Evidence map›Paper›PMID 42812847›Full record

ArticleJournal of the Endocrine Society2026

Cardiometabolic and atherosclerotic cardiovascular disease outcomes associated with tirzepatide: insights from a 1-year multicenter observational study.

Rene de J Rivera Gutierrez, Regina Castaneda, Alfredo Verastegui, Wissam Ghusn, Dima Bechenati, Maria A Espinosa, Jose Villamarin, Elif Tama, Kirsten Frederiksen, Andres Acosta and 1 more

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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

11 authors.

Rene de J Rivera GutierrezDivision of Endocrinology, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID https://orcid.org/0009-0002-3349-3676
Regina CastanedaDivision of General Internal Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID https://orcid.org/0009-0008-4735-6609
Alfredo VerasteguiDivision of Surgical Oncology, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID https://orcid.org/0000-0002-7243-4663
Wissam GhusnPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, USA.ORCID https://orcid.org/0000-0002-9389-6795
Dima BechenatiDepartment of Family Medicine, Mayo Clinic, Rochester, MN 55905, USA.ORCID https://orcid.org/0009-0008-9585-5111
Maria A EspinosaPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, USA.ORCID https://orcid.org/0000-0001-5927-6210
Jose VillamarinPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, USA.ORCID https://orcid.org/0000-0003-4319-2527
Elif TamaDivision of Internal Medicine, Wayne State University, Henry Ford Rochester Hospital, Rochester, MI 48307, USA.ORCID https://orcid.org/0009-0009-7595-9113
Kirsten FrederiksenDepartment of Surgery, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID https://orcid.org/0009-0001-7941-0824
Andres AcostaPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, USA.ORCID https://orcid.org/0000-0003-2286-489X
Maria D Hurtado AndradeDivision of Endocrinology, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID https://orcid.org/0000-0002-2322-7334

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the association of long-term, continuous tirzepatide use with cardiometabolic risk parameters and estimated 10-year atherosclerotic cardiovascular disease (ASCVD) risk in real-world practice. Methods: This multicenter retrospective observational study included 1028 adults with overweight or obesity who received weekly subcutaneous tirzepatide for at least 12 months within the Mayo Clinic Health System from June 2022 through May 2024. Atherosclerotic cardiovascular disease risk analyses included 275 individuals with complete baseline and 12-month follow-up data. Outcomes were changes in cardiometabolic parameters, estimated 10-year ASCVD risk, and ASCVD risk category. Results: At 12 months, median total body weight loss (TBWL) was 12.6%. Fasting glucose, HbA1c, triglycerides, and alanine aminotransferase decreased by 19.5%, 16.0%, 8.5%, and 10.6%, respectively, whereas HDL-cholesterol increased by 11.3% (all Main findings: Continuous tirzepatide use for at least 12 months was associated with clinically meaningful improvements in cardiometabolic parameters. Reductions in estimated 10-year ASCVD risk were observed among individuals achieving at least 10% TBWL, supporting greater weight loss as an important marker of cardiovascular risk improvement.

Indexed as

ASCVD risk scorecardiometabolic riskobesitytirzepatideweight loss

Identifiers

PMID42812847
PMCPMC13621189

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.