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Restricted Mean Survival Time Analysis to Estimate SGLT2i–Associated Heterogeneous Treatment Effects on Primary and Secondary Prevention of Cardiorenal Outcomes in Patients With Type 2 Diabetes in Taiwan

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Key Points Question Is restricted mean survival time (RMST) analysis feasible to translate comparative cardiovascular and kidney outcomes of sodium-glucose cotransporter-2 inhibitor (SGLT2i) vs dipeptidyl peptidase-4 inhibitor (DPP4i) therapy in… Click to show full abstract

Key Points Question Is restricted mean survival time (RMST) analysis feasible to translate comparative cardiovascular and kidney outcomes of sodium-glucose cotransporter-2 inhibitor (SGLT2i) vs dipeptidyl peptidase-4 inhibitor (DPP4i) therapy in routine clinical settings? Findings In this comparative effectiveness study of 21 144 propensity score–matched pairs of patients with stable SGLT2i and DPP4i use for cardiovascular outcomes and 19 951 matched pairs for kidney outcomes, RMST analysis translated the SGLT2i-associated cardiorenal outcomes into clinical intuitive estimates, and estimated heterogenous treatment effects among patients with diverse characteristics in routine clinical settings. Meaning This study’s findings suggest the feasibility of using RMST analysis to supplement traditional survival analyses for investigating cardiorenal outcomes among diverse patients with SGLT2i treatment.

Keywords: cardiorenal outcomes; restricted mean; analysis; mean survival; treatment; survival time

Journal Title: JAMA Network Open
Year Published: 2022

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