InhibitorsAdultAgedCohort StudiesDipeptidyl-Peptidase IV InhibitorsFemaleHumansHypoglycemic AgentsMaleMiddle AgedRepublic of KoreaRisk FactorsYoung AdultDipeptidyl-Peptidase IV InhibitorsHypoglycemic AgentsSodium-Glucose Transporter 2 InhibitorsDiabetes MellitusKidney NeoplasmsSodium-Glucose Transporter 2 Inhibitors

Identifiers

PMID42121200
PMCPMC13334925

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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.