Table 1:

Key baseline characteristics of patients with type 2 diabetes initiating SGLT-2i versus DPP-4i before and after IPTW.

 Before IPTWAfter IPTW
CharacteristicsOverallDPP-4iSGLT-2iSMDDPP-4iSGLT-2iSMD
Number of patients29 84914 52315 32614 54615 516
Demographics
Age, median (IQR)66.0 [57.0, 74.0]68.0 [58.0, 76.0]64.0 [56.0, 72.0]0.26666.0 [57.0, 74.0]66.0 [57.0, 74.5]0.027
Female sex10 992 (36.8)5769 (39.7)5223 (34.1)0.1175418 (37.2)5787 (37.3)0.001
Laboratory measurements
eGFRa, median (IQR), ml/min/1.73 m²87.3 [68.7, 99.2]83.2 [60.4, 97.2]90.2 [75.8 100.6]0.39788.4 [69.2, 99.8]86.7 [68.1, 98.9]0.039
Potassiuma, median (IQR) mmol/l4.2 [4.0, 4.40]4.2 [4.0, 4.4]4.20 [4.0, 4.4]0.0564.2 [4.0, 4.4]4.2 [4.0, 4.4]0.015
Albuminuria category (%)0.0880.014
A121 396 (71.7)10 145 (69.9)11 251 (73.4)10 468 (71.9)11 206 (72.5)
A26583 (22.1)3347 (23.0)3236 (21.1)3194 (22.0)3350 (21.7)
A31870 (6.3)1031 (7.1)839 (5.5)887 (6.1)901 (5.8)
Burden of comorbidities
Heart failure/cardiomyopathy4193 (14.0)1883 (13.0)2310 (15.1)0.0611863 (12.8)2122 (13.7)0.027
Acute coronary syndrome4265 (14.3)1626 (11.2)2639 (17.2)0.1731920 (13.2)2165 (14.0)0.024
Other ischemic heart disease6979 (23.4)2925 (20.1)4054 (26.5)0.1503195 (22.0)3531 (22.8)0.021
Psychiatric disorder9706 (32.5)4438 (30.6)5268 (34.4)0.0824823 (33.1)5134 (33.2)0.001
Atrial fibrillation4041 (13.5)1978 (13.6)2063 (13.5)0.0051893 (13.0)1973 (12.8)0.007
Diabetes-related conditions
Diabetic nephropathy1953 (6.5)991 (6.8)962 (6.3)0.022915 (6.3)990 (6.4)0.004
Diabetic retinopathy/cataract6969 (23.3)3078 (21.2)3891 (25.4)0.0993387 (23.3)3626 (23.4)0.002
Diabetic neuropathy2243 (7.5)1007 (6.9)1236 (8.1)0.0431113 (7.7)1195 (7.7)0.002
Diabetic peripheral vascular complications2496 (8.4)1178 (8.1)1318 (8.6)0.0181192 (8.2)1294 (8.3)0.005
Medications
RASi19 809 (66.4)9217 (63.5)10 592 (69.1)0.1209466 (65.1)10 147 (65.6)0.012
Calcium channel blocker10 123 (33.9)4949 (34.1)5174 (33.8)0.0074878 (33.5)5145 (33.3)0.005
Loop diuretic4107 (13.8)2143 (14.8)1964 (12.8)0.0561885.4 (13.0)2096 (13.6)0.018
Mineralocorticoid receptor antagonists1709 (5.7)709 (4.9)1000 (6.5)0.071749 (5.1)831 (5.4)0.010
Thiazide6995 (23.4)3410 (23.5)3585 (23.4)0.0023378 (23.2)3657 (23.7)0.010
Antiplatelet9042 (30.3)4107 (28.3)4935 (32.2)0.0854250 (29.2)4609 (29.8)0.013
Anticoagulant3831 (12.8)1804 (12.4)2027 (13.2)0.0241786.5 (12.3)1882 (12.2)0.003
Lipid lowering drug19 131 (64.1)8732 (60.1)10 399 (67.9)0.1619121 (62.7)9743 (63.0)0.007
Antidepressant4237 (14.2)2095 (14.4)2142 (14.0)0.0132100 (14.4)2226 (14.4)0.001
Metformin23 318 (78.1)11 007 (75.8)12 311 (80.3)0.11011 424 (78.5)12 092 (78.2)0.007
