Research Article

Is eGFR Slope a Novel Predictor of Chronic Complications of Type 2 Diabetes Mellitus? A Systematic Review and Meta-Analysis

Table 1

Details of the studies related to the eGFR slope considered in the meta-analysis. Studies are presented in chronological order of publication.

StudyType of study; time interval considered; countryOverall sample size ()Age (y) of patients (, or median and range)Gender (male %)Inclusion criteriaMethodological notesEvaluated complications of interest for meta-analysis

Tseng et al. [34]Longitudinal retrospective cohort study; Sept. 1999-Oct. 2000; USA70,59897.5Veterans Health Administration patients with diabetes in the fiscal year 2000 and CKD (stages 3–4) with up to 5 years of follow-upCox proportional hazards models on different CKDESKD
Ragot et al. [33]Prospective monocentric cohort and clinical trial; 2002-2012; France1,140
2,572

58
73
Patients with T2DM from the SURDIAGENE study (discovery cohort) and DIABHYCAR study (replication cohort)Cox models on discovery and replication cohortsCV events
Barzilay et al. [30]Multicenter (513), randomized, nonblinded trial; 1994-2002; USA6,656Patients with T2DM from the Antihypertensive and Lipid Lowering Treatment to Prevent Heart Attack Trial (ALLHAT)Hazard ratios from Cox regression models adjusted for baseline eGFR and several covariates and factorsCV events and ESKD
Oshima et al. [25]Cohort study; 1985-2010; Japan4,81457Patients with T2DMMultivariable Cox proportional hazards modelsESKD and ACM
Shimizu et al. [37]Nationwide observational study; Jul. 2009-Dec. 2015; Japan45666 (59-73)65Patients with T2DM and clinically suspected diabetic nephropathy from the Japan Diabetic Nephropathy Cohort Study (JDNCS)Cox proportional hazards modelESKD
Oshima et al. [14]Randomized controlled trial and post-trial observational study; Jun. 2001–Mar. 2003; 20 countries8,87958Individuals with T2DM aged ≥55 years at high risk of cardiovascular eventsHR from multivariate analysis using Cox proportional hazards modelACM, CV events, ESKD
Cabrera et al. [31]UK Clinical Practice Research Data Link GOLD (CPRD) database; 1995-2015; UK30,22246Newly diagnosed CKD subjects from a prevalent population of T2DMCox proportional hazards regression modelsCV events
Furuichi et al. [29]Multicenter retrospective study; 1985-2016; Japan3775972Patients with diagnosed diabetic nephropathyCox regression analysisACM, ESKD
Kim et al. [28] factorial randomized controlled trial; 2001-2006; 200 centers in Australasia, Asia, Europe, and North America7,21760T2DM patients at high risk of vascular disease from the ADVANCE (Action in Diabetes and Vascular Disease: Preterax and Diamicron Modified Release Controlled Evaluation) trialCox proportional hazards modelsACM, CV events, microvascular complications
Misra et al. [36]Longitudinal cohort study; 2007-2016; Canada5056 (47–63)64Adult patients affected by diabetes with biopsy-proven diabetic nephropathyKaplan–Meier survival curves and logrank (Mantel-Cox) analysisESKD
Chan et al. [32]Retrospective study; 2016-2018; Taiwan11,76956Patients with T2DM treated with sodium-glucose co-transporter-2 (SGLT2is) inhibitorsMultivariate Cox proportional hazards regressionCV events, ESKD
Meguro et al. [27]Multicenter randomized controlled trial; May 2010–Oct. 2013; Japan4,46148T2DM patients with hypercholesterolemia and diabetic retinopathy from EMPATHY (standard versus intEnsive statin therapy for hypercholesteroleMic Patients with diAbetic retinopathy) trialCox regression analysisCV events, ESKD, ACM
Oshima et al. [35]Multicenter observational cohort study; 1985-2010; Japan4,32857T2DM patientsCox proportional regressionESKD
Muramatsu et al. [38]Retrospective observational cohort study; 2005-2018; Japan83173T2DM patientsCox proportional hazards modelCAN
Zhang et al. [26]Retrospective, observational cohort study; Jan. 2012-Aug. 2019; Japan57,45252Patients from the Japanese Medical Data Vision databaseCox proportional hazards models with multivariable adjustmentACM, CV events, ESKD

Abbreviations: CKD: chronic kidney disease; CAN: cardiovascular autonomic neuropathy; CV events: cardiovascular events; ESKD: end-stage kidney disease; ACM: all-cause mortality.