Evidence mapPaperPMID 40736663Full record

ArticleObesity surgery2025

Impact of SGLT2 Inhibitors Use on Risk of Postoperative Acute Kidney Injury Following Metabolic and Bariatric Surgery: A Retrospective Study.

I-Wen Chen, Li-Chen Chang, Jheng-Yan Wu, Chun-Ning Ho, Ya-Wen Tsai, Ping-Hsin Liu, Kuo-Chuan Hung

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Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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6 citing papers in PubMed.

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5 · Who and what money

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7 authors.

I-Wen ChenDepartment of Anesthesiology, Chi Mei Medical Center, Liouying, Tainan City, Taiwan.
Li-Chen ChangDepartment of Anesthesiology, E-Da Hospital, I-Shou University, Kaohsiung City, Taiwan.
Jheng-Yan WuDepartment of Nutrition, Chi Mei Medical Center, Tainan City, Taiwan.
Chun-Ning HoDepartment of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.
Ya-Wen TsaiDivision of Preventive Medicine, Chi Mei Medical Center, Tainan City, Taiwan.
Ping-Hsin LiuDepartment of Anesthesiology, E-Da Hospital, I-Shou University, Kaohsiung City, Taiwan.
Kuo-Chuan HungDepartment of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan. ed102605@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study investigated whether preoperative use of sodium-glucose cotransporter 2 inhibitors (SGLT2is), known for their cardio-renal benefits in type 2 diabetes (T2DM), reduces postoperative acute kidney injury (AKI) after metabolic and bariatric surgery (MBS).

methodsThe TriNetX research network was used to analyze propensity-matched patients with T2DM who underwent MBS between 2010 and 2024. We compared patients who received SGLT2is (discontinued ≥ 1 week before surgery) with those using other antidiabetic medications. The primary outcome was AKI within 30 days after surgery. Secondary outcomes included risks of mortality, intensive care unit (ICU) admission, acute myocardial infarction/stroke, eGFR decline to < 60 mL/min/1.73 m

resultsAfter matching, 4364 patients were included (n = 2182 for each group). The incidence of AKI was identical between the groups (1.88% in both, OR 1.00, 95% CI 0.65-1.55, P = 1.00). No significant differences were observed in mortality, ICU admission, acute myocardial infarction/stroke, eGFR decline to < 60 mL/min/1.73 m

conclusionsPreoperative SGLT2is use in patients undergoing MBS is associated with a reduced risk of GFR decline in those with longer-duration diabetes, suggesting potential renoprotective benefits. No increased risk of adverse outcomes was observed when these medications were discontinued ≥ 1 week before surgery.

Indexed as

Acute Kidney InjuryBariatric SurgeryDiabetes Mellitus, Type 2Postoperative ComplicationsSodium-Glucose Transporter 2 InhibitorsAdultFemaleHumansMaleMiddle AgedRetrospective StudiesSodium-Glucose Transporter 2 InhibitorsAcute kidney injuryBariatric surgeryDiabetes mellitusMetabolic surgeryRenoprotectionSGLT2 inhibitors

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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.