HSD112 Uptake of Newer Second-Line Diabetes Medications in Real-World Vulnerable Populations
نویسندگان
چکیده
Newer glycemic agents, specifically glucagon-like peptide 1 receptor agonists (GLP-1RA) and sodium-glucose cotransporter 2 inhibitors (SGLT2i), have proven cardiorenal benefits. Despite this strong evidence of benefits, uptake has been poor. We examined (1) the geographic variations associated with use GLP-1RA or SGLT2i compared to dipeptidyl peptidase 4 (DPP-4i) sulfonylureas (SFU) (2) initiation among high-risk cardio renal patients. A retrospective cohort analysis was conducted using Tennessee Population Health Data Network (TNPOPnet), a database containing records patients predominantly African Americans living in medically underserved areas Mid-South. Adult type diabetes, only on metformin were identified 2019 followed till 2021 see if they initiated therapy SFU, DPP-4i, GLP-1RA, SGLT2i, their combinations. used information systems (ArcGIS) mapping link addresses neighborhood-level risk factors assessed at census tract level. Using logistic regression model, we association cardio/renal comorbidities newer agents. Of 331 who second-line diabetes therapy, 37.4% started SGLT2i. Obese prior history chronic kidney disease more likely start than DPP-4i SFU (OR 2.39 [95% CI 1.22–4.68] for obesity, OR 3.70 1.33–10.29] CKD). Patients lived neighborhoods higher proportion individuals least bachelor's degrees receive 1.05 1.01–1.09]). medications be by females younger Our findings highlight suboptimal diabetic agents vulnerable populations Thus, need awareness benefits these beyond properties.
منابع مشابه
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ژورنال
عنوان ژورنال: Value in Health
سال: 2022
ISSN: ['1098-3015', '1524-4733']
DOI: https://doi.org/10.1016/j.jval.2022.04.1112