Evidence map›Paper›PMID 31472683›Full record

ArticleCardiovascular diabetology2019

Evidence from routine clinical practice: EMPRISE provides a new perspective on CVOTs.

Guntram Schernthaner, Avraham Karasik, Agnė Abraitienė, Alexander S Ametov, Zsolt Gaàl, Janusz Gumprecht, Andrej Janež, Susanne Kaser, Katarina Lalić, Boris N Mankovsky and 7 more

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
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

4 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
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

17 authors at 16 institutions in 14 countries.

Guntram SchernthanerMedical University of Vienna, Vienna, Austria. guntram.schernthaner@meduniwien.ac.at.
Avraham KarasikSheba Medical Center and Tel Aviv University, Tel Aviv, Israel. karasik@post.tau.ac.il.
Agnė AbraitienėClinic of Internal Diseases, Family Medicine and Oncology, Institute of Medicine, Faculty of Medicine, Vilnius University Hospital Santaros Klinikos, Vilnius University, Vilnius, Lithuania.
Alexander S AmetovRussian Medical Academy for Continuous Professional Education, Ministry of Education of the Russian Federation, Moscow, Russia.
Zsolt GaàlDepartment of Medicine, András Jósa Teaching Hospital, Nyíregyháza, Hungary.
Janusz GumprechtMedical University of Silesia, Katowice, Poland.
Andrej JanežDepartment of Endocrinology, Diabetes and Metabolic Diseases, University Medical Centre, Ljubljana, Slovenia.
Susanne KaserDepartment of Internal Medicine I and CD Laboratory for Metabolic Crosstalk, Medical University of Innsbruck, Innsbruck, Tirol, Austria.
Katarina LalićClinic for Endocrinology, Diabetes and Metabolic Diseases, Clinical Centre of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Boris N MankovskyNational Medical Academy for Postgraduate Education, Kiev, Ukraine.
Evgeny MoshkovichDiabetes and Endocrinology Clinic, Clalit Medical Services, Ramat Gan, Israel.
Marju PastEstonian Diabetes Center, Tallinn, Estonia.
Martin Prázný3rd Department of Internal Medicine, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Gabriela RadulianCarol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Lea Smirčić DuvnjakSchool of Medicine, University of Zagreb, Vuk Vrhovac University Clinic-UH Merkur, Zagreb, Croatia.
Ivan TkáčDepartment of Internal Medicine 4, Faculty of Medicine, Safarik University in Košice, Košice, Slovakia.
Kārlis TrušinskisLatvian Center of Cardiology, Stradiņš Clinical University Hospital, Rīga Stradiņš University, Riga, Latvia.
Carol Davila University of Medicine and Pharmacy · ROCharles University · CZClalit Health Services · ILJósa András Múzeum · HULjubljana University Medical Centre · SIMedical University of Silesia · PLMedical University of Vienna · ATRiga Stradiņš University · LVRussian Medical Academy of Continuous Professional Education · RUShupyk National Healthcare University of Ukraine · UATel Aviv University · ILUniversität Innsbruck · ATUniversity of Belgrade · RSUniversity of Pavol Jozef Šafárik · SKUniversity of Zagreb · HRVilnius University · LT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

EMPA-REG OUTCOME is recognised by international guidelines as a landmark study that showed a significant cardioprotective benefit with empagliflozin in patients with type 2 diabetes (T2D) and cardiovascular disease. To assess the impact of empagliflozin in routine clinical practice, the ongoing EMPRISE study is collecting real-world evidence to compare effectiveness, safety and health economic outcomes between empagliflozin and DPP-4 inhibitors. A planned interim analysis of EMPRISE was recently published, confirming a substantial reduction in hospitalisation for heart failure with empagliflozin across a diverse patient population. In this commentary article, we discuss the new data in the context of current evidence and clinical guidelines, as clinicians experienced in managing cardiovascular risk in patients with T2D. We also look forward to what future insights EMPRISE may offer, as evidence is accumulated over the next years to complement the important findings of EMPA-REG OUTCOME.

Indexed as

Evidence-Based MedicineResearch DesignBenzhydryl CompoundsCardiovascular DiseasesClinical Decision-MakingClinical Trials as TopicDiabetes Mellitus, Type 2GlucosidesHospitalizationHumansPractice Guidelines as TopicPractice Patterns, Physicians'Protective FactorsRisk AssessmentRisk FactorsSodium-Glucose Transporter 2 InhibitorsBenzhydryl CompoundsempagliflozinGlucosidesSodium-Glucose Transporter 2 InhibitorsCVOTsEMPA-REG OUTCOMEEMPRISEHeart failureReal-world evidenceType 2 diabetes

Identifiers

PMID31472683
PMCPMC6717330
OpenAlexW2970334842

What Socratic holds

Textmetadata
LicenceCC BY
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.