Evidence mapPaperPMID 39070014Full record

ReviewSAGE open medicine2024

Cardioprotective effects of sodium glucose cotransporter 2 inhibitor versus dipeptidyl peptidase 4 inhibitor in type 2 diabetes: A meta-analysis of comparative safety and efficacy.

Abhigan Babu Shrestha, Anupam Halder, Kripa Rajak, Saroj Kumar Jha, Ramesh Lamichhane, Arefin Naher Oishee, Nayanika Tummala Chowdary, Pashupati Pokharel, Sajina Shrestha, Lukash Adhikari and 4 more

Abstract readReview
In one paragraph

Review in SAGE open medicine, 2024. 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

14 authors.

Abhigan Babu ShresthaDepartment of Internal Medicine, M Abdur Rahim Medical College, Dinajpur, Bangladesh.
Anupam HalderDepartment of Internal Medicine, University of Pittsburgh Medical Centre, Harrisburg, PA, USA.
Kripa RajakDepartment of Internal Medicine, University of Pittsburgh Medical Centre, Harrisburg, PA, USA.
Saroj Kumar JhaMaharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Ramesh LamichhaneDepartment of Internal Medicine, Jalalabad Ragib-Rabeya Medical College, Sylhet, Bangladesh.
Arefin Naher OisheeDepartment of Internal Medicine, M Abdur Rahim Medical College, Dinajpur, Bangladesh.
Nayanika Tummala ChowdaryGitam Institute of Medical Sciences and Research, Vishakhapatnam, India.
Pashupati PokharelMaharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Sajina ShresthaKIST Medical College, Patan, Nepal.
Lukash AdhikariPatan Academy of Health Sciences, Patan, Nepal.
Bikash AdhikariKathmandu Medical College, Kathmandu University, Kathmandu, Nepal.
Aman RajakPatan Academy of Health Sciences, Patan, Nepal.
Jalal Haider KhanTehsil Headquarter Hospital, Mianwali, Punjab, Pakistan.
Nischal MainaliDepartment of Internal Medicine, M Abdur Rahim Medical College, Dinajpur, Bangladesh.ORCID https://orcid.org/0000-0002-3736-8234

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sodium glucose cotransporter 2 inhibitors are recommended for the treatment of heart failure due to their cardioprotective effects, despite primarily being used as antidiabetic medications. However, the comparative profile of two antidiabetic drugs, sodium glucose cotransporter 2 inhibitors with dipeptidyl peptidase 4 inhibitor remains unclear. Study hypothesis: This study aims to compare the safety and efficacy profiles of sodium glucose cotransporter 2 inhibitors versus dipeptidyl peptidase 4 inhibitor drugs. Methods: A comprehensive search was conducted in PubMed, Scopus, Web of Science, Google Scholar, and ClinicalTrials.gov using appropriate Medical Subject Headings terms from inception until February 23, 2023. The outcomes were pooled using a random-effects model for hazard ratio with a 95% confidence interval. A Results: Twelve studies were included after systematic screening, with a sample size of 745,688 for sodium glucose cotransporter 2 inhibitors and 769,386 for dipeptidyl peptidase 4 inhibitor. The mean age in each group was 61.1 (8.52) and 61.28 (9.25) years, respectively. Upon pooling the included articles with sodium glucose cotransporter 2 inhibitors versus dipeptidyl peptidase 4 inhibitor, the primary outcome of all-cause death demonstrated an hazard ratio of 0.64 (0.57, 0.70), Conclusion: Our findings suggest that compared to dipeptidyl peptidase 4 inhibitor, initiating treatment with sodium glucose cotransporter 2 inhibitors provides cardiovascular disease protection and may be considered in patients with type 2 diabetes.

Indexed as

cardiovascular outcomeDPP4 inhibitorSGLT2 inhibitortype 2 diabetes

Identifiers

PMID39070014
PMCPMC11282519

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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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.