Evidence mapPaperPMID 39375646Full record

Trial reportBMC musculoskeletal disorders2024

The effect of empagliflozin (sodium-glucose cotransporter-2 inhibitor) on osteoporosis and glycemic parameters in patients with type 2 diabetes: a quasi-experimental study.

Jinmei Tan, Aili Guo, Keqin Zhang, Yanli Jiang, Huaning Liu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 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. Article
  2. Review
  3. Review
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.

Jinmei TanEndocrine Department, General Hospital of the Yangtze River Shipping, Wuhan Brain Hospital, Wuhan, 430000, China.
Aili GuoEndocrine Department, General Hospital of the Yangtze River Shipping, Wuhan Brain Hospital, Wuhan, 430000, China.
Keqin ZhangEndocrine Department, Tongji Hospital of Tongji University, Shanghai, 200000, China.
Yanli JiangEndocrine Department, Liyuan Hospital Affiliated to Tongji Medical College of Huazhong, University of Science and Technology, Wuhan, 430000, China.
Huaning LiuGeriatrics Department, General Hospital of the Yangtze River Shipping, Wuhan Brain Hospital, Wuhan, 430000, China. tjm182296858@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDiabetic osteoporosis (DOP) is a metabolic disease that occurs in patients with diabetes due to insufficient insulin secretion. This condition can lead to sensory neuropathy, nephropathy, retinopathy, and hypoglycemic events, which can increase the risk of fractures. This study aimed to assess the effectiveness of Empagliflozin, a sodium-glucose cotransporter-2 (SGLT-2) inhibitor, in treating diabetic osteoporosis (DOP) and preventing fractures.

methodsThis quasi-experimental study enrolled 100 patients with diabetic osteoporosis from February 2023 to February 2024. Participants were randomly assigned to an intervention group (n = 50) and a control group (n = 50). The intervention group received Empagliflozin in combination with symptomatic treatment, while the control group received only symptomatic treatment. The treatment duration was six months. Fasting blood glucose (FBG), 2-hour postprandial blood glucose (2 h PG), glycosylated hemoglobin A1c (Hb A1c), bone mineral density (BMD), serum phosphorus and calcium concentration were measured after the intervention and the incidence of fracture was followed up for 12 months. The data were analyzed using SPSS 23. Descriptive statistics (mean, standard deviation, and percentage) and analytical methods (t test, Chi square) were also used to analyze the data.

resultsAfter six months of treatment, the intervention group exhibited significantly lower levels of FBG (P < 0.001), 2 h-PG (P = 0.001), and HbA1c (P < 0.001) than the control group. Additionally, bone mineral density, serum phosphorus, and calcium levels were significantly higher in the intervention group (P < 0.001). After a 12-months follow-up, the incidence of fractures in the intervention group was 2%, while it was 16.33% in the control group (P < 0.05).

conclusionEmpagliflozin, when combined with symptomatic treatment, demonstrates a positive clinical effect in patients with diabetic osteoporosis. The treatment effectively improves blood glucose metabolism, bone mineral density, and phosphorus and calcium metabolism, ultimately leading to a significant reduction in the incidence of fracture.

Indexed as

Benzhydryl CompoundsBlood GlucoseBone DensityDiabetes Mellitus, Type 2GlucosidesGlycated HemoglobinOsteoporosisSodium-Glucose Transporter 2 InhibitorsAgedCalciumFemaleHumansMaleMiddle AgedOsteoporotic FracturesPhosphorusBenzhydryl CompoundsBlood GlucoseCalciumempagliflozinGlucosidesGlycated Hemoglobinhemoglobin A1c protein, humanPhosphorusSodium-Glucose Transporter 2 InhibitorsDiabetic osteoporosisEmpagliflozinFractureSymptomatic treatment

Identifiers

PMID39375646
PMCPMC11460138

What Socratic holds

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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.