Type 2 & other diabetes

Uric acid‐lowering effects of sodium‐glucose cotransporter 2 inhibitors for preventing cardiovascular events and mortality: A systematic review and meta‐analysis

Diabetes Obes MetabPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

SGLT2 inhibitors reduced UA levels and cardiovascular events independently of heart failure status.

Study context

Population
Patients in large-scale SGLT2i trials (54% with HF); MEDLINE and EMBASE searched to 30 June 2023
Participants
31,535 patients5 trials
Comparison
SGLT2i vs control: effect per 1 mg/dl uric acid (UA) reduction
Outcome
Cardiovascular events and mortality per 1 mg/dl reduction in UA
Methodological detailsrandom-effects meta-analysis, meta-regression of 1 mg/dl UA reduction
  • Random-effects meta-analysis
  • Meta-regression of 1 mg/dl UA reduction

Pooled result

As reported in the abstract

Per 1 mg/dl UA reduction · median follow-up 2.2 years

Composite of CV death and hospitalization for HF, HR

0.64

95% CI 0.46–0.88

Hospitalization for HF, HR

0.68

95% CI 0.62–0.74

Further pooled results

Mean reduction in UA with SGLT2i · median follow-up 2.2 years

Mean UA reduction, mg/dl
−0.79 (95% CI −1.03 to −0.54)

Original publication

Uric acid‐lowering effects of sodium‐glucose cotransporter 2 inhibitors for preventing cardiovascular events and mortality: A systematic review and meta‐analysis. Diabetes Obes Metab. Published 5 February 2024. doi:10.1111/dom.15483

Composed by AI from the published abstract and checked against it. How Briefs are made →

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