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Effect of combination treatment with glucagon-like peptide-1 receptor agonists and sodium-glucose cotransporter-2 inhibitors on incidence of cardiovascular and serious renal events: population based cohort study

Objective To determine whether the combined use of glucagon-like peptide-1 (GLP-1) receptor agonists and sodium-glucose cotransporter-2 (SGLT-2) inhibitors is associated with a decreased risk of major adverse cardiovascular events and serious renal events compared with either drug class alone among patients with type 2 diabetes, and to assess the effect of the combination on the individual components of major adverse cardiovascular events, heart failure, and all cause mortality.

Design Population based cohort study using a prevalent new-user design, emulating a trial.

Setting UK Clinical Practice Research Datalink linked to Hospital Episode Statistics Admitted Patient Care and Office for National Statistics databases.

Participants Two prevalent new-user cohorts were assembled between January 2013 and December 2020, with follow-up until the end of March 2021. The first cohort included 6696 patients who started GLP-1 receptor agonists and added on SGLT-2 inhibitors, ....

United Kingdom , City Of , Canadian Institutes Of Health Research , Setting United Kingdom Clinical Practice Research Datalink , British National Formulary , Research Scholar , United Kingdom Clinical Practice Research Datalink , Regulatory Agency , Research Data Governance , English National Health Service , Foundation Scheme , Office For National Statistics , Research Ethics Board Of The Jewish , Clinical Practice Research Datalink , Research Ethics Board , Mcgill University , United Kingdom National Health Service , Hospital Episode Statistics Admitted Patient Care , National Statistics , United Kingdom Medicines , United Kingdom Data Protection Act , Chercheur Boursier Clinicien Junior , Fonds De Recherche , Distinguished James Mcgill Award , Distinguished Research Scholar , William Dawson Scholar Award ,