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. 2023 Jun 1;44(24):2216–2230. doi: 10.1093/eurheartj/ehad273

Table 2.

Comparative outcomes in patients with HF and type 2 diabetes initiating SGLT2i vs. sitagliptin under 365-day intention-to-treat follow-up

Exposure group Unweighted PS-weighted
SGLT2i Sitagliptin SGLT2i Sitagliptin
Sample size 16 253 43 352 16 172 42 962
Primary composite endpoint of all-cause mortality or worsening HF
 Total events 1672 9787 1667 6204
 Follow-up, person-years 11 815 33 903 11 780 31 314
 Incidence rate (95% CI)/100 person-years 14.2 (13.5–14.8) 28.9 (28.3–29.4) 14.2 (13.5–14.8) 19.8 (19.3–20.3)
 HR (95% CI) 0.49 (0.46–0.51) Ref 0.72 (0.67–0.77) Ref
Single components of the primary composite endpoint
All-cause mortality
 Total events 637 4769 636 2468
 Follow-up, person-years 12 316 37 018 12 280 33 384
 Incidence rate (95% CI)/100 person-years 5.2 (4.8–5.6) 12.9 (12.5–13.3) 5.2 (4.8–5.6) 7.4 (7.1–7.7)
 HR (95% CI) 0.40 (0.37–0.44) Ref 0.70 (0.63–0.78) Ref
Hospitalization for heart failure
 Total events 755 4989 752 3147
 Follow-up, person-years 12 015 34 769 11 980 32 014
 Incidence rate (95% CI)/100 person-years 6.3 (5.8–6.7) 14.3 (14.0–14.8) 6.3 (5.8–6.7) 9.8 (9.5–10.2)
 HR (95% CI) 0.43 (0.40–0.47) Ref 0.64 (0.58–0.70) Ref
Urgent visit requiring intravenous diuretics
 Total events 584 2645 583 2041
 Follow-up, person-years 12 068 35 774 12 033 32 431
 Incidence rate (95% CI)/100 person-years 4.8 (4.5–5.2) 7.4 (7.1–7.7) 4.8 (4.5–5.3) 6.3 (6.0–6.6)
 HR (95% CI) 0.65 (0.59–0.71) Ref 0.77 (0.69–0.86) Ref

CI, confidence interval; HF, heart failure; HR, hazard ratio; PS, propensity score; SGLT2i, sodium–glucose cotransporter 2 inhibitors. Hazard ratios are shown in bold.