Cardiometabolic & kidney

Heterogeneity in Cardiovascular Death or Hospitalization for Heart Failure Benefits with Flozins is Linked to Weight

ESC Heart FailPublished Meta-analysis and meta-regression of randomised trials

Pooled result · CV death or hHFResult — go to the resultHazard ratio 0.77 95% CI 0.70–0.85

Authors' conclusion

The results of this meta-regression analysis suggest that the beneficial effects of SGLT-2is in reducing CV deaths and hHFs are related to the weight variable.

Study context

Population
Patients with T2DM in CV outcome trials of SGLT2 inhibitors
Participants
46,969 patients · 5 studies
Comparison
SGLT2 inhibitors vs placebo
Outcome
CV death or hospitalization for HF
Methodological detailsrandom-effects model, Cochrane risk of bias tool used to assess study quality
  • Random-effects model
  • Cochrane risk of bias tool used to assess study quality

Pooled result

CV death or hHF

Hazard ratio

0.77

95% CI 0.70–0.85

SGLT-2i vs Placebo
HR 0.77 (95% CI 0.70–0.85)

As reported in the abstract

Further pooled results

Meta-regression: weight as moderator of CV death or hHF benefit

Significant correlation of outcomes with weight variable
P < 0.01
Weight differential explained entire variance in true effect size
R2 = 1.00

Original publication

Heterogeneity in Cardiovascular Death or Hospitalization for Heart Failure Benefits with Flozins is Linked to Weight. ESC Heart Fail. Published 27 January 2023. doi:10.1002/ehf2.14296

Summarised from the published abstract; every number is checked against it

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