ArticleHepatology forum2026
Empagliflozin versus dapagliflozin in patients with liver cirrhosis: A comparative real-world study on hepatic decompensation.
Article in Hepatology forum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aim: Sodium-glucose cotransporter-2 inhibitors may improve outcomes in liver cirrhosis, but comparative evidence between individual agents is limited. We compared real-world outcomes of empagliflozin versus dapagliflozin in adults with liver cirrhosis. Materials and Methods: We conducted a multicenter retrospective cohort study using the TriNetX US Collaborative Network (69 healthcare organizations). Adults with cirrhosis who were newly prescribed empagliflozin or dapagliflozin after the diagnosis of cirrhosis between March 1, 2013 and January 1, 2025, were included. Propensity score matching (1:1) was used to balance baseline characteristics. Outcomes were assessed from day 1 after the index prescription through 5 years. Primary outcomes were all-cause mortality and all-cause hospitalization. Secondary outcomes included hepatic decompensation events. Tertiary outcomes included prognostic hepatic and renal biomarkers. Safety outcomes included the incidence of acute kidney injury, urinary tract infection, and diabetic ketoacidosis. Results: Before matching, 17,700 empagliflozin users and 8,619 dapagliflozin users were identified; 7,852 patients remained in each cohort after matching. Five-year mortality was similar between groups (12.7% vs. 12.6%; odds ratio [OR]: 1.012, 95% confidence interval [CI]: 0.921-1.112; p=0.8075), as was the risk of hospitalization (14.7% vs. 13.4%; OR: 1.105, 95% CI: 0.94-1.30; p=0.216). Empagliflozin was associated with lower rates of hepatic encephalopathy (4.0% vs. 4.7%; OR: 0.84; p=0.0295), hepatorenal syndrome (1.0% vs. 1.6%; OR: 0.614; p=0.0007), and paracentesis (2.9% vs. 3.7%; OR: 0.785; p=0.0083). Albumin levels were higher and bilirubin levels were lower with empagliflozin (p<0.01 for both). Safety outcomes were similar between groups. Conclusion: In matched adults with cirrhosis, empagliflozin and dapagliflozin demonstrated comparable five-year mortality and hospitalization rates. However, empagliflozin was associated with fewer selected decompensation events without an increase in adverse events.
Indexed as
Identifiers
What Socratic holds
Registered trials
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.