Evidence map›Paper›PMID 40487399›Full record

SynthesisFrontiers in pharmacology2025

Cost-effectiveness of dapagliflozin for the treatment of heart failure: a systematic review.

Zehui Jiang, Dong Xiao Chen, Cai Xiao, Ying Fu, Jun Zhang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Zehui Jiang *Faculty of Economics and Management, Jiangxi University of Chinese Medicine, Nanchang, China.
Dong Xiao ChenFaculty of Economics and Management, Jiangxi University of Chinese Medicine, Nanchang, China.
Cai XiaoFaculty of Economics and Management, Jiangxi University of Chinese Medicine, Nanchang, China.
Ying Fu *Breast Center, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Jun ZhangDepartment of Cardiovascular Medicine, The 908th Hospital of Chinese People's Liberation Army Joint Logistic Support Force, Nanchang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to synthesize evidence on the cost-effectiveness of dapagliflozin for heart failure (HF) with all ejection fractions (EF), Including heart failure with reduced ejection fraction (HFrEF), heart failure with mildly reduced ejection fraction (HFmrEF) and heart failure with preserved ejection fraction (HFpEF). Methods: Literature searches were conducted in English-language databases (PubMed, web of science, Embase, Cochrane Library) and Chinese-language databases (CNKI, Wanfang Data, and Chongqing VIP) to identify studies of dapagliflozin for heart failure. The search was current to 3 October 2024. Results: Twenty-eight studies were identified in the systematic review and the overall quality was accepted. Studies were conducted across 15 countries including China, UK, US, Japan, South Korea, Singapore, Thailand, Australia, Egypt, Colombia, Philippines, Qatar, Canadian, German, and Spanish. Cost-effectiveness analyses of dapagliflozin were performed for HFrEF patients in all countries, HFpEF patients in the US and China, HFpEF/HFmrEF patients in the UK, Germany, Spain and China and HF patients in the UK, US, Korea and Thailand. Except for one study in Thailand, all studies showed that dapagliflozin is cost-effective. One study in Korea showed that the cost-effectiveness of dapagliflozin in patients with left ventricular EF (LVEF)≤40% was more pronounced than LVEF >40%. Four studies (two HFrEF and one HFpEF in the US and one HFrEF in China) showed that dapagliflozin was more cost-effective than empagliflozin. In the nine diabetes subgroup analyses, seven results showed that dapagliflozin was more cost-effective for patients with diabetes. The incremental cost-effectiveness ratios (ICER)were most sensitive to the cost of dapagliflozin and cardiovascular mortality in the uncertainty analysis. Conclusion: Dapagliflozin is cost-effective in the treatment of HF with all ejection fractions. The cost-effectiveness of patients with LVEF≤40% (HErEF)was more pronounced than LVEF >40% (HFpEF and HFmrEF). Compared to empagliflozin, dapagliflozin may be more cost-effective.

Indexed as

cost-effectivenessdapagliflozineconomic evaluationheart failuresystematic review

Identifiers

PMID40487399
PMCPMC12141269

What Socratic holds

Textmetadata
LicenceCC BY
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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.