Evidence mapPaperPMID 40232664Full record

SynthesisInternational journal of clinical pharmacy2025

Effects of SGLT2 inhibitors on health-related quality of life and functional capacity in patients with heart failure with and without diabetes: a meta-analysis of randomized controlled trials.

Mariana de Moura de Souza, Maria Luiza Rodrigues Defante, Beatriz Austregélio de Athayde de Hollanda Morais, Juliana Muniz, Beatriz Ximenes Mendes, Otávio Cosendey Martins, Vitória Martins Prizão, Miguel Morita Fernandes Silva

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Synthesis in International journal of clinical pharmacy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Mariana de Moura de SouzaDepartment of Internal Medicine, Federal University of Paraná, R. Gen. Carneiro, 181 - Alto da Glória, Curitiba, PR, 80060-900, Brazil. marisdemoura@gmail.com.ORCID http://orcid.org/0009-0002-4506-0472
Maria Luiza Rodrigues DefanteDivision of Medicine, Redentor University Center, Itaperuna, Rio de Janeiro, Brazil.
Beatriz Austregélio de Athayde de Hollanda MoraisDivision of Medicine, Cesmac University Center, Maceió, Brazil.
Juliana MunizDepartment of Internal Medicine, Schmieder Klinik Heidelber, Heidelberg, Germany.
Beatriz Ximenes MendesDivision of Medicine, Christus University Center, Fortaleza, Brazil.
Otávio Cosendey MartinsDivision of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
Vitória Martins PrizãoDivision of Medicine, State University of Maringá, Maringá, Brazil.
Miguel Morita Fernandes SilvaDepartment of Cardiology, Federal University of Paraná, Curitiba, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSodium-glucose cotransporter 2 (SGLT2) inhibitors reduce major cardiovascular events among individuals with heart failure regardless the ejection fraction. The effect of SGLT2 inhibitors on health-related quality of life (HRQoL) and physical capacity are still unclear.

aimTo investigate the effects of SGLT2 inhibitors on HRQoL and physical capacity in patients with heart failure.

methodWe systematically searched PubMed, Embase, and Cochrane Central databases for randomized controlled trials (RCTs) comparing SGLT2 inhibitors to placebo in this population. The outcomes analyzed were mean changes in Kansas City Cardiomyopathy Questionnaire (KCCQ) score and its domains: total symptoms score (TSS), physical limitations score (PLS), clinical summary score (CSS) and overall summary score (OSS), as well as the six-minute walk test (6MWT) and peak oxygen uptake (peak VO

resultsEighteen RCTs with 23,848 participants were included. There was a statistical significant improvement in KCCQ TSS (MD: 3.33; 95% CI 1.84 to 4.81; p < 0.001) in HFrEF, HFpEF and non-diabetic subgroups. Consistent findings were found in KCCQ PLS, KCCQ CSS, and KCCQ OSS. The distance covered in the 6MWT was significant higher (MD: 12.8; 95% CI 1.06 to 24.54; p = 0.03) and peak VO

conclusionSGLT2 inhibitors improve HRQoL and functional capacity in patients with HF regardless the ejection fraction and co-diagnosis of diabetes.

Indexed as

Diabetes Mellitus, Type 2Heart FailureQuality of LifeSodium-Glucose Transporter 2 InhibitorsExercise ToleranceHumansRandomized Controlled Trials as TopicSodium-Glucose Transporter 2 InhibitorsHeart failurePhysical capacityQuality of lifeSodium-glucose cotransporter 2 inhibitors

Identifiers

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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.