Evidence mapPaperPMID 26775266Full record

ArticleAtencion primaria

[Adherence of Type 2 Diabetes Mellitus approach: Current situation and possible solutions].

Domingo Orozco-Beltrán, Manel Mata-Cases, Sara Artola, Pedro Conthe, Javier Mediavilla, Carlos Miranda

Registry-linked trialAbstract readConsensus Statement
In one paragraph

Article in Atencion primaria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT04841096. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04841096 phase3completed

Efficacy and Safety of the Oral Combined Therapy Glimepiride / Vildagliptin / Metformin in Patients With Type 2 Diabetes With Dual Treatment Failure

Ran2023Enrolled162Registered outcomes5Posted comparisons0ConditionsType 2 DiabetesArmsA1=Glimepiride / Vildagliptin / Metformin (1 mg/ 50 mg/ 500 mg), (A2) Glimepiride/Vildagliptin/Metformin, (B2) Glimepiride/Vildagliptin/Metformin, B2=Glimepiride / Vildagliptin / Metformin (1 mg/ 50 mg/ 500 mg)
Open the trial in the graph
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. [Treatment adherence in a hospital emergency service].Revista espanola de salud publica · 2019
    Observational
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Domingo Orozco-BeltránCátedra de Medicina de Familia, Departamento de Medicina Clínica, Universidad Miguel Hernández, Alicante, España. Electronic address: dorozcobeltran@gmail.com.
Manel Mata-CasesGrupo de Trabajo de Atención Primaria y Diabetes de la Sociedad Española de Diabetes (SED) y de la RedGDPS, Centro de Atención Primaria La Mina, Sant Adrià del Besós, Barcelona, España.
Sara ArtolaMiembro de la comisión RedGDPS, Centro de Salud Hereza, Leganés, Madrid, España.
Pedro ContheSecretario General de la Federación Europea de Medicina Interna (EFIM), Hospital General Universitario Gregorio Marañón, Madrid, España.
Javier MediavillaCoordinador del Grupo Diabetes Mellitus de SEMERGEN, Centro de Salud Burgos Rural, Burgos, España.
Carlos MirandaCoordinador Nacional del Grupo Diabetes SEMG, Centro de Salud Buenavista, Toledo, España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDefine the impact and causes of non-adherent type-2 diabetes mellitus (DM2) patients, possible solutions and the role of the different health care professionals involved in the treatment.

designStructured questionnaire rating by a two-round Delphi method. LOCATION: The study was conducted in the Primary Care settings.

participantsThe expert panel consisted of renowned medical professionals with extensive experience in diabetes. MAIN MEASUREMENTS: Assessment through a 9-point Likert scale, of the degree of agreement or disagreement on 131 items grouped into 4 blocks: impact; causes of nonadherence; diagnosis of non-adherence, and possible causes, solutions and role of the different professionals involved in adherence.

resultsThe participation rate was 76.31%. The primary care health professionals agreed on 110 of the 131 proposals statements (84%), showing agreement on 102 items (77.9%) and disagreement in 8 (6.1%). Consensus was not reached on 21 items.

conclusionsThe lack of adherence of DM2 patients makes the achievement of therapeutic control difficult. The medical practice needs to have specific training and enough resources to reduce the impact of the lack of therapeutic compliance.

Indexed as

Patient ComplianceDelphi TechniqueDiabetes Mellitus, Type 2HumansSurveys and QuestionnairesAdherencia terapéuticaAtención primariaDelphi techniqueDiabetes mellitus tipo 2Diabetes mellitus type 2Family practiceMedicina de familiaPatient compliancePrimary health careTécnica Delphi

Identifiers

PMID26775266
PMCPMC6877892

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.