PMID- 32166504 OWN - NLM STAT- MEDLINE DCOM- 20200914 LR - 20221202 IS - 1539-0829 (Electronic) IS - 1534-4827 (Linking) VI - 20 IP - 4 DP - 2020 Mar 12 TI - A Systematic Review of Cost-Effectiveness of Sodium-Glucose Cotransporter Inhibitors for Type 2 Diabetes. PG - 12 LID - 10.1007/s11892-020-1292-5 [doi] AB - PURPOSE OF REVIEW: Sodium-glucose cotransporter 2 inhibitors (SGLT2i) are the most recently approved class of drugs (since 2012) for type 2 diabetes mellitus (T2DM), but their economic merits have yet been fully confirmed. The objective of this review was to evaluate the most updated evidence that examined the cost-effectiveness of SGLT2i for T2DM. RECENT FINDINGS: We systematically searched Medline (PubMed), EMBASE, and Web of Science for eligible articles from January 1, 2011, to October 31, 2019, using combinations of search words. A supplementary search using reference lists of eligible articles and other review articles was also performed. A multistage screening process was carried out with duplicates removal, abstract screening, and full-text reading to confirm eligibility. Two reviewers independently screened the eligible articles and assessed reporting quality using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. A total of 24 studies were included in the final review. All studies showed good quality according to the CHEERS checklist (scored 21-24). Seven studies compared SGLT2i vs. dipeptidyl peptidase-4 inhibitors (DPP-4i), 3 studies compared SGLT2i vs. sulfonylureas (SU), 3 compared SGLT2i vs. glucagon-like peptide-1 receptor agonist (GLP-1 RA), 2 compared SGLT2i vs. SGLT2i, 3 compared SGLT2i vs. other antidiabetic therapies including thiazolidinediones (TZD), alpha-glucosidase inhibitors (AGI) or insulin, and 5 compared SGLT2i vs. standard care/metformin. Most studies concluded SGLT2i was cost-effective relative to its comparator except GLP-1 RA, where two studies suggested GLP-1 RA was the favorable treatment option relative to SGLT2i. The literature demonstrated that SGLT2i may be cost-effective compared to many antidiabetic therapies including DPP-4i, SU, TZD, AGI, insulin, and standard care . FAU - Yoshida, Yilin AU - Yoshida Y AD - Section of Endocrinology, Department of Medicine, School of Medicine, Tulane University, New Orleans, LA, USA. FAU - Cheng, Xi AU - Cheng X AD - Department of Health Services and Policy Management, School of Public Health, University of South Carolina, Columbia, SC, USA. FAU - Shao, Hui AU - Shao H AD - Department of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, Gainesville, FL, USA. FAU - Fonseca, Vivian A AU - Fonseca VA AD - Section of Endocrinology, Department of Medicine, School of Medicine, Tulane University, New Orleans, LA, USA. FAU - Shi, Lizheng AU - Shi L AD - Department of Health Policy and Management, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal St. Tidewater building, suite 1900, New Orleans, LA, 70112, USA. lshi1@tulane.edu. LA - eng PT - Journal Article PT - Systematic Review DEP - 20200312 PL - United States TA - Curr Diab Rep JT - Current diabetes reports JID - 101093791 RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) SB - IM MH - Cost-Benefit Analysis MH - Diabetes Mellitus, Type 2/*drug therapy/economics MH - Humans MH - Sodium-Glucose Transporter 2 Inhibitors/economics/*therapeutic use OTO - NOTNLM OT - Cost-effectiveness OT - Sodium-glucose cotransporter 2 inhibitors (SGLT2i) OT - Type 2 diabetes EDAT- 2020/03/14 06:00 MHDA- 2020/09/15 06:00 CRDT- 2020/03/14 06:00 PHST- 2020/03/14 06:00 [entrez] PHST- 2020/03/14 06:00 [pubmed] PHST- 2020/09/15 06:00 [medline] AID - 10.1007/s11892-020-1292-5 [pii] AID - 10.1007/s11892-020-1292-5 [doi] PST - epublish SO - Curr Diab Rep. 2020 Mar 12;20(4):12. doi: 10.1007/s11892-020-1292-5.