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October 30, 2024JAMA Network OpenOpen Access

SGLT2i was associated with reduced total CVD risk vs DPP4i therapy (HR 0.82, 95% CI 0.69-0.98).

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Why the study?

The effectiveness of SGLT2i therapy on total (first and subsequent) CVD among patients with T2D in clinical practice remains uncertain.

Does SGLT2i therapy reduce total cardiovascular events compared to DPP4i therapy in adult patients with type 2 diabetes?

Population

8384 adult patients with T2D (1632 propensity score-matched pairs)

Comparison

SGLT2i vs DPP4i therapy

Design

Retrospective cohort study

Follow-up

Up to 6 years

Authors

HSHsuan‐Yu SuCYChen‐Yi YangYLYu‐Hsuan Lee

Discussion

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Member takes

Overview

May support SGLT2i preference in high-risk diabetes; leaves open causal confirmation by randomized trials.

Structured PICO

Does SGLT2i therapy reduce total cardiovascular events compared to DPP4i therapy in adult patients with type 2 diabetes?

P
Population
8,384 adult patients with type 2 diabetes (T2D) initiating first use of study drugs, mean age 63.7, 55.4% male, from a single medical center in Taiwan. A propensity score-matched cohort included 1,632 pairs (3,264 patients).
I
Intervention
Sodium-glucose cotransporter 2 inhibitor (SGLT2i) therapy
C
Comparator
Dipeptidyl peptidase 4 inhibitor (DPP4i) therapy (propensity score-matched)
O
Outcome
Total composite CVD events and individual CVD subtypes (atrial fibrillation, coronary heart disease, heart failure, stroke, myocardial infarction, and transient ischemic attack)composite

In real-world clinical practice, SGLT2 inhibitors are associated with a reduced burden of total cardiovascular events compared to DPP4 inhibitors in patients with type 2 diabetes, particularly among those at high cardiovascular risk.

Cite This Study

Su et al. (2024) studied this question.

synapsesocial.com/papers/6a1a6cd29fa30811a0b895f9https://doi.org/10.1001/jamanetworkopen.2024.41765
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