Type 2 & other diabetes

Effect of preoperative SGLT2 inhibitor use on postoperative acute kidney injury in patients with type 2 diabetes undergoing surgery: A causal inference study using routinely collected data

Diabetes Obes MetabPublished Target trial emulation using routinely collected data

Main finding · Postoperative AKIResult — go to the resultAdjusted odds ratio 0.71 95% CI 0.56–0.91

Authors' conclusion

In patients with type 2 diabetes who used SGLT2i preoperatively, its use reduced the odds of postoperative acute kidney injury.

Study context

Population
Patients with T2D undergoing surgery under general anaesthesia, tertiary centre in Australia; over half underwent emergency surgery
Participants
2,499 patients
Comparison
Preoperative SGLT2i use vs no preoperative SGLT2i
  • SGLT2in = 738
  • No SGLT2in = 1,761reference
Outcome
Postoperative acute kidney injury (AKI)
Follow-up
Within 7 days of surgery
Methodological detailsinverse probability of treatment weighting, single tertiary centre
  • Inverse probability of treatment weighting
  • Single tertiary centre

Main finding

As reported in the abstract

Adjusted odds ratio

0.71

95% CI 0.56–0.91

P = 0.007

By group

SGLT2ivs No SGLT2i
adjusted OR 0.71 (95% CI 0.56–0.91); P = 0.007

Further findings

Effects were consistent across subgroup and sensitivity analyses

Original publication

Effect of preoperative SGLT2 inhibitor use on postoperative acute kidney injury in patients with type 2 diabetes undergoing surgery: A causal inference study using routinely collected data. Diabetes Obes Metab. Published 29 January 2026. doi:10.1111/dom.70509

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