Type 2 & other diabetes

Glucagon-Like Peptide 1 Receptor Agonists and the Risk of Emergency Department Visits and Hospitalization in Patients With Chronic Kidney Disease

Diabetes CarePublished Retrospective population-based cohort study

Main finding · All-cause ED encounters or hospitalizationsResult — go to the resultHazard ratio 0.90 95% CI 0.87–0.94

Authors' conclusion

GLP-1RA initiation was associated with a reduction in all-cause ED visits and hospitalizations compared with new use of a DPP4i.

Study context

Population
Adults with eGFR <90 mL/min/1.73 m²
Participants
24,576 vs 23,600
Exposure
GLP-1 RA vs DPP-4i initiation
  • GLP-1RAn = 24,576
  • DPP4in = 23,600reference
Outcome
All-cause emergency department (ED) encounters or hospitalizations
Methodological detailsinverse probability of treatment weighting, new-user design
  • Inverse probability of treatment weighting
  • New-user design

Main finding

As reported in the abstract

Hazard ratio

0.90

95% CI 0.87–0.94

P < 0.0001

GLP-1RAvs DPP4i
HR 0.90 (95% CI 0.87–0.94); P < 0.0001

Observational data: associations, not effects.

Further findings

Confirmatory analyses (Andersen-Gill model; Prentice-Williams-Peterson (PWP) calendar time model)

Finding consistent in confirmatory analyses

Original publication

Glucagon-Like Peptide 1 Receptor Agonists and the Risk of Emergency Department Visits and Hospitalization in Patients With Chronic Kidney Disease. Diabetes Care. Published 26 June 2025. doi:10.2337/dc24-2811

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