Evidence map›Paper›PMID 34551206›Full record

SynthesisJournal of diabetes investigation2022

Dipeptidyl peptidase-4 inhibitor and insulin combination treatment in type 2 diabetes and chronic kidney disease: A meta-analysis.

Xianling Zhou, Heng Shi, Shiping Zhu, Haixia Wang, Shengyun Sun

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of diabetes investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
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

5 authors at 2 institutions in 1 country.

Xianling ZhouDepartment of Nephrology, The First Affiliated Hospital of Jinan University, Guangzhou, China.ORCID https://orcid.org/0000-0002-2087-3322
Heng ShiDepartment of Nephrology, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Shiping ZhuDepartment of Traditional Chinese Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Haixia WangDepartment of Traditional Chinese Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Shengyun SunDepartment of Traditional Chinese Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China.
First Affiliated Hospital of Guangzhou University of Chinese Medicine · CNFirst Affiliated Hospital of Jinan University · CN

Funding

Research Project of Guangdong Provincial Bureau of Traditional Chinese Medicine 20203005
6 · The paper itself

Abstract

AIMS/

introductionThe union of dipeptidyl peptidase-4 inhibitors and insulin in patients with type 2 diabetes and chronic kidney disease provides satisfactory glucose management without increasing adverse events (AEs). This research appraised the therapeutic effect and safety of combination therapy in patients with type 2 diabetes and chronic kidney disease. MATERIALS AND

methodsWe carried out a meta-analysis of randomized controlled trials to analyze AEs, hypoglycemia, serious AEs, severe hypoglycemia, estimated glomerular filtration rate, fasting plasma glucose, glycated hemoglobin, insulin dose, low-density lipoprotein cholesterol, uric acid and weight between combination treatment groups and control groups by searching the Cochrane Library, Excerpta Medica Database (Embase), PubMed and Web of Science databanks until October 2020.

resultsFive studies (6 trials, 1,278 participants) met the inclusion criteria. The evidence quality ranged from moderate to high. Glycated hemoglobin (standardized mean difference -0.29, 95% confidence interval -0.44 to -0.14) and insulin dose (standardized mean difference -0.16, 95% confidence interval -0.29 to -0.02) were obviously smaller in the combination cure patients than in the control patients. Compared with the control groups, combination treatment did not increase AEs, hypoglycemia, serious AEs or severe hypoglycemia.

conclusionsThis study showed the effectiveness and safety of dipeptidyl peptidase-4 inhibitors bonded with insulin in patients with type 2 diabetes and chronic kidney disease, but the protective actions of this cure on kidney and cardiovascular outcomes, as well as the functions of other dipeptidyl peptidase-4 inhibitors, need to be affirmed by more good-quality randomized controlled trials.

Indexed as

Diabetes Mellitus, Type 2Dipeptidyl-Peptidase IV InhibitorsRenal Insufficiency, ChronicDipeptidyl-Peptidases and Tripeptidyl-PeptidasesGlycated HemoglobinHumansHypoglycemic AgentsInsulinTreatment OutcomeDipeptidyl-Peptidase IV InhibitorsDipeptidyl-Peptidases and Tripeptidyl-PeptidasesGlycated HemoglobinHypoglycemic AgentsInsulinChronic kidney diseaseDipeptidyl peptidase-4 inhibitorType 2 diabetes

Identifiers

PMID34551206
PMCPMC8902402
OpenAlexW3200857710

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.