DPP4i, GLP‐1RA, and SGLT2i for CVD |
Patient or population: Adults with clinically diagnosed CVD
Setting: Hospital
Intervention: DPP4‐inhibitors or GLP‐1 receptor agonists or SGLT‐2 inhibitors (monotherapy or combination therapy)
Comparison: A combined comparison group of controls such as placebo, lifestyle/behavioural intervention, and another glucose‐lowering pharmacological intervention |
Outcomes |
Anticipated absolute effects* (95% CI) |
Relative effect
(95% CI) |
№ of participants
(studies) |
Certainty of the evidence
(GRADE) |
Comments |
Risk with control |
Risk with treatment |
Cardiovascular mortality |
[value] percent |
[value] percent |
RR [value] ([value] to [value]) |
[value] |
⊕○○○
very low
⊕⊕○○
low
⊕⊕⊕○
moderate
⊕⊕⊕⊕
high |
|
Myocardial infarctions (fatal or non‐fatal) |
[value] percent |
[value] percent |
RR [value] ([value] to [value]) |
[value] |
⊕○○○
very low
⊕⊕○○
low
⊕⊕⊕○
moderate
⊕⊕⊕⊕
high |
|
Stroke (fatal or non‐fatal) |
[value] percent |
[value] percent |
RR [value] ([value] to [value]) |
[value] |
⊕○○○
very low
⊕⊕○○
low
⊕⊕⊕○
moderate
⊕⊕⊕⊕
high |
|
|
|
|
|
[] |
|
|
All‐cause mortality |
[value] percent |
[value] percent |
RR [value] ([value] to [value]) |
[value] |
⊕○○○
very low
⊕⊕○○
low
⊕⊕⊕○
moderate
⊕⊕⊕⊕
high |
|
Hospitalisation for heart failure |
[value] percent |
[value] percent |
RR [value] ([value] to [value]) |
[value] |
⊕○○○
very low
⊕⊕○○
low
⊕⊕⊕○
moderate
⊕⊕⊕⊕
high |
|
Non‐cardiac safety outcomes |
[value] percent |
[value] percent |
RR [value] ([value] to [value]) |
[value] |
⊕○○○
very low
⊕⊕○○
low
⊕⊕⊕○
moderate
⊕⊕⊕⊕
high |
|
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: Confidence interval; RR: Risk ratio; OR: Odds ratio. |
GRADE Working Group grades of evidence
High certainty: We are very confident that the true effect lies close to that of the estimate of the effect
Moderate certainty: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low certainty: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
Very low certainty: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect |