Observational studyMedical science monitor : international medical journal of experimental and clinical research2015
Family physician clinical inertia in glycemic control among patients with type 2 diabetes.
Observational study in Medical science monitor : international medical journal of experimental and clinical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Clinical Inertia in the Management of Type 2 Diabetes Mellitus: A Systematic Review.Medicina (Kaunas, Lithuania) · 2023Pooled it
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled it
- Therapeutic inertia in the treatment of hyperglycaemia in patients with type 2 diabetes: A systematic review.Diabetes, obesity & metabolism · 2018 · on this mapPooled it
- Trial
- Evaluation of the knowledge and practice of family physicians in the management of diabetes mellitus type 2 in Iran.BMC primary care · 2023Article
- Barriers and Facilitators to the Initiation of Injectable Therapies for Type 2 Diabetes Mellitus: A Mixed Methods Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2022Article
- Predictors of Clinical Inertia and Type 2 Diabetes: Assessment of Primary Care Physicians and Their Patients.International journal of environmental research and public health · 2022Article
- Prevalence and Associated Factors of Delayed Diagnosis of Type 2 Diabetes Mellitus in a Tertiary Hospital: A Retrospective Cohort Study.International journal of public health · 2022Article
- Clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications: a narrative literature review.Diabetology & metabolic syndrome · 2020Review
- High level of clinical inertia in insulin initiation in type 2 diabetes across Central and South-Eastern Europe: insights from SITIP study.Acta diabetologica · 2019Observational
- Intensification to injectable therapy in type 2 diabetes: mixed methods study (protocol).BMC health services research · 2019Article
- Clinical Inertia in Type 2 Diabetes Patients in Primary Health Care Clinics in Central Bosnia.Medical science monitor : international medical journal of experimental and clinical research · 2018Article
- Article
- Supporting general practitioner-based care for poorly controlled type 2 diabetes mellitus (the DECIDE study): feasibility study and protocol for a pilot cluster randomised controlled trial.Pilot and feasibility studies · 2018Article
- Development of a complex intervention to promote appropriate prescribing and medication intensification in poorly controlled type 2 diabetes mellitus in Irish general practice.Implementation science : IS · 2017Article
- Gaps and barriers in the control of blood glucose in people with type 2 diabetes.Diabetes & vascular disease research · 2017Review
- Optimizing insulin initiation in primary care: the Diabetes CoStars patient support program.Pragmatic and observational research · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany patients with diabetes do not achieve target values. One of the reasons for this is clinical inertia. The correct explanation of clinical inertia requires a conjunction of patient with physician and health care system factors. Our aim was to determine the rate of clinical inertia in treating diabetes in primary care and association of patient, physician, and health care setting factors with clinical inertia. MATERIAL AND
methodsThis was a national, multicenter, observational, cross-sectional study in primary care in Croatia. Each family physician (FP) provided professional data and collected clinical data on 15-25 type 2 diabetes (T2DM) patients. Clinical inertia was defined as a consultation in which treatment change based on glycated hemoglobin (HbA1c) levels was indicated but did not occur.
resultsA total of 449 FPs (response rate 89.8%) collected data on 10275 patients. Mean clinical inertia per FP was 55.6% (SD ±26.17) of consultations. All of the FPs were clinically inert with some patients, and 9% of the FPs were clinically inert with all patients. The main factors associated with clinical inertia were: higher percentage of HbA1c, oral anti-diabetic drug initiated by diabetologist, increased postprandial glycemia and total cholesterol, physical inactivity of patient, and administration of drugs other than oral antidiabetics.
conclusionsClinical inertia in treating patients with T2DM is a serious problem. Patients with worse glycemic control and those whose therapy was initiated by a diabetologist experience more clinical inertia. More research on causes of clinical inertia in treating patients with T2DM should be conducted to help achieve more effective diabetes control.
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