SynthesisAfrican health sciences2022

The effect of liraglutide on renal function in type 2 diabetes: a meta-analysis of randomized controlled studies.

Cheng Luo, Dongjuan He, HongBin Yang, Chunyan Zhu, Jiajun Zhu, Zhaohui Hu

Full text readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in African health sciences, 2022. The graph read 1 number from its abstract, feeding 1 cell of the map: it finds no clear difference in 1. Cited by 4 papers, 1 of them a synthesis that pooled it.

1number the graph read from it
1cell of the map it votes in
4citing papers in PubMed, 1 pooled it
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.

← favours the treatmentfavours the comparator →
241 · no effect
All-cause mortalityno clear difference · against placebo · t2d, ckdfeeds one cell of the map
RR 1.930.71 to 5.21P=0.20
Overall, compared with control group in type 2 diabetes, liraglutide treatment shows no obvious effect on GFR (SMD=0.02; 95% CI=-0.43 to 0.47; P=0.94), RBF (SMD=-0.28; 95% CI=-0.80 to 0.24; P=0.29) or death (RR=1.93; 95% CI=0.71 to 5.21; P=0.20), but is associated with significantly decreased ACR (SMD=-0.82; 95% CI=-1.39 to -0.26; P=0.004) and systolic blood pressure (MD=-9.60; 95% CI=-17.46 to -1.73; P=0.02), as well as increased heart rate (MD=5.39; 95% CI=3.26 to 7.52; P<0.00001).

clause the extractor read what became the number

2 · Its place on the map

Where it lands on the map

Rows are treatments, columns are outcomes. The coloured squares are the cells this paper feeds, coloured by the vote it casts there. Click one to jump to what this paper adds to it.

supports the treatmentfavours the comparatorno clear differenceread, but no usable result
3 · What it changes

What it adds to each cell

For every cell the paper feeds: the belief in the claim with and without this paper, and this paper's estimate drawn against every other readable study in the cell. The ringed dot is this paper.

GLP-1 receptor agonists×all-cause mortality

InconclusiveOpen on the map →What to test next →

11 readable studies in this cell: 7 favour the treatment, 4 find no difference, 0 favour the comparator.

Belief with this paper
0.88replicated · 7 families support, 1 contradict · against placebo
Without itNot a counted family in this claim, so removing it changes nothing.
← favours the treatmentfavours the comparator →
1 · no effect
NCT0399313226,774 enrolled · 2018
HR 0.990.83 to 1.18
NCT0357459717,604 enrolled · 2018
HR 0.800.72 to 0.89
NCT013949529,901 enrolled · 2011
HR 0.880.79 to 0.99
NCT039143269,651 enrolled · 2019
HR 0.860.77 to 0.96
NCT011790489,341 enrolled · 2010
HR 0.870.78 to 0.97
NCT038191533,533 enrolled · 2019
HR 0.760.66 to 0.88
NCT017204463,297 enrolled · 2013
HR 0.740.58 to 0.95
NCT026927163,183 enrolled · 2017
HR 0.790.57 to 1.11
HR 1.100.57 to 2.14

This paper's own estimate is on a different scale from the rest of the cell, so it is not drawn here.

4 · 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.

5 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
6 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

7 · Who and what money

Authors and funding

6 authors.

Cheng LuoDepartment of Endocrinology, The Quzhou Affiliated of Wenzhou Medical University, Quzhou People's Hospital, Zhejiang, P.R. China.
Dongjuan HeDepartment of Endocrinology, The Quzhou Affiliated of Wenzhou Medical University, Quzhou People's Hospital, Zhejiang, P.R. China.
HongBin YangDepartment of Endocrinology, The Quzhou Affiliated of Wenzhou Medical University, Quzhou People's Hospital, Zhejiang, P.R. China.
Chunyan ZhuDepartment of Endocrinology, The Quzhou Affiliated of Wenzhou Medical University, Quzhou People's Hospital, Zhejiang, P.R. China.
Jiajun ZhuDepartment of Endocrinology, The Quzhou Affiliated of Wenzhou Medical University, Quzhou People's Hospital, Zhejiang, P.R. China.
Zhaohui HuDepartment of Endocrinology, The Quzhou Affiliated of Wenzhou Medical University, Quzhou People's Hospital, Zhejiang, P.R. China.

Funding

No grant is acknowledged in the PubMed record.

8 · The paper itself

Abstract

The marked sentences are the ones the graph read a number from.

Introduction: The efficacy of liraglutide on renal function in type 2 diabetes remains controversial. We conduct a systematic review and meta-analysis to explore the influence of liraglutide versus placebo on renal function in type 2 diabetes. Methods: We search PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through March 2020 for randomized controlled trials (RCTs) assessing the effect of liraglutide versus placebo on renal function in type 2 diabetes. This meta-analysis is performed using the random-effect model. Results: Seven RCTs are included in the meta-analysis. Overall, compared with control group in type 2 diabetes, liraglutide treatment shows no obvious effect on GFR (SMD=0.02; 95% CI=-0.43 to 0.47; P=0.94), RBF (SMD=-0.28; 95% CI=-0.80 to 0.24; P=0.29) or death (RR=1.93; 95% CI=0.71 to 5.21; P=0.20), but is associated with significantly decreased ACR (SMD=-0.82; 95% CI=-1.39 to -0.26; P=0.004) and systolic blood pressure (MD=-9.60; 95% CI=-17.46 to -1.73; P=0.02), as well as increased heart rate (MD=5.39; 95% CI=3.26 to 7.52; P<0.00001). Conclusions: Liraglutide treatment may provide some benefits for protecting renal function in type 2 diabetes.

Indexed as

Diabetes Mellitus, Type 2LiraglutideHumansKidneyLiraglutideliraglutiderandomized controlled trialsrenal functiontype 2 diabetes

Identifiers

PMID36910413
PMCPMC9993257

What Socratic holds

Textfull text, public
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.