Evidence mapPaperPMID 41675637Full record

SynthesisFrontiers in endocrinology2025

Efficacy and safety of sodium-glucose cotransporter 2 inhibitors in the treatment of diabetic kidney disease: a meta-analysis.

Yingbo Guo, Wenfeng Gao, Shichao Li, Xiaona An, Zhongjie Liu

Abstract readMeta-Analysis
In one paragraph

Synthesis in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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. Trial
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.

Yingbo GuoDepartment of Nephrology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China.
Wenfeng GaoDepartment of Urology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Shichao LiDepartment of Nephrology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Xiaona AnDepartment of Nephrology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Zhongjie LiuDepartment of Nephrology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetic kidney disease is a major cause of end-stage renal disease. Herein, we aimed to assess the efficacy and safety of sodium-glucose cotransporter 2 (SGLT2) inhibitors in patients with diabetic kidney disease. Methods: PubMed, Embase, and Web of Science databases were searched for eligible randomized clinical trials (RCTs) published up to July 2024. Effect sizes were summarized as risk ratios (RR) or weighted mean differences (WMD) with 95% confidence intervals (CI). Statistical analyses were performed using Stata. Results: Fifteen studies (24463 patients) were included in the meta-analysis. The results of the meta-analysis showed that compared with the control group, SGLT2 inhibitor intervention could reduce the estimated glomerular filtration rate (WMD=-2.47; 95% CI: -3.18, -1.76), systolic blood pressure (WMD=-4.09; 95% CI: -4.97 to -3.21), diastolic blood pressure (WMD=-2.47; 95% CI: -3.06 to -1.88), and glycated hemoglobin (WMD=-0.27; 95% CI: -0.38, -0.17). Moreover, there was no significant difference between the SGLT2 inhibitor and control groups in terms of the incidence of overall adverse event, urinary tract infection, bone fracture and hypoglycemia. However, the incidence of genital infection and diabetic ketoacidosis in the SGLT2 inhibitor group was higher than that in the control group. Conclusion: Our study confirms the beneficial effects in diabetic kidney disease patients, while also demonstrating a higher risk of genital infections and diabetic ketoacidosis in the SGLT2 inhibitor group compared to controls.

Indexed as

Diabetes Mellitus, Type 2Diabetic NephropathiesSodium-Glucose Transporter 2 InhibitorsBlood PressureGlomerular Filtration RateHumansRandomized Controlled Trials as TopicTreatment OutcomeSodium-Glucose Transporter 2 Inhibitorsdiabetic kidney diseaseefficacyestimated glomerular filtrationmeta-analysissodium-glucose cotransporter 2

Identifiers

PMID41675637
PMCPMC12886043

What Socratic holds

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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.