Type 2 & other diabetes

Cardiorenal outcomes of empagliflozin versus dapagliflozin in primary prevention among patients with type 2 diabetes: A nationwide cohort study

Diabetes Res Clin PractPublished Nationwide cohort study

Main finding · Primary cardiorenal compositeResult — go to the resultHazard ratio 0.98 95% CI 0.89–1.09

Authors' conclusion

This nationwide cohort study, empagliflozin and dapagliflozin showed similar effectiveness in preventing cardiorenal outcomes among patients with type 2 diabetes without established cardiovascular or renal disease, supporting their clinical interchangeability for primary prevention in real-world practice.

Study context

Population
Patients with T2D newly initiating empagliflozin or dapagliflozin with no prior established cardiovascular or renal disease, Koreabefore PS matching
Participants
135,559 patients
Exposure
Dapagliflozin vs empagliflozin
Outcome
First occurrence of cardiovascular death, MI, stroke, hospitalization for HF or progression to end-stage renal disease
Methodological details1:1 propensity score matched, Korean National Health Insurance Service database, new-user design
  • 1:1 propensity score matched
  • Korean National Health Insurance Service database
  • New-user design

Main finding

Primary cardiorenal composite

Hazard ratio

0.98

95% CI 0.89–1.09

Dapagliflozinvs Empagliflozin
HR 0.98 (95% CI 0.89–1.09)

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

MACE and individual components of the primary outcome

Risks of secondary outcomes were comparable

Sensitivity analyses

Overall findings consistent across several sensitivity analyses

Original publication

Cardiorenal outcomes of empagliflozin versus dapagliflozin in primary prevention among patients with type 2 diabetes: A nationwide cohort study. Diabetes Res Clin Pract. Published 2 April 2026. doi:10.1016/j.diabres.2026.113239

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