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 groupUnweightedPS-weighted
SGLT2iSitagliptinSGLT2iSitagliptin
Sample size16 25343 35216 17242 962
Primary composite endpoint of all-cause mortality or worsening HF
 Total events1672978716676204
 Follow-up, person-years11 81533 90311 78031 314
 Incidence rate (95% CI)/100 person-years14.2 (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)Ref0.72 (0.67–0.77)Ref
Single components of the primary composite endpoint
All-cause mortality
 Total events63747696362468
 Follow-up, person-years12 31637 01812 28033 384
 Incidence rate (95% CI)/100 person-years5.2 (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)Ref0.70 (0.63–0.78)Ref
Hospitalization for heart failure
 Total events75549897523147
 Follow-up, person-years12 01534 76911 98032 014
 Incidence rate (95% CI)/100 person-years6.3 (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)Ref0.64 (0.58–0.70)Ref
Urgent visit requiring intravenous diuretics
 Total events58426455832041
 Follow-up, person-years12 06835 77412 03332 431
 Incidence rate (95% CI)/100 person-years4.8 (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)Ref0.77 (0.69–0.86)Ref
Exposure groupUnweightedPS-weighted
SGLT2iSitagliptinSGLT2iSitagliptin
Sample size16 25343 35216 17242 962
Primary composite endpoint of all-cause mortality or worsening HF
 Total events1672978716676204
 Follow-up, person-years11 81533 90311 78031 314
 Incidence rate (95% CI)/100 person-years14.2 (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)Ref0.72 (0.67–0.77)Ref
Single components of the primary composite endpoint
All-cause mortality
 Total events63747696362468
 Follow-up, person-years12 31637 01812 28033 384
 Incidence rate (95% CI)/100 person-years5.2 (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)Ref0.70 (0.63–0.78)Ref
Hospitalization for heart failure
 Total events75549897523147
 Follow-up, person-years12 01534 76911 98032 014
 Incidence rate (95% CI)/100 person-years6.3 (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)Ref0.64 (0.58–0.70)Ref
Urgent visit requiring intravenous diuretics
 Total events58426455832041
 Follow-up, person-years12 06835 77412 03332 431
 Incidence rate (95% CI)/100 person-years4.8 (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)Ref0.77 (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.

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 groupUnweightedPS-weighted
SGLT2iSitagliptinSGLT2iSitagliptin
Sample size16 25343 35216 17242 962
Primary composite endpoint of all-cause mortality or worsening HF
 Total events1672978716676204
 Follow-up, person-years11 81533 90311 78031 314
 Incidence rate (95% CI)/100 person-years14.2 (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)Ref0.72 (0.67–0.77)Ref
Single components of the primary composite endpoint
All-cause mortality
 Total events63747696362468
 Follow-up, person-years12 31637 01812 28033 384
 Incidence rate (95% CI)/100 person-years5.2 (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)Ref0.70 (0.63–0.78)Ref
Hospitalization for heart failure
 Total events75549897523147
 Follow-up, person-years12 01534 76911 98032 014
 Incidence rate (95% CI)/100 person-years6.3 (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)Ref0.64 (0.58–0.70)Ref
Urgent visit requiring intravenous diuretics
 Total events58426455832041
 Follow-up, person-years12 06835 77412 03332 431
 Incidence rate (95% CI)/100 person-years4.8 (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)Ref0.77 (0.69–0.86)Ref
Exposure groupUnweightedPS-weighted
SGLT2iSitagliptinSGLT2iSitagliptin
Sample size16 25343 35216 17242 962
Primary composite endpoint of all-cause mortality or worsening HF
 Total events1672978716676204
 Follow-up, person-years11 81533 90311 78031 314
 Incidence rate (95% CI)/100 person-years14.2 (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)Ref0.72 (0.67–0.77)Ref
Single components of the primary composite endpoint
All-cause mortality
 Total events63747696362468
 Follow-up, person-years12 31637 01812 28033 384
 Incidence rate (95% CI)/100 person-years5.2 (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)Ref0.70 (0.63–0.78)Ref
Hospitalization for heart failure
 Total events75549897523147
 Follow-up, person-years12 01534 76911 98032 014
 Incidence rate (95% CI)/100 person-years6.3 (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)Ref0.64 (0.58–0.70)Ref
Urgent visit requiring intravenous diuretics
 Total events58426455832041
 Follow-up, person-years12 06835 77412 03332 431
 Incidence rate (95% CI)/100 person-years4.8 (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)Ref0.77 (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.

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