Significant reduction in chronic kidney disease progression with sodium‐glucose cotransporter‐2 inhibitors compared to dipeptidyl peptidase‐4 inhibitors in adults with type 2 diabetes in a UK clinical setting: An observational outcomes study based on international guidelines for kidney disease

Jun 9, 2022Diabetes, obesity & metabolism

Sodium-glucose cotransporter-2 inhibitors linked to slower kidney disease progression than dipeptidyl peptidase-4 inhibitors in adults with type 2 diabetes in UK clinics

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Abstract

SGLT2 inhibitor initiation was associated with 7.48 events per 1000 patient-years for composite kidney endpoints compared to 11.77 for DPP-4 inhibitors.

  • SGLT2 inhibitors were linked to a 36% reduction in the risk of the primary composite endpoint.
  • All-cause mortality risk was reduced by 26% with SGLT2 inhibitors compared to DPP-4 inhibitors.
  • The risk of was decreased by 63% with SGLT2 inhibitor use.
  • SGLT2 inhibitors were associated with a 67% lower rate of sustained low estimated glomerular filtration rate.
  • Diagnoses of end-stage kidney disease in primary care were significantly lower with SGLT2 inhibitors.

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Key numbers

7.48 events per 1000 patient-years
Reduction in Composite Events
SGLT2 inhibitor initiation
0.64
Hazard Ratio for Primary Composite Endpoint
Compared to DPP-4 inhibitors
0.74
All-Cause Mortality Hazard Ratio
Compared to DPP-4 inhibitors

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