PMID- 35589615 OWN - NLM STAT- MEDLINE DCOM- 20220803 LR - 20221015 IS - 1463-1326 (Electronic) IS - 1462-8902 (Print) IS - 1462-8902 (Linking) VI - 24 IP - 9 DP - 2022 Sep TI - Effect of glucagon-like peptide 1 receptor agonists on albuminuria in adult patients with type 2 diabetes mellitus: A systematic review and meta-analysis. PG - 1869-1881 LID - 10.1111/dom.14776 [doi] AB - AIMS: To determine the effect of glucagon-like peptide 1 receptor agonists (GLP-1RAs) on albuminuria in adult patients with type 2 diabetes mellitus (T2DM). METHODS: Medline Ovid, Scopus, Web of Science, EMCARE and CINAHL databases from database inception until 27 January 2022. Studies were eligible for inclusion if they were randomized controlled trials that involved treatment with a GLP-1RA in adult patients with T2DM and assessed the effect on albuminuria in each treatment arm. Data extraction was conducted independently by three individual reviewers. The PRISMA guidelines were followed regarding data extraction and quality assessment. Data were pooled using a random effects inverse variance model and all analysis was carried out with RevMan 5.4 software. The Jadad scoring tool was employed to assess the quality of evidence and risk of bias in the randomized controlled trials. RESULTS: The initial search revealed 2419 articles, of which 19 were included in this study. An additional three articles were identified from hand-searching references of included reviews. Therefore, in total, 22 articles comprising 39 714 patients were included. Meta-analysis suggested that use of GLP1-RAs was associated with a reduction in albuminuria in patients with T2DM (weighted mean difference -16.14%, 95% CI -18.42 to -13.86%; p < .0001) compared with controls. CONCLUSIONS: This meta-analysis indicates that GLP-1RAs are associated with a significant reduction in albuminuria in adult patients with T2DM when compared with placebo. CI - (c) 2022 The Authors. Diabetes, Obesity and Metabolism published by John Wiley & Sons Ltd. FAU - Yuan, Daniel AU - Yuan D AUID- ORCID: 0000-0002-9426-6146 AD - Translational Research in Endocrinology and Diabetes (TREAD), College of Medicine and Dentistry, James Cook University, Douglas, Queensland, Australia. AD - College of Medicine and Dentistry, James Cook University, Douglas, Queensland, Australia. FAU - Sharma, Harman AU - Sharma H AUID- ORCID: 0000-0002-9274-4669 AD - College of Medicine and Dentistry, James Cook University, Douglas, Queensland, Australia. FAU - Krishnan, Anirudh AU - Krishnan A AD - College of Medicine and Dentistry, James Cook University, Douglas, Queensland, Australia. FAU - Vangaveti, Venkat N AU - Vangaveti VN AUID- ORCID: 0000-0002-4363-309X AD - Translational Research in Endocrinology and Diabetes (TREAD), College of Medicine and Dentistry, James Cook University, Douglas, Queensland, Australia. AD - College of Medicine and Dentistry, James Cook University, Douglas, Queensland, Australia. FAU - Malabu, Usman H AU - Malabu UH AUID- ORCID: 0000-0003-4899-7228 AD - Translational Research in Endocrinology and Diabetes (TREAD), College of Medicine and Dentistry, James Cook University, Douglas, Queensland, Australia. AD - College of Medicine and Dentistry, James Cook University, Douglas, Queensland, Australia. AD - Townsville University Hospital, Douglas, Queensland, Australia. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20220606 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 89750-14-1 (Glucagon-Like Peptide 1) SB - IM MH - Albuminuria/complications/drug therapy MH - *Diabetes Mellitus, Type 2/chemically induced/complications/drug therapy MH - Glucagon-Like Peptide 1/therapeutic use MH - Glucagon-Like Peptide-1 Receptor/agonists MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Randomized Controlled Trials as Topic PMC - PMC9541913 COIS- The authors declare that they have no competing interests. EDAT- 2022/05/20 06:00 MHDA- 2022/08/04 06:00 PMCR- 2022/10/07 CRDT- 2022/05/19 22:32 PHST- 2022/05/02 00:00 [revised] PHST- 2022/02/28 00:00 [received] PHST- 2022/05/17 00:00 [accepted] PHST- 2022/05/20 06:00 [pubmed] PHST- 2022/08/04 06:00 [medline] PHST- 2022/05/19 22:32 [entrez] PHST- 2022/10/07 00:00 [pmc-release] AID - DOM14776 [pii] AID - 10.1111/dom.14776 [doi] PST - ppublish SO - Diabetes Obes Metab. 2022 Sep;24(9):1869-1881. doi: 10.1111/dom.14776. Epub 2022 Jun 6.