Sulfonylurea5509 (18.5)3090 (21.3)2419 (15.8)0.1422728 (18.7)2904 (18.8)0.001
Insulin7948 (26.6)3280 (22.6)4668 (30.5)0.1793912 (26.9)4090 (26.5)0.010
Other diabetes drugs (glitazone, glinide, acarbose)839 (2.8)440 (3.0)399 (2.6)0.026414 (2.8)468 (3.0)0.011
Health care utilization markers
Hospitalizations due to diabetes-related causes582 (1.9)403 (2.8)179 (1.2)0.116269 (1.8)243 (1.6)0.021
Outpatient visits to diabetes specialist care5296 (17.7)2410 (16.6)2886 (18.8)0.0592638 (18.1)2693 (17.4)0.018
 Before IPTWAfter IPTW
CharacteristicsOverallDPP-4iSGLT-2iSMDDPP-4iSGLT-2iSMD
Number of patients29 84914 52315 32614 54615 516
Demographics
Age, median (IQR)66.0 [57.0, 74.0]68.0 [58.0, 76.0]64.0 [56.0, 72.0]0.26666.0 [57.0, 74.0]66.0 [57.0, 74.5]0.027
Female sex10 992 (36.8)5769 (39.7)5223 (34.1)0.1175418 (37.2)5787 (37.3)0.001
Laboratory measurements
eGFRa, median (IQR), ml/min/1.73 m²87.3 [68.7, 99.2]83.2 [60.4, 97.2]90.2 [75.8 100.6]0.39788.4 [69.2, 99.8]86.7 [68.1, 98.9]0.039
Potassiuma, median (IQR) mmol/l4.2 [4.0, 4.40]4.2 [4.0, 4.4]4.20 [4.0, 4.4]0.0564.2 [4.0, 4.4]4.2 [4.0, 4.4]0.015
Albuminuria category (%)0.0880.014
A121 396 (71.7)10 145 (69.9)11 251 (73.4)10 468 (71.9)11 206 (72.5)
A26583 (22.1)3347 (23.0)3236 (21.1)3194 (22.0)3350 (21.7)
A31870 (6.3)1031 (7.1)839 (5.5)887 (6.1)901 (5.8)
Burden of comorbidities
Heart failure/cardiomyopathy4193 (14.0)1883 (13.0)2310 (15.1)0.0611863 (12.8)2122 (13.7)0.027
Acute coronary syndrome4265 (14.3)1626 (11.2)2639 (17.2)0.1731920 (13.2)2165 (14.0)0.024
Other ischemic heart disease6979 (23.4)2925 (20.1)4054 (26.5)0.1503195 (22.0)3531 (22.8)0.021
Psychiatric disorder9706 (32.5)4438 (30.6)5268 (34.4)0.0824823 (33.1)5134 (33.2)0.001
Atrial fibrillation4041 (13.5)1978 (13.6)2063 (13.5)0.0051893 (13.0)1973 (12.8)0.007
Diabetes-related conditions
Diabetic nephropathy1953 (6.5)991 (6.8)962 (6.3)0.022915 (6.3)990 (6.4)0.004
Diabetic retinopathy/cataract6969 (23.3)3078 (21.2)3891 (25.4)0.0993387 (23.3)3626 (23.4)0.002
Diabetic neuropathy2243 (7.5)1007 (6.9)1236 (8.1)0.0431113 (7.7)1195 (7.7)0.002
Diabetic peripheral vascular complications2496 (8.4)1178 (8.1)1318 (8.6)0.0181192 (8.2)1294 (8.3)0.005
Medications
RASi19 809 (66.4)9217 (63.5)10 592 (69.1)0.1209466 (65.1)10 147 (65.6)0.012
Calcium channel blocker10 123 (33.9)4949 (34.1)5174 (33.8)0.0074878 (33.5)5145 (33.3)0.005
Loop diuretic4107 (13.8)2143 (14.8)1964 (12.8)0.0561885.4 (13.0)2096 (13.6)0.018
Mineralocorticoid receptor antagonists1709 (5.7)709 (4.9)1000 (6.5)0.071749 (5.1)831 (5.4)0.010
Thiazide6995 (23.4)3410 (23.5)3585 (23.4)0.0023378 (23.2)3657 (23.7)0.010
Antiplatelet9042 (30.3)4107 (28.3)4935 (32.2)0.0854250 (29.2)4609 (29.8)0.013
