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Table 3 Baseline use of medications among SGLT2i initiators with DKD, in the total study population and stratified by insurance type and CV risk

From: Predictors of cardio-kidney complications and treatment failure in patients with chronic kidney disease and type 2 diabetes treated with SGLT2 inhibitors

 

SGLT2i initiators with DKD (N = 6389)

Commercial insurance (N = 2284)

Medicare insurance (N = 4105)

Low CV risk (N = 2797)

Moderate CV risk (N = 3237)

High CV risk (N = 355)

T2D medication

 

Metformin, n (%)

4545 (71.1%)

1739 (76.1%)

2806 (68.4%)

2063 (73.8%)

2256 (69.7%)

226 (63.7%)

Any second LOT, n (%)

5528 (86.5%)

1961 (85.9%)

3567 (86.9%)

2385 (85.3%)

2834 (87.6%)

309 (87.0%)

 SU, n (%)

3093 (48.4%)

1004 (44.0%)

2089 (50.9%)

1387 (49.6%)

1555 (48.0%)

151 (42.5%)

 TZD, n (%)

848 (13.3%)

273 (12.0%)

575 (14.0%)

371 (13.3%)

436 (13.5%)

41 (11.5%)

 DPP4i, n (%)

2201 (34.4%)

785 (34.4%)

1416 (34.5%)

1024 (36.6%)

1074 (33.2%)

103 (29.0%)

 GLP1ra, n (%)

1385 (21.7%)

680 (29.8%)

705 (17.2%)

551 (19.7%)

763 (23.6%)

71 (20.0%)

 Basal insulin, n (%)

2249 (35.2%)

801 (35.1%)

1448 (35.3%)

812 (29.0%)

1258 (38.9%)

179 (50.4%)

 AGI, n (%)

58 (0.9%)

13 (0.6%)

45 (1.1%)

22 (0.8%)

33 (1.0%)

3 (0.8%)

 Meglitinide, n (%)

170 (2.7%)

55 (2.4%)

115 (2.8%)

84 (3.0%)

73 (2.3%)

13 (3.7%)

Any two second LOTs, n (%)

2974 (46.5%)

1042 (45.6%)

1932 (47.1%)

1222 (43.7%)

1588 (49.1%)

164 (46.2%)

 SU + TZD, n (%)

391 (6.1%)

122 (5.3%)

269 (6.6%)

180 (6.4%)

199 (6.1%)

12 (3.4%)

 SU + DPP4i, n (%)

1010 (15.8%)

342 (15.0%)

668 (16.3%)

490 (17.5%)

488 (15.1%)

32 (9.0%)

 SU + GLP1ra, n (%)

377 (5.9%)

183 (8.0%)

194 (4.7%)

164 (5.9%)

199 (6.1%)

14 (3.9%)

 SU + basal insulin, n (%)

569 (8.9%)

185 (8.1%)

384 (9.4%)

224 (8.0%)

307 (9.5%)

38 (10.7%)

 TZD + DPP4i, n (%)

249 (3.9%)

88 (3.9%)

161 (3.9%)

124 (4.4%)

116 (3.6%)

9 (2.5%)

 TZD + GLP1ra, n (%)

118 (1.8%)

55 (2.4%)

63 (1.5%)

53 (1.9%)

57 (1.8%)

8 (2.3%)

 TZD + basal insulin, n (%)

152 (2.4%)

54 (2.4%)

98 (2.4%)

60 (2.1%)

84 (2.6%)

8 (2.3%)

 DPP4i + basal insulin, n (%)

430 (6.7%)

142 (6.2%)

288 (7.0%)

157 (5.6%)

239 (7.4%)

34 (9.6%)

 GLP1ra + basal insulin, n (%)

483 (7.6%)

233 (10.2%)

250 (6.1%)

166 (5.9%)

291 (9.0%)

26 (7.3%)

Basal + mealtime insulin, n (%)

826 (12.9%)

253 (11.1%)

573 (14.0%)

276 (9.9%)

478 (14.8%)

72 (20.3%)

CV medication

 

Alpha blocker, n (%)

194 (3.0%)

45 (2.0%)

149 (3.6%)

80 (2.9%)

99 (3.1%)

15 (4.2%)

