Evidence mapPaperPMID 29316157Full record

Trial reportDiabetes, obesity & metabolism2018

Dapagliflozin for prednisone-induced hyperglycaemia in acute exacerbation of chronic obstructive pulmonary disease.

Maaike C Gerards, Gerdien E Venema, Kornelis W Patberg, Martijn Kross, Bert Jan Potter van Loon, Ilse M G Hageman, Dominic Snijders, Dees P M Brandjes, Joost B L Hoekstra, Titia M Vriesendorp and 1 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Glucocorticoid-Induced Hyperglycemia Including Dexamethasone-Associated Hyperglycemia in COVID-19 Infection: A Systematic Review.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Review
  8. Medication-Induced Hyperglycemia and Diabetes Mellitus: A Review of Current Literature and Practical Management Strategies.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Review
  9. Glucocorticoid-Induced Hyperglycemia: A Neglected Problem.Endocrinology and metabolism (Seoul, Korea) · 2024
    Review
  10. Article
  11. Review
  12. Hyperglycaemia and Chronic Obstructive Pulmonary Disease.Diagnostics (Basel, Switzerland) · 2023
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
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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.

Maaike C GerardsDepartment of Internal Medicine, MC Slotervaart, Amsterdam, The Netherlands.ORCID 0000-0003-1034-4141
Gerdien E VenemaDepartment of Pulmonology, Isala, Zwolle, The Netherlands.
Kornelis W PatbergDepartment of Pulmonology, Isala, Zwolle, The Netherlands.
Martijn KrossDepartment of Pulmonology, MC Slotervaart, Amsterdam, The Netherlands.
Bert Jan Potter van LoonDepartment of Internal Medicine, OLVG West, Amsterdam, The Netherlands.
Ilse M G HagemanDepartment of Internal Medicine, OLVG West, Amsterdam, The Netherlands.
Dominic SnijdersDepartment of Pulmonology, Spaarne Gasthuis, Hoofddorp, The Netherlands.
Dees P M BrandjesDepartment of Internal Medicine, MC Slotervaart, Amsterdam, The Netherlands.
Joost B L HoekstraAcademic Medical Centre, Department of Internal Medicine, Amsterdam, The Netherlands.
Titia M VriesendorpDepartment of Internal Medicine, Isala, Zwolle, The Netherlands.
Victor E A GerdesDepartment of Internal Medicine, MC Slotervaart, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the present study was to compare the effectiveness and safety of add-on treatment with dapagliflozin to placebo in patients with prednisone-induced hyperglycaemia during treatment for acute exacerbation of chronic obstructive pulmonary disease (AECOPD). We enrolled 46 patients hospitalized for an AECOPD in a multicentre double-blind randomized controlled study in which add-on treatment with dapagliflozin 10 mg was compared with placebo. Glycaemic control and incidence of hypoglycaemia were measured through a blinded subcutaneous continuous glucose monitoring device. Participants in the dapagliflozin group spent 54 ± 27.7% of the time in target range (3.9-10 mmol/L) and participants in the placebo group spent 53.6 ± 23.4% of the time in target range (P = .96). The mean glucose concentration was 10.1 mmol/L in the dapagliflozin group and 10.4 mmol/L in the placebo group (P = .66). One participant using dapagliflozin and 2 participants using placebo experienced symptomatic hypoglycaemia. Treatment with dapagliflozin was safe and there was no difference in risk of hypoglycaemia compared with placebo. Dapagliflozin did not result in better glycaemic control compared with placebo in participants with prednisone-induced hyperglycaemia during AECOPD.

Indexed as

AgedBenzhydryl CompoundsCombined Modality TherapyDiabetes Mellitus, Type 2Double-Blind MethodDrug Therapy, CombinationFemaleGlucocorticoidsGlucoseGlucosidesHumansHyperglycemiaHypoglycemiaHypoglycemic AgentsInsulinInsulin ResistanceBenzhydryl CompoundsdapagliflozinGlucocorticoidsGlucoseGlucosidesHypoglycemic AgentsInsulinPrednisoneSodium-Glucose Transporter 2 Inhibitorsclinical trialcontinuous glucose monitoring (CGM)dapagliflozinglycaemic controlhypoglycaemiarandomized trial

Identifiers

PMID29316157
PMCPMC5947126

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.