Evidence map›Paper›PMID 41837126›Full record

SynthesisFrontiers in endocrinology2026

The primary preventive effect of sodium-glucose cotransporter inhibitors on chronic kidney disease in patients with type 2 diabetes: a systematic review and meta-analysis.

Zhenlin Zhang, Qingxing Xie, Ziwei Ye, Fang Zhang, Jing Li, Yuwei Zhang, Qingguo Lv, Suming Shen, Nanwei Tong

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Zhenlin Zhang *Department of Endocrinology and Metabolism, Laboratory for Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu, China.
Qingxing Xie *Department of Endocrinology and Metabolism, Laboratory for Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu, China.
Ziwei Ye *Department of Endocrinology and Metabolism, Laboratory for Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu, China.
Fang ZhangDepartment of Endocrinology and Metabolism, Laboratory for Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu, China.
Jing LiDepartment of Endocrinology and Metabolism, Laboratory for Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu, China.
Yuwei ZhangDepartment of Endocrinology and Metabolism, Laboratory for Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu, China.
Qingguo LvDepartment of Endocrinology and Metabolism, Laboratory for Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu, China.
Suming ShenDepartment of Endocrinology and Metabolism, Laboratory for Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu, China.
Nanwei TongDepartment of Endocrinology and Metabolism, Laboratory for Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To assess the efficacy of Sodium-glucose cotransporter inhibitors (SGLTis) in the primary prevention (PP) of chronic kidney disease (CKD) among patients with type 2 diabetes (T2D). Method: Literature was retrieved from MEDLINE, Embase, and Cochrane databases up to January 1, 2025. Eligible studies included randomized controlled trials (RCTs) or their subgroups and observational studies involving T2D patients without CKD treated with SGLTis for ≥ 1 year, focusing on CKD-related composite outcomes. Seven articles meeting inclusion criteria were included. The hazard ratio (RR) was calculated, and the degree of heterogeneity was assessed. Subsequently, 95% confidence intervals (95% CI) were computed accordingly. Result: In RCTs, 15,228 eligible participants received SGLTis and 12,736 received placebo. Meta-analysis using random-effects models showed that SGLTis reduced CKD-related composite outcomes by 53% (RR 0.47, 95% CI 0.39, 0.57; Conclusions: SGLTis significantly lower CKD incidence in T2D patients without baseline CKD. Further RCTs are necessary to validate our conclusions. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/, identifier CRD420251168634.

Indexed as

Diabetes Mellitus, Type 2Hypoglycemic AgentsPrimary PreventionRenal Insufficiency, ChronicSodium-Glucose Transporter 2 InhibitorsSodium-Glucose Transport ProteinsHumansRandomized Controlled Trials as TopicHypoglycemic AgentsSodium-Glucose Transporter 2 InhibitorsSodium-Glucose Transport Proteinschronic kidney diseasemeta-analysispreventionsodium-glucose cotransporter inhibitorstype 2 diabetes

Identifiers

PMID41837126
PMCPMC12982083

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.