ACEi/ARB, n (%)

5263 (82.4%)

1831 (80.2%)

3432 (83.6%)

2282 (81.6%)

2682 (82.9%)

299 (84.2%)

 DRI, n (%)

7 (0.1%)

0 (0.0%)

7 (0.2%)

4 (0.1%)

3 (0.1%)

0 (0.0%)

Antiplatelet, n (%)

957 (15.0%)

268 (11.7%)

689 (16.8%)

228 (8.2%)

560 (17.3%)

169 (47.6%)

Anticoagulant, n (%)

513 (8.0%)

117 (5.1%)

396 (9.6%)

188 (6.7%)

251 (7.8%)

74 (20.8%)

Aspirin, n (%)

99 (1.5%)

88 (3.9%)

11 (0.3%)

31 (1.1%)

53 (1.6%)

15 (4.2%)

Beta blocker, n (%)

3065 (48.0%)

838 (36.7%)

2227 (54.3%)

1160 (41.5%)

1637 (50.6%)

268 (75.5%)

CCB, n (%)

2548 (39.9%)

748 (32.7%)

1800 (43.8%)

1059 (37.9%)

1328 (41.0%)

161 (45.4%)

Central alpha agonist, n (%)

298 (4.7%)

87 (3.8%)

211 (5.1%)

113 (4.0%)

162 (5.0%)

23 (6.5%)

Diuretic, n (%)

3462 (54.2%)

1068 (46.8%)

2394 (58.3%)

1443 (51.6%)

1771 (54.7%)

248 (69.9%)

 ENaC, n (%)

179 (2.8%)

63 (2.8%)

116 (2.8%)

92 (3.3%)

80 (2.5%)

7 (2.0%)

 Loop diuretic, n (%)

1248 (19.5%)

274 (12.0%)

974 (23.7%)

397 (14.2%)

687 (21.2%)

164 (46.2%)

 MRA, n (%)

339 (5.3%)

96 (4.2%)

243 (5.9%)

104 (3.7%)

186 (5.7%)

49 (13.8%)

 K+ sparing diuretic, n (%)

507 (7.9%)

155 (6.8%)

352 (8.6%)

193 (6.9%)

259 (8.0%)

55 (15.5%)

 Thiazide diuretic, n (%)

2547 (39.9%)

872 (38.2%)

1675 (40.8%)

1149 (41.1%)

1262 (39.0%)

136 (38.3%)

Digoxin, n (%)

143 (2.2%)

31 (1.4%)

112 (2.7%)

50 (1.8%)

75 (2.3%)

18 (5.1%)

Statin, n (%)

5236 (82.0%)

1775 (77.7%)

3461 (84.3%)

2225 (79.5%)

2695 (83.3%)

316 (89.0%)

Nitrate, n (%)

539 (8.4%)

103 (4.5%)

436 (10.6%)

128 (4.6%)

307 (9.5%)

104 (29.3%)

Oral anticoagulant, n (%)

484 (7.6%)

107 (4.7%)

377 (9.2%)

176 (6.3%)

244 (7.5%)

64 (18.0%)

K+ binding agent, n (%)

42 (0.7%)

10 (0.4%)

32 (0.8%)

8 (0.3%)

28 (0.9%)

6 (1.7%)

K+ supplement, n (%)

608 (9.5%)

153 (6.7%)

455 (11.1%)

202 (7.2%)

328 (10.1%)

78 (22.0%)

  1. Abbreviations: AGI alpha glucosidase inhibitor, DKD diabetic kidney disease, CV cardiovascular, DPP4i dipeptidyl peptidase-4 inhibitor, GLP1ra glucagon-like peptide-1 receptor agonist, LOT line of therapy, SU sulfonylurea, TZD thiazolidinedione, ACEi angiotensin-converting enzyme inhibitor, ARB angiotensin receptor blocker, CCB calcium channel blocker, CKD chronic kidney disease, CV cardiovascular, DRI direct renin inhibitor, eGFR estimated glomerular filtration rate, ENaC epithelial sodium channel blocker, K+ potassium, MRA mineralocorticoid receptor antagonist, SGLT2i sodium-glucose co-transporter-2 inhibitor, T2D type 2 diabetes