Evidence map›Paper›PMID 42219239›Full record

SynthesisThe Journal of international medical research2026

Effects of sodium-glucose cotransporter 2 inhibitors on cardiovascular outcomes in chronic obstructive pulmonary disease: A systematic review, meta-analysis, and trial sequential analysis of randomized controlled trials.

Chih-Chung Lin, Hui-Lin Sung, Po-Yu Huang, Chih-Cheng Lai, Yu-Feng Wei, Pin-Kuei Fu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The Journal of international medical research, 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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0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Chih-Chung LinDepartment of Pharmacy, Taichung Veteran General Hospital Puli Branch, Taiwan.ORCID 0009-0003-3145-5630
Hui-Lin SungDepartment of Pharmacy, Taichung Veteran General Hospital Puli Branch, Taiwan.
Po-Yu HuangDepartment of Internal Medicine, Chi Mei Medical Center, Taiwan.
Chih-Cheng LaiDepartment of Intensive Care Medicine, Chi Mei Medical Center, Taiwan.
Yu-Feng WeiDepartment of Internal Medicine, E-Da Cancer Hospital, I-Shou University, Taiwan.
Pin-Kuei FuDivision of Clinical Research, Department of Medical Research, Taichung Veterans General Hospital, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectiveSodium-glucose cotransporter 2 inhibitors are widely used in the management of diabetes mellitus and have demonstrated substantial cardiovascular and renal protective effects, particularly in patients with heart failure. However, their impact on cardiovascular outcomes in patients with chronic obstructive pulmonary disease remains insufficiently characterized.MethodsWe conducted a systematic review and meta-analysis of randomized controlled trials to evaluate the efficacy and safety of sodium-glucose cotransporter 2 inhibitors in patients with chronic obstructive pulmonary disease. The primary outcome was the composite cardiovascular outcome (defined as cardiovascular mortality and total hospitalization for heart failure). Secondary outcomes included all-cause mortality, cardiovascular death, hospitalization for heart failure, and adverse events.ResultsThree randomized controlled trials involving 1986 patients with chronic obstructive pulmonary disease were included; in total, 1113 patients received sodium-glucose cotransporter 2 inhibitors treatment and 873 received placebo. Compared with the placebo, sodium-glucose cotransporter 2 inhibitors significantly reduced the risk of the composite cardiovascular outcome (risk ratio, 0.76; 95% confidence interval: 0.65-0.87;

Indexed as

Cardiovascular DiseasesHeart FailurePulmonary Disease, Chronic ObstructiveSodium-Glucose Transporter 2 InhibitorsHospitalizationHumansRandomized Controlled Trials as TopicTreatment OutcomeSodium-Glucose Transporter 2 Inhibitorsadverse eventsChronic obstructive pulmonary diseasediabetes mellitusheart failuremortalitysodium-glucose cotransporter 2 inhibitors

Identifiers

PMID42219239
PMCPMC13554633

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.