Evidence map›Paper›PMID 39177691›Full record

Observational studyDiabetologia2024

Comparative renal outcomes of matched cohorts of patients with type 2 diabetes receiving SGLT2 inhibitors or GLP-1 receptor agonists under routine care.

Gian Paolo Fadini, Enrico Longato, Mario Luca Morieri, Enzo Bonora, Agostino Consoli, Bruno Fattor, Mauro Rigato, Federica Turchi, Stefano Del Prato, Angelo Avogaro and 2 more

Abstract readObservational StudyMulticenter StudyComparative Study
In one paragraph

Observational study in Diabetologia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 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.

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

14 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Review
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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

12 authors.

Gian Paolo Fadini *Division of Metabolic Diseases, Department of Medicine, University of Padova, Padova, Italy. gianpaolo.fadini@unipd.it.ORCID http://orcid.org/0000-0002-6510-2097
Enrico Longato *Department of Information Engineering, University of Padova, Padova, Italy.ORCID http://orcid.org/0000-0001-5940-645X
Mario Luca MorieriDivision of Metabolic Diseases, Department of Medicine, University of Padova, Padova, Italy.ORCID http://orcid.org/0000-0001-6864-0547
Enzo BonoraSection of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0003-1074-5164
Agostino ConsoliDepartment of Medicine and Aging Sciences (DMSI) and Center for Advanced Studies and Technology (CAST), University G. D'Annunzio of Chieti-Pescara, Chieti, Italy.ORCID http://orcid.org/0000-0002-1885-451X
Bruno FattorDiabetology Service, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy.
Mauro RigatoDivision of Metabolic Diseases, Department of Medicine, University of Padova, Padova, Italy.ORCID http://orcid.org/0000-0002-5125-7434
Federica TurchiMetabolic Disease and Diabetology Unit, IRCCS INRCA, Ancona, Italy.
Stefano Del PratoDepartment of Clinical & Experimental Medicine, University of Pisa and Sant'Anna School of Advanced Studies, Pisa, Italy.ORCID http://orcid.org/0000-0002-5388-0270
Angelo AvogaroDivision of Metabolic Diseases, Department of Medicine, University of Padova, Padova, Italy.ORCID http://orcid.org/0000-0002-1177-0516
Anna SoliniDepartment of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa, Pisa, Italy.ORCID http://orcid.org/0000-0002-7855-8253
DARWIN-Renal Study Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisWe compared the effects of sodium-glucose cotransporter 2 (SGLT2) inhibitors (SGLT2i) and glucagon-like peptide-1 receptor agonists (GLP-1RA) on renal outcomes in individuals with type 2 diabetes, focusing on the changes in eGFR and albuminuria.

methodsThis was a multicentre retrospective observational study on new users of diabetes medications. Participant characteristics were assessed before and after propensity score matching. The primary endpoint, change in eGFR, was analysed using mixed-effects models. Secondary endpoints included categorical eGFR-based outcomes and changes in albuminuria. Subgroup and sensitivity analyses were performed to assess robustness of the findings.

resultsAfter matching, 5701 participants/group were included. Participants were predominantly male, aged 61 years, with a 10 year duration of diabetes, a baseline HbA CONCLUSIONS/

interpretationIn individuals with type 2 diabetes, treatment with SGLT2i was associated with better preservation of renal function compared with GLP-1RA, as evidenced by slower decline in eGFR. These findings reinforce SGLT2i as preferred agents for renal protection in this patient population.

Indexed as

Diabetes Mellitus, Type 2Glomerular Filtration RateGlucagon-Like Peptide-1 Receptor AgonistsSodium-Glucose Transporter 2 InhibitorsAgedAlbuminuriaDiabetic NephropathiesFemaleGlycated HemoglobinHumansHypoglycemic AgentsKidneyMaleMiddle AgedRenal Insufficiency, ChronicRetrospective StudiesGlucagon-Like Peptide-1 Receptor AgonistsGlycated HemoglobinHypoglycemic AgentsSodium-Glucose Transporter 2 InhibitorsKidney diseaseObesityPharmacoepidemiologyReal-worldType 2 diabetes

Identifiers

PMID39177691
PMCPMC11519175

What Socratic holds

Textmetadata
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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.