Evidence map›Paper›PMID 31958296›Full record

ArticleBMJ open diabetes research & care2020

Mining treatment patterns of glucose-lowering medications for type 2 diabetes in the Netherlands.

Jan Maurik van den Heuvel, Niloufar Farzan, Mandy van Hoek, Anke-Hilse Maitland-van der Zee, Fariba Ahmadizar

Open access · goldAbstract read
In one paragraph

Article in BMJ open diabetes research & care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Glucagon-Like Peptide 1 Receptor Agonist Usage in Type 2 Diabetes in Primary Care for the UK and Beyond: A Narrative Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2021
    Review
  8. Article
  9. Article
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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

5 authors at 3 institutions in 1 country.

Jan Maurik van den HeuvelDepartment of Respiratory Disease, Academic Medical Center, Amsterdam, The Netherlands maurik.vandenheuvel@breathomix.com f.ahmadizar@erasmusmc.nl.ORCID http://orcid.org/0000-0003-2775-7276
Niloufar FarzanDepartment of Respiratory Disease, Academic Medical Center, Amsterdam, The Netherlands.
Mandy van HoekDepartment of Internal Medicine, Erasmus MC, Rotterdam, Zuid-Holland, The Netherlands.ORCID http://orcid.org/0000-0002-2957-5436
Anke-Hilse Maitland-van der ZeeDepartment of Respiratory Disease, Academic Medical Center, Amsterdam, The Netherlands.
Fariba AhmadizarDepartment of Epidemiology, Erasmus University, Rotterdam, Zuid-Holland, The Netherlands maurik.vandenheuvel@breathomix.com f.ahmadizar@erasmusmc.nl.
Amsterdam UMC Location University of Amsterdam · NLErasmus MC · NLErasmus University Rotterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RATIONALE AND

objectivesDifferent classes of glucose-lowering medications are used for patients with type 2 diabetes mellitus (T2DM) management. It is unclear how often these medications are prescribed in clinical practice. In this study, we aimed to describe treatment patterns of glucose-lowering medications in patients with T2DM in the Netherlands.

methodsWe studied a cohort of 73 819 patients with T2DM, aged ≥45 years with a first prescription for oral glucose-lowering medication between 2011 and 2017. We used the NControl database with dispensing data from 800 pharmacies in the Netherlands. Prevalence of each glucose-lowering medication class during 6 years after the index date was calculated. Using SQL Server, we identified stepwise patterns of medication prescription in this population.

findingsDuring the study period, prevalence of biguanides (BIGU) decreased from 95.6% to 80.8% and use of sulfonylureas (SU) increased from 27.3% to 42.3%. 55.2% of all patients only received BIGUs, 19.1% of all patients started on BIGUs but switched to BIGU +SU. 13.5% of patients with T2DM initiated insulins, on average 532 days (almost 18 months) after the index date.

conclusionsOur findings showed that in the Netherlands, medication treatment in patients with T2DM is mainly consistent with the clinical guidelines in the Netherlands during the study period.

Indexed as

AgedBiguanidesBiomarkersBlood GlucoseDiabetes Mellitus, Type 2FemaleFollow-Up StudiesGlycated HemoglobinHumansHypoglycemic AgentsInsulinLongitudinal StudiesMaleMiddle AgedNetherlandsPrognosisBiguanidesBiomarkersBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulinSulfonylurea Compoundsdrug utilizationstandards of caretreatment algorithms

Identifiers

PMID31958296
PMCPMC6954782
OpenAlexW3000626860

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

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.