Type 2 & other diabetes

Disparities in adoption of new diabetic therapies with cardiovascular benefits

Diabetes Res Clin PractPublished Retrospective cohort study

Authors' conclusion

Prescriptionof SGLT2i or GLP1a was lower among patients with cardiovascular co-morbidities and those who identified as Black, Hispanic or Asian. Further efforts to minimize these disparities should be pursued.

Study context

Population
Patients with clinic visit between January 1, 2018 and January 1, 2019, de-identified claims data
Exposure
SGLT2i or GLP-1 RA use across socioeconomic strata, medical risk and provider type
Outcome
Composite of:
  • A medication fill of either an SGLT2i
  • GLP1a
Follow-up
Within 180 days of the index visit
Methodological detailsde-identified claims data
  • De-identified claims data

Main finding

As reported in the abstract

Fill of SGLT2i and/or GLP1a · within 180 days of index visit
Black · lower odds
aOR 0.81; P < 0.000
Hispanic · lower odds
aOR 0.87; P < 0.000
Asian · lower odds
aOR 0.83; P < 0.000
Endocrinologist vs Primary care clinician · higher odds
aOR 2.12; P < 0.000
Heart failure
odds 0.64; P = 0.006
Received either a GLP-1a or SGLT2i
125,636 (15.8 %)

Observational data: associations, not effects.

Original publication

Disparities in adoption of new diabetic therapies with cardiovascular benefits. Diabetes Res Clin Pract. Published 26 December 2022. doi:10.1016/j.diabres.2022.110233

Composed by AI from the published abstract and checked against it. How Briefs are made →

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