Anticoagulant3831 (12.8)1804 (12.4)2027 (13.2)0.0241786.5 (12.3)1882 (12.2)0.003
Lipid lowering drug19 131 (64.1)8732 (60.1)10 399 (67.9)0.1619121 (62.7)9743 (63.0)0.007
Antidepressant4237 (14.2)2095 (14.4)2142 (14.0)0.0132100 (14.4)2226 (14.4)0.001
Metformin23 318 (78.1)11 007 (75.8)12 311 (80.3)0.11011 424 (78.5)12 092 (78.2)0.007
Sulfonylurea5509 (18.5)3090 (21.3)2419 (15.8)0.1422728 (18.7)2904 (18.8)0.001
Insulin7948 (26.6)3280 (22.6)4668 (30.5)0.1793912 (26.9)4090 (26.5)0.010
Other diabetes drugs (glitazone, glinide, acarbose)839 (2.8)440 (3.0)399 (2.6)0.026414 (2.8)468 (3.0)0.011
Health care utilization markers
Hospitalizations due to diabetes-related causes582 (1.9)403 (2.8)179 (1.2)0.116269 (1.8)243 (1.6)0.021
Outpatient visits to diabetes specialist care5296 (17.7)2410 (16.6)2886 (18.8)0.0592638 (18.1)2693 (17.4)0.018
a

Number of events, person-years, and incidence rates were calculated in the original unweighted population. Weights were calculated based on age, sex, calendar year at index date, and laboratory measurements (e.g. potassium level, eGFR, and urinary albumin-to-creatinine ratio), comorbidities (e.g. acute coronary syndrome, heart failure), drugs use, other medications use (e.g. RASi, MRA), and health care utilization markers.

Table 1:

Key baseline characteristics of patients with type 2 diabetes initiating SGLT-2i versus DPP-4i before and after IPTW.

 Before IPTWAfter IPTW
CharacteristicsOverallDPP-4iSGLT-2iSMDDPP-4iSGLT-2iSMD
Number of patients29 84914 52315 32614 54615 516
Demographics
Age, median (IQR)66.0 [57.0, 74.0]68.0 [58.0, 76.0]64.0 [56.0, 72.0]0.26666.0 [57.0, 74.0]66.0 [57.0, 74.5]0.027
Female sex10 992 (36.8)5769 (39.7)5223 (34.1)0.1175418 (37.2)5787 (37.3)0.001
Laboratory measurements
eGFRa, median (IQR), ml/min/1.73 m²87.3 [68.7, 99.2]83.2 [60.4, 97.2]90.2 [75.8 100.6]0.39788.4 [69.2, 99.8]86.7 [68.1, 98.9]0.039
Potassiuma, median (IQR) mmol/l4.2 [4.0, 4.40]4.2 [4.0, 4.4]4.20 [4.0, 4.4]0.0564.2 [4.0, 4.4]4.2 [4.0, 4.4]0.015
Albuminuria category (%)0.0880.014
A121 396 (71.7)10 145 (69.9)11 251 (73.4)10 468 (71.9)11 206 (72.5)
A26583 (22.1)3347 (23.0)3236 (21.1)3194 (22.0)3350 (21.7)
A31870 (6.3)1031 (7.1)839 (5.5)887 (6.1)901 (5.8)
Burden of comorbidities
Heart failure/cardiomyopathy4193 (14.0)1883 (13.0)2310 (15.1)0.0611863 (12.8)2122 (13.7)0.027
Acute coronary syndrome4265 (14.3)1626 (11.2)2639 (17.2)0.1731920 (13.2)2165 (14.0)0.024
Other ischemic heart disease6979 (23.4)2925 (20.1)4054 (26.5)0.1503195 (22.0)3531 (22.8)0.021
Psychiatric disorder9706 (32.5)4438 (30.6)5268 (34.4)0.0824823 (33.1)5134 (33.2)0.001
