Evidence mapPaperPMID 34070103Full record

ArticleInternational journal of environmental research and public health2021

Insulin Withdrawal in Diabetic Kidney Disease: What Are We Waiting for?

Carlos Morillas, Luis D'Marco, María Jesús Puchades, Eva Solá-Izquierdo, Carmen Gorriz-Zambrano, Valmore Bermúdez, José Luis Gorriz

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. 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

7 authors at 3 institutions in 2 countries.

Carlos MorillasEndocrinology Department, Hospital Doctor Peset, 46020 Valencia, Spain.ORCID 0000-0002-3745-4423
Luis D'MarcoNephrology Department, Hospital Clínico Universitario, INCLIVA, Universidad de Valencia, 46010 Valencia, Spain.ORCID 0000-0003-0148-891X
María Jesús PuchadesNephrology Department, Hospital Clínico Universitario, INCLIVA, Universidad de Valencia, 46010 Valencia, Spain.ORCID 0000-0001-6927-071X
Eva Solá-IzquierdoEndocrinology Department, Hospital Doctor Peset, 46020 Valencia, Spain.
Carmen Gorriz-ZambranoCAP Sant Pere, ABS Reus 1, 43202 Tarragona, Spain.
Valmore BermúdezFacultad de Ciencias de la Salud, Universidad Simon Bolivar, Barranquilla 080001, Colombia.ORCID 0000-0003-1880-8887
José Luis GorrizNephrology Department, Hospital Clínico Universitario, INCLIVA, Universidad de Valencia, 46010 Valencia, Spain.ORCID 0000-0002-1134-9051
Universitat de València · ESHospital Universitario Doctor Peset · ESUniversidad Simón Bolívar · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevalence of type 2 diabetes mellitus worldwide stands at nearly 9.3% and it is estimated that 20-40% of these patients will develop diabetic kidney disease (DKD). DKD is the leading cause of chronic kidney disease (CKD), and these patients often present high morbidity and mortality rates, particularly in those patients with poorly controlled risk factors. Furthermore, many are overweight or obese, due primarily to insulin compensation resulting from insulin resistance. In the last decade, treatment with sodium-glucose cotransporter 2 inhibitors (SGLT2i) and glucagon-like peptide-1 receptor agonists (GLP1-RA) have been shown to be beneficial in renal and cardiovascular targets; however, in patients with CKD, the previous guidelines recommended the use of drugs such as repaglinide or dipeptidyl peptidase-4 inhibitors (DPP-4 inhibitors), plus insulin therapy. However, new guidelines have paved the way for new treatments, such as SGLT2i or GLP1-RA in patients with CKD. Currently, the new evidence supports the use of GLP1-RA in patients with an estimated glomerular filtration rate (eGFR) of up to 15 mL/min/1.73 m

Indexed as

Diabetes Mellitus, Type 2Diabetic NephropathiesDipeptidyl-Peptidase IV InhibitorsSodium-Glucose Transporter 2 InhibitorsHumansHypoglycemic AgentsInsulinDipeptidyl-Peptidase IV InhibitorsHypoglycemic AgentsInsulinSodium-Glucose Transporter 2 Inhibitorscardiovascular diseasediabetic kidney diseaseGLP-1RAinsulinSGLT2i

Identifiers

PMID34070103
PMCPMC8158374
OpenAlexW3160680545

What Socratic holds

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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.