Trends in medication use in patients with type 2 diabetes mellitus: a long-term view of real-world treatment between 2000 and 2015

Victoria Higgins, James Piercy, Adam Roughley, Gary Milligan, Andrea Leith, James Siddall, Mike Benford Adelphi Real World, Macclesfield, UK Background: Despite the availability of a variety of treatments, many patients with type 2 diabe...

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Autores principales:	Higgins V, Piercy J, Roughley A, Milligan G, Leith A, Siddall J, Benford M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	type 2 diabetes real-world evidence treatment patterns Insulin initiation HbA1c control Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/3f0ebcb64cd942d88ffdc63e1d21aeec
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spelling	oai:doaj.org-article:3f0ebcb64cd942d88ffdc63e1d21aeec2021-12-02T01:33:50ZTrends in medication use in patients with type 2 diabetes mellitus: a long-term view of real-world treatment between 2000 and 20151178-7007https://doaj.org/article/3f0ebcb64cd942d88ffdc63e1d21aeec2016-11-01T00:00:00Zhttps://www.dovepress.com/trends-in-medication-use-in-patients-with-type-2-diabetes-mellitus-a-l-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Victoria Higgins, James Piercy, Adam Roughley, Gary Milligan, Andrea Leith, James Siddall, Mike Benford Adelphi Real World, Macclesfield, UK Background: Despite the availability of a variety of treatments, many patients with type 2 diabetes mellitus (T2DM) are not achieving glucose control. We analyzed successive waves of the Adelphi Real World Diabetes Disease Specific Programmes (DSPs) to assess treatment patterns reported by primary care physicians (PCPs) and specialists and the effect of treatment on levels of glucose control.Methods: Data were collected between 2000 and 2015 in the US and EU5 (France, Germany, Italy, Spain, and the UK). Physicians completed patient record forms for the next 10 patients consulting with T2DM. Key aspects captured were change over time in therapy usage, time to insulin introduction, and glycated hemoglobin (HbA1c) levels.Results: Over 12 DSP waves, 3,555 specialists and 5,109 PCPs completed questionnaires for 70,657 patients. Treatment patterns changed considerably over time as new agents were introduced. The number of agents prescribed per patient increased over time, as did HbA1c levels at which physicians stated they would introduce insulin. The greatest improvements in HbA1c levels occurred during 2000–2008, with little improvement since 2008.Conclusion: In this real-world setting, the proportion of patients with T2DM achieving good glucose control has not increased greatly since 2008. A better understanding of how to individualize treatment pathways may be required to improve control in these patients. Keywords: insulinization, real world, type 2 diabetes, treatment trendsHiggins VPiercy JRoughley AMilligan GLeith ASiddall JBenford MDove Medical Pressarticletype 2 diabetes real-world evidence treatment patterns Insulin initiation HbA1c controlSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 9, Pp 371-380 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	type 2 diabetes real-world evidence treatment patterns Insulin initiation HbA1c control Specialties of internal medicine RC581-951
spellingShingle	type 2 diabetes real-world evidence treatment patterns Insulin initiation HbA1c control Specialties of internal medicine RC581-951 Higgins V Piercy J Roughley A Milligan G Leith A Siddall J Benford M Trends in medication use in patients with type 2 diabetes mellitus: a long-term view of real-world treatment between 2000 and 2015
description	Victoria Higgins, James Piercy, Adam Roughley, Gary Milligan, Andrea Leith, James Siddall, Mike Benford Adelphi Real World, Macclesfield, UK Background: Despite the availability of a variety of treatments, many patients with type 2 diabetes mellitus (T2DM) are not achieving glucose control. We analyzed successive waves of the Adelphi Real World Diabetes Disease Specific Programmes (DSPs) to assess treatment patterns reported by primary care physicians (PCPs) and specialists and the effect of treatment on levels of glucose control.Methods: Data were collected between 2000 and 2015 in the US and EU5 (France, Germany, Italy, Spain, and the UK). Physicians completed patient record forms for the next 10 patients consulting with T2DM. Key aspects captured were change over time in therapy usage, time to insulin introduction, and glycated hemoglobin (HbA1c) levels.Results: Over 12 DSP waves, 3,555 specialists and 5,109 PCPs completed questionnaires for 70,657 patients. Treatment patterns changed considerably over time as new agents were introduced. The number of agents prescribed per patient increased over time, as did HbA1c levels at which physicians stated they would introduce insulin. The greatest improvements in HbA1c levels occurred during 2000–2008, with little improvement since 2008.Conclusion: In this real-world setting, the proportion of patients with T2DM achieving good glucose control has not increased greatly since 2008. A better understanding of how to individualize treatment pathways may be required to improve control in these patients. Keywords: insulinization, real world, type 2 diabetes, treatment trends
format	article
author	Higgins V Piercy J Roughley A Milligan G Leith A Siddall J Benford M
author_facet	Higgins V Piercy J Roughley A Milligan G Leith A Siddall J Benford M
author_sort	Higgins V
title	Trends in medication use in patients with type 2 diabetes mellitus: a long-term view of real-world treatment between 2000 and 2015
title_short	Trends in medication use in patients with type 2 diabetes mellitus: a long-term view of real-world treatment between 2000 and 2015
title_full	Trends in medication use in patients with type 2 diabetes mellitus: a long-term view of real-world treatment between 2000 and 2015
title_fullStr	Trends in medication use in patients with type 2 diabetes mellitus: a long-term view of real-world treatment between 2000 and 2015
title_full_unstemmed	Trends in medication use in patients with type 2 diabetes mellitus: a long-term view of real-world treatment between 2000 and 2015
title_sort	trends in medication use in patients with type 2 diabetes mellitus: a long-term view of real-world treatment between 2000 and 2015
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/3f0ebcb64cd942d88ffdc63e1d21aeec
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Trends in medication use in patients with type 2 diabetes mellitus: a long-term view of real-world treatment between 2000 and 2015

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