To evaluate the association of sodium-glucose cotransporter-2 inhibitors with kidney, cardiovascular, and hepatic outcomes in patients with type 2 diabetes and cirrhosis.
Key Findings:
SGLT2 inhibitors associated with lower risk of end-stage kidney disease compared to DPP-4 inhibitors.
Reduced risk of acute kidney injury in patients receiving SGLT2 inhibitors.
Lower incidence of major adverse cardiovascular events among SGLT2 inhibitor users.
Fewer hepatic decompensation events observed in patients on SGLT2 inhibitors.
Interpretation:
SGLT2 inhibitors may offer significant cardiorenal and hepatic benefits for patients with type 2 diabetes and cirrhosis, warranting further prospective studies.
Limitations:
Lack of laboratory data on cirrhosis severity in the administrative database.
Residual confounding cannot be fully excluded despite statistical adjustments.
Conclusion:
SGLT2 inhibitors demonstrate potential advantages in managing complications associated with type 2 diabetes and cirrhosis, though further research is necessary.