Atrial fibrillation4041 (13.5)1978 (13.6)2063 (13.5)0.0051893 (13.0)1973 (12.8)0.007
Diabetes-related conditions
Diabetic nephropathy1953 (6.5)991 (6.8)962 (6.3)0.022915 (6.3)990 (6.4)0.004
Diabetic retinopathy/cataract6969 (23.3)3078 (21.2)3891 (25.4)0.0993387 (23.3)3626 (23.4)0.002
Diabetic neuropathy2243 (7.5)1007 (6.9)1236 (8.1)0.0431113 (7.7)1195 (7.7)0.002
Diabetic peripheral vascular complications2496 (8.4)1178 (8.1)1318 (8.6)0.0181192 (8.2)1294 (8.3)0.005
Medications
RASi19 809 (66.4)9217 (63.5)10 592 (69.1)0.1209466 (65.1)10 147 (65.6)0.012
Calcium channel blocker10 123 (33.9)4949 (34.1)5174 (33.8)0.0074878 (33.5)5145 (33.3)0.005
Loop diuretic4107 (13.8)2143 (14.8)1964 (12.8)0.0561885.4 (13.0)2096 (13.6)0.018
Mineralocorticoid receptor antagonists1709 (5.7)709 (4.9)1000 (6.5)0.071749 (5.1)831 (5.4)0.010
Thiazide6995 (23.4)3410 (23.5)3585 (23.4)0.0023378 (23.2)3657 (23.7)0.010
Antiplatelet9042 (30.3)4107 (28.3)4935 (32.2)0.0854250 (29.2)4609 (29.8)0.013
Anticoagulant3831 (12.8)1804 (12.4)2027 (13.2)0.0241786.5 (12.3)1882 (12.2)0.003
Lipid lowering drug19 131 (64.1)8732 (60.1)10 399 (67.9)0.1619121 (62.7)9743 (63.0)0.007
Antidepressant4237 (14.2)2095 (14.4)2142 (14.0)0.0132100 (14.4)2226 (14.4)0.001
Metformin23 318 (78.1)11 007 (75.8)12 311 (80.3)0.11011 424 (78.5)12 092 (78.2)0.007
Sulfonylurea5509 (18.5)3090 (21.3)2419 (15.8)0.1422728 (18.7)2904 (18.8)0.001
Insulin7948 (26.6)3280 (22.6)4668 (30.5)0.1793912 (26.9)4090 (26.5)0.010
Other diabetes drugs (glitazone, glinide, acarbose)839 (2.8)440 (3.0)399 (2.6)0.026414 (2.8)468 (3.0)0.011
Health care utilization markers
Hospitalizations due to diabetes-related causes582 (1.9)403 (2.8)179 (1.2)0.116269 (1.8)243 (1.6)0.021
Outpatient visits to diabetes specialist care5296 (17.7)2410 (16.6)2886 (18.8)0.0592638 (18.1)2693 (17.4)0.018
 Before IPTWAfter IPTW
CharacteristicsOverallDPP-4iSGLT-2iSMDDPP-4iSGLT-2iSMD
Number of patients29 84914 52315 32614 54615 516
Demographics
Age, median (IQR)66.0 [57.0, 74.0]68.0 [58.0, 76.0]64.0 [56.0, 72.0]0.26666.0 [57.0, 74.0]66.0 [57.0, 74.5]0.027
Female sex10 992 (36.8)5769 (39.7)5223 (34.1)0.1175418 (37.2)5787 (37.3)0.001
Laboratory measurements
eGFRa, median (IQR), ml/min/1.73 m²87.3 [68.7, 99.2]83.2 [60.4, 97.2]90.2 [75.8 100.6]0.39788.4 [69.2, 99.8]86.7 [68.1, 98.9]0.039
Potassiuma, median (IQR) mmol/l4.2 [4.0, 4.40]4.2 [4.0, 4.4]4.20 [4.0, 4.4]0.0564.2 [4.0, 4.4]4.2 [4.0, 4.4]0.015
Albuminuria category (%)0.0880.014
A121 396 (71.7)10 145 (69.9)11 251 (73.4)10 468 (71.9)11 206 (72.5)
A26583 (22.1)3347 (23.0)3236 (21.1)3194 (22.0)3350 (21.7)
A31870 (6.3)1031 (7.1)839 (5.5)887 (6.1)901 (5.8)
Burden of comorbidities
