Evidence map›Paper›PMID 36720493›Full record

ArticleCMAJ open

Use of sodium-glucose cotransporter 2 inhibitors in Alberta adults with chronic kidney disease: a cross-sectional study identifying care gaps to inform knowledge translation.

Darren Lau, Neesh Pannu, Roseanne O Yeung, Nairne Scott-Douglas, Scott Klarenbach

Open access · diamondAbstract read
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

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  9. Family medicine drives improvement in diabetes care.Canadian family physician Medecin de famille canadien · 2023
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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

5 authors at 2 institutions in 1 country.

Darren LauDepartment of Medicine (Lau, Pannu, Yeung, Klarenbach), University of Alberta, Edmonton, Alta.; Department of Medicine (Scott-Douglas), University of Calgary, Calgary, Alta. darren.lau@ualberta.ca.
Neesh PannuDepartment of Medicine (Lau, Pannu, Yeung, Klarenbach), University of Alberta, Edmonton, Alta.; Department of Medicine (Scott-Douglas), University of Calgary, Calgary, Alta.
Roseanne O YeungDepartment of Medicine (Lau, Pannu, Yeung, Klarenbach), University of Alberta, Edmonton, Alta.; Department of Medicine (Scott-Douglas), University of Calgary, Calgary, Alta.
Nairne Scott-DouglasDepartment of Medicine (Lau, Pannu, Yeung, Klarenbach), University of Alberta, Edmonton, Alta.; Department of Medicine (Scott-Douglas), University of Calgary, Calgary, Alta.
Scott KlarenbachDepartment of Medicine (Lau, Pannu, Yeung, Klarenbach), University of Alberta, Edmonton, Alta.; Department of Medicine (Scott-Douglas), University of Calgary, Calgary, Alta.
University of Calgary · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSodium-glucose cotransporter 2 (SGLT2) inhibitors have important kidney and cardiovascular benefits in adults with chronic kidney disease. Among adults with diabetes, we characterized the prevalence of chronic kidney disease eligible for SGLT2 inhibitor treatment, based on definitions of eligibility from trials and diabetes guidelines, and assessed the predictors of SGLT2 inhibitor use.

methodsWe conducted a cross-sectional study using linked administrative data from Alberta Health in adults with diabetes (2002-2019). Chronic kidney disease was defined as an estimated glomerular filtration rate (eGFR) less than 90 mL/min/1.73 m

resultsOf 446 315 adults with diabetes, 76 630 (17.2%, guideline-based definition; 12 867 [2.9%], trial-based definition) had chronic kidney disease eligible for SGLT2 inhibitor treatment. A total of 7.1% used SGLT2 inhibitors. Older age, lower hemoglobin A

interpretationMany adults with chronic kidney disease would derive heart and kidney benefits from treatment with SGLT2 inhibitors but had low SGLT2 inhibitor use as of 2019. Efforts will be needed to address lower use of SGLT2 inhibitors among female, older and lower-income adults, and to enhance primary care and promote awareness of the benefits of SGLT2 inhibitors independent of glycemic control.

Indexed as

Diabetes Mellitus, Type 2Renal Insufficiency, ChronicSodium-Glucose Transporter 2 InhibitorsAdultAlbertaCross-Sectional StudiesFemaleGlucoseHumansProteinuriaSodiumTranslational Science, BiomedicalGlucoseSodiumSodium-Glucose Transporter 2 Inhibitors

Identifiers

PMID36720493
PMCPMC9894653
OpenAlexW4318619200

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.