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Deprecated: Implicit conversion from float 284.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 PeerJ 2017 ; 5 (ä): ä Nephropedia Template TP
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Effects of sodium-glucose co-transporter 2 (SGLT2) inhibition on renal function and albuminuria in patients with type 2 diabetes: a systematic review and meta-analysis #MMPMID28663934
Xu L; Li Y; Lang J; Xia P; Zhao X; Wang L; Yu Y; Chen L
PeerJ 2017[]; 5 (ä): ä PMID28663934show ga
Aim: To evaluate the effects of sodium-glucose co-transporter 2 (SGLT2) inhibition on renal function and albuminuria in patients with type 2 diabetes. Methods: We conducted systematic searches of PubMed, Embase and Cochrane Central Register of Controlled Trials up to June 2016 and included randomized controlled trials of SGLT2 inhibitors in adult type 2 diabetic patients reporting estimated glomerular filtration rate (eGFR) and/or urine albumin/creatinine ratio (ACR) changes. Data were synthesized using the random-effects model. Results: Forty-seven studies with 22,843 participants were included. SGLT2 inhibition was not associated with a significant change in eGFR in general (weighted mean difference (WMD), ?0.33 ml/min per 1.73 m2, 95% CI [?0.90 to 0.23]) or in patients with chronic kidney disease (CKD) (WMD ?0.78 ml/min per 1.73 m2, 95% CI [?2.52 to 0.97]). SGLT2 inhibition was associated with eGFR reduction in short-term trials (WMD ?0.98 ml/min per 1.73 m2, 95% CI [?1.42 to ?0.54]), and with eGFR preservation in long-term trials (WMD 2.01 ml/min per 1.73 m2, 95% CI [0.86 to 3.16]). Urine ACR reduction after SGLT2 inhibition was not statistically significant in type 2 diabetic patients in general (WMD ?7.24 mg/g, 95% CI [?15.54 to 1.06]), but was significant in patients with CKD (WMD ?107.35 mg/g, 95% CI [?192.53 to ?22.18]). Conclusions: SGLT2 inhibition was not associated with significant changes in eGFR in patients with type 2 diabetes, likely resulting from a mixture of an initial reduction of eGFR and long-term renal function preservation. SGLT2 inhibition was associated with statistically significant albuminuria reduction in type 2 diabetic patients with CKD.