Back to Search
Start Over
A Real-world Study Evaluating the Clinical Factors Associated with the Initial SGLT2 Inhibitor Prescription.
- Source :
- Journal of Health Care for the Poor & Underserved; Aug2024, Vol. 35 Issue 3, p866-879, 14p
- Publication Year :
- 2024
-
Abstract
- The American Diabetes Association (ADA) guidelines prioritize Sodicum-glucose transporter-2-inhibitors (SGLT2i) given cardio-renal and glycemic benefits. This study was conducted to observe clinical factors associated with initial SGLT2i prescription in type 2 diabetes patients eligible for SGLT2i by the ADA. Methods. A retrospective case-control study was performed in a safety-net clinic and consisted of the initial SGLT2i prescriptions group and the group without. The data from the electronic medical records between July 2021 and December 2022 were analyzed in the regressional models. Results. There was a significant association between A1c ≥8% (OR 3.7, p=.01), heart failure (OR 19.3, p<.0001), a history of hypotension (OR 11.9, p=.01), and sulfonylureas (OR 6.5, p=.003) with the SGLT2i prescription. Conclusion. Patients with high A1c levels, heart failure, a history of hypotension, and sulfonylureas were more likely than their counterparts to receive SGLT2i prescriptions. Future research should investigate adherence and provider prescribing behaviors related to SGLT2i to further assess optimal drug use. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL protocols
PATIENT compliance
MEDICAL prescriptions
T-test (Statistics)
RECEIVER operating characteristic curves
GLYCOSYLATED hemoglobin
PRIMARY health care
MULTIPLE regression analysis
FISHER exact test
HISPANIC Americans
HYPOGLYCEMIC agents
RETROSPECTIVE studies
DESCRIPTIVE statistics
MANN Whitney U Test
SULFONYLUREAS
HEART failure
ODDS ratio
TYPE 2 diabetes
SODIUM-glucose cotransporter 2 inhibitors
CASE-control method
MEDICAL records
ACQUISITION of data
PHYSICIAN practice patterns
CONFIDENCE intervals
DATA analysis software
KIDNEY diseases
DRUG prescribing
HYPOTENSION
Subjects
Details
- Language :
- English
- ISSN :
- 10492089
- Volume :
- 35
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Journal of Health Care for the Poor & Underserved
- Publication Type :
- Academic Journal
- Accession number :
- 179141946
- Full Text :
- https://doi.org/10.1353/hpu.2024.a934303