Evidence map›Paper›PMID 34759887›Full record

SynthesisFrontiers in endocrinology2021

Patients With Type 2 Diabetes Mellitus and Heart Failure Benefit More From Sodium-Glucose Cotransporter 2 Inhibitor: A Systematic Review and Meta-Analysis.

Chengcong Chen, Hong Peng, Mingzhu Li, Xiyan Lu, Miao Huang, Yongmei Zeng, Guoqing Dong

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

7 authors.

Chengcong ChenSection of Endocrinology, Department of Pediatrics, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, China.
Hong PengDepartment of infectious disease, Shenzhen People's Hospital, Shenzhen, China.
Mingzhu LiSection of Endocrinology, Department of Pediatrics, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, China.
Xiyan LuSection of Endocrinology, Department of Pediatrics, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, China.
Miao HuangSection of Endocrinology, Department of Pediatrics, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, China.
Yongmei ZengSection of Gastroenterology, Department of Pediatrics, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, China.
Guoqing DongSection of Endocrinology, Department of Pediatrics, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with type 2 diabetes mellitus (T2DM) and heart failure (HF) are at higher risk of mortality and hospitalization for heart failure (HHF). A recent study showed that sodium-glucose cotransporter 2 (SGLT-2) inhibitors may be a promising choice. Methods: We searched the PubMed, Embase, and Cochrane databases of clinical trials for randomized controlled trials investigating the long-term effects of SGLT-2 inhibitors in patients with T2DM and HF compared with placebo. The primary outcome was cardiovascular death or HHF, and the secondary outcomes included cardiovascular death (CV death), HHF, and all-cause mortality. We also conducted an exploratory analysis and tried to identify the population, which will benefit more from the treatment. Results: After the study selection, a total of 5 trials, including 4 subgroup analyses, met the eligibility criteria. The results suggested that the use of SGLT-2 inhibitors was associated with a reduction in the incidence of CV death or HHF (HR, 0.69[95%CI, 0.63-0.77], P<0.00001), CV death (HR, 0.80[95%CI, 0.69-0.92], P = 0.001), HHF (HR, 0.67[95%CI, 0.60-0.76], P < 0.00001), and all-cause mortality (HR, 0.74[95%CI, 0.64-0.86], P < 0.0001). Moreover, patients with T2DM and HF may benefit more from the treatment than those with T2DM/HF. Conclusion: The long-term use of SGLT-2 inhibitors can help reduce the risk of mortality and HHF in patients with T2DM and HF. Systematic Review Registration: PROSPERO [https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021233156], identifier [CRD42021233156].

Indexed as

Diabetes Mellitus, Type 2Heart FailureHumansPrognosisSodium-Glucose Transporter 2 InhibitorsSodium-Glucose Transporter 2 Inhibitorsheart failurehospitalization for heart failurerisk of mortalitysodium-glucose cotransporter 2 inhibitortype 2 diabetes mellitus

Identifiers

PMID34759887
PMCPMC8572881

What Socratic holds

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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.