Type 2 & other diabetes

Identifying Profiles of Patients With Uncontrolled Type 2 Diabetes Who Would Benefit From Referral to an Endocrinologist

Endocr PractPublished Retrospective cohort study

Main finding · HbA1c reduction ≥1%Result — go to the resultOdds ratio 2.27 95% CI 1.6–3.2

Authors' conclusion

EndoG demonstrated superior HbA1c control over time and achieved better outcomes compared to PcPG. The identification of 96 profiles benefiting from endocrinologist referral emphasizes the potential of personalized referral.

Study context

Population
Patients with glycemic uncontrolled T2D, Maccabi Healthcare Services diabetes registry508 matched pairs
Participants
508 vs 508
Exposure
Endocrinologist care vs primary care physician care
  • Endocrinologists (EndoG)n = 508
  • PcPGn = 508reference
Outcome
HbA1c reduction ≥1%
Follow-up
Within 1 year
Methodological detailsmatched pairs, conditional logistic regression
  • Matched pairs
  • Conditional logistic regression

Main finding

As reported in the abstract

Odds ratio

2.27

95% CI 1.6–3.2

EndoGvs PcPG
OR 2.27 (95% CI 1.6–3.2)

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
LDL-C <100 mg/dl1.68 (1.02–2.76)

Patient profiles with positive outcomes

Profiles with positive outcomes, all favoring endocrinologist treatment
96

Original publication

Identifying Profiles of Patients With Uncontrolled Type 2 Diabetes Who Would Benefit From Referral to an Endocrinologist. Endocr Pract. Published 17 August 2023. doi:10.1016/j.eprac.2023.08.002

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