Comparative Effectiveness of SGLT2 Inhibitor and GLP-1 Receptor Agonist on Kidney and Cardiovascular Outcomes by Kidney Failure Risk

Compared with GLP-1 RA, SGLT2i had comparable risks of mortality, perhaps a lower risk of kidney failure, but modestly higher risk of cardiovascular events in the entire cohort. However, GLP-1 RA were more beneficial in those with moderate kidney failure risk and SGLT2i more beneficial in those with high kidney failure risk.

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Journal
Journal of the American Society of Nephrology
Published
2026-01-13
DOI
https://doi.org/10.1681/asn.0000001016
Primary Topic
Diabetes Treatment and Management
Type
article
Field-Weighted Citation Impact
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article

Comparative Effectiveness of SGLT2 Inhibitor and GLP-1 Receptor Agonist on Kidney and Cardiovascular Outcomes by Kidney Failure Risk

Catherine G. Derington, Sydney E. Hartsell, Robert E. Boucher, Michael J Throolin et al.
Journal of the American Society of Nephrology
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article

Comparative Effectiveness of SGLT2 Inhibitor and GLP-1 Receptor Agonist on Kidney and Cardiovascular Outcomes by Kidney Failure Risk

Catherine G. Derington, Sydney E. Hartsell, Robert E. Boucher, Michael J Throolin, Jincheng Shen, Ravinder Singh, Stavros Drakos, McKenna R. Nevers, Christa Curtis, Guo Wei, Amara Sarwal, Srinivasan Beddhu
article en

Abstract

Compared with GLP-1 RA, SGLT2i had comparable risks of mortality, perhaps a lower risk of kidney failure, but modestly higher risk of cardiovascular events in the entire cohort. However, GLP-1 RA were more beneficial in those with moderate kidney failure risk and SGLT2i more beneficial in those with high kidney failure risk.

Journal of the American Society of Nephrology
Spencer Foundation (US), VA Salt Lake City Healthcare System (US), University of Colorado Anschutz Medical Campus (US)
Good health and well-being
Openalex Percentile: Top 89%
Diabetes Treatment and Management
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