Heart failure/cardiomyopathy4193 (14.0)1883 (13.0)2310 (15.1)0.0611863 (12.8)2122 (13.7)0.027
Acute coronary syndrome4265 (14.3)1626 (11.2)2639 (17.2)0.1731920 (13.2)2165 (14.0)0.024
Other ischemic heart disease6979 (23.4)2925 (20.1)4054 (26.5)0.1503195 (22.0)3531 (22.8)0.021
Psychiatric disorder9706 (32.5)4438 (30.6)5268 (34.4)0.0824823 (33.1)5134 (33.2)0.001
Atrial fibrillation4041 (13.5)1978 (13.6)2063 (13.5)0.0051893 (13.0)1973 (12.8)0.007
Diabetes-related conditions
Diabetic nephropathy1953 (6.5)991 (6.8)962 (6.3)0.022915 (6.3)990 (6.4)0.004
Diabetic retinopathy/cataract6969 (23.3)3078 (21.2)3891 (25.4)0.0993387 (23.3)3626 (23.4)0.002
Diabetic neuropathy2243 (7.5)1007 (6.9)1236 (8.1)0.0431113 (7.7)1195 (7.7)0.002
Diabetic peripheral vascular complications2496 (8.4)1178 (8.1)1318 (8.6)0.0181192 (8.2)1294 (8.3)0.005
Medications
RASi19 809 (66.4)9217 (63.5)10 592 (69.1)0.1209466 (65.1)10 147 (65.6)0.012
Calcium channel blocker10 123 (33.9)4949 (34.1)5174 (33.8)0.0074878 (33.5)5145 (33.3)0.005
Loop diuretic4107 (13.8)2143 (14.8)1964 (12.8)0.0561885.4 (13.0)2096 (13.6)0.018
Mineralocorticoid receptor antagonists1709 (5.7)709 (4.9)1000 (6.5)0.071749 (5.1)831 (5.4)0.010
Thiazide6995 (23.4)3410 (23.5)3585 (23.4)0.0023378 (23.2)3657 (23.7)0.010
Antiplatelet9042 (30.3)4107 (28.3)4935 (32.2)0.0854250 (29.2)4609 (29.8)0.013
Anticoagulant3831 (12.8)1804 (12.4)2027 (13.2)0.0241786.5 (12.3)1882 (12.2)0.003
Lipid lowering drug19 131 (64.1)8732 (60.1)10 399 (67.9)0.1619121 (62.7)9743 (63.0)0.007
Antidepressant4237 (14.2)2095 (14.4)2142 (14.0)0.0132100 (14.4)2226 (14.4)0.001
Metformin23 318 (78.1)11 007 (75.8)12 311 (80.3)0.11011 424 (78.5)12 092 (78.2)0.007
Sulfonylurea5509 (18.5)3090 (21.3)2419 (15.8)0.1422728 (18.7)2904 (18.8)0.001
Insulin7948 (26.6)3280 (22.6)4668 (30.5)0.1793912 (26.9)4090 (26.5)0.010
Other diabetes drugs (glitazone, glinide, acarbose)839 (2.8)440 (3.0)399 (2.6)0.026414 (2.8)468 (3.0)0.011
Health care utilization markers
Hospitalizations due to diabetes-related causes582 (1.9)403 (2.8)179 (1.2)0.116269 (1.8)243 (1.6)0.021
Outpatient visits to diabetes specialist care5296 (17.7)2410 (16.6)2886 (18.8)0.0592638 (18.1)2693 (17.4)0.018
a

Number of events, person-years, and incidence rates were calculated in the original unweighted population. Weights were calculated based on age, sex, calendar year at index date, and laboratory measurements (e.g. potassium level, eGFR, and urinary albumin-to-creatinine ratio), comorbidities (e.g. acute coronary syndrome, heart failure), drugs use, other medications use (e.g. RASi, MRA), and health care utilization markers.

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