Risk factor screening and prediction modeling of gastrointestinal adverse reactions caused by GLP-1RAs
2024

Risk Factors for Gastrointestinal Side Effects from GLP-1RAs in Diabetes Patients

Sample size: 855 publication 10 minutes Evidence: high

Author Information

Author(s): Gao Rui, Li Yue, Li Anan, Zhou Penglin, Zong Huiying, Li Yan

Primary Institution: The First Affiliated Hospital of Shandong First Medical University, Jinan, China

Hypothesis

What are the risk factors for gastrointestinal side effects in patients with type 2 diabetes treated with GLP-1 receptor agonists?

Conclusion

The study established a nomogram model that effectively predicts gastrointestinal side effects in patients with type 2 diabetes using GLP-1 receptor agonists.

Supporting Evidence

  • Age, gender, history of gastrointestinal disorders, and number of combined oral medications were identified as risk factors for gastrointestinal side effects.
  • The nomogram model showed good discriminability with AUC values of 0.855 and 0.836 for training and validation sets, respectively.
  • Decision curve analysis indicated that the model had clinical utility for predicting gastrointestinal side effects.

Takeaway

This study found that certain factors like age and previous stomach issues can make diabetes patients more likely to have tummy troubles when taking specific diabetes medications.

Methodology

855 patients were analyzed using multifactorial logistic regression to identify risk factors for gastrointestinal side effects and to develop a nomogram prediction model.

Potential Biases

Documentation of gastrointestinal side effects was based on medical records, which may contain factual bias.

Limitations

The study is cross-sectional and lacks long-term follow-up data, which may introduce confounding factors.

Participant Demographics

The study included 855 patients, predominantly men (72.98%), with an average age of 54 years.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fendo.2024.1502050

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