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Associations of antidiabetic medications with abdominal aortic aneurysm growth and clinical outcomes: A systematic review and meta-analysis - PubMed

5 hours ago
  • #Meta-Analysis
  • #Antidiabetic Medications
  • #Abdominal Aortic Aneurysm
  • Metformin is associated with slower AAA growth (-0.65 mm/year) and lower AAA-related events (OR 0.63).
  • Sulfonylureas reduce AAA growth (-0.35 mm/year) and AAA-related events (OR 0.63).
  • DPP-4 inhibitors show no significant effect on AAA growth, and metformin has no significant link to postoperative mortality.
  • Most evidence comes from observational studies with moderate bias, limiting causal conclusions.
  • Randomized trials are needed to confirm drug-specific effects across patient groups.