Evidence map›Paper›PMID 26632708›Full record

Observational studyMedicine2015

Nonadherence of Oral Antihyperglycemic Medication Will Increase Risk of End-Stage Renal Disease.

Po-Ya Chang, Li-Nien Chien, Yuh-Feng Lin, Hung-Yi Chiou, Wen-Ta Chiu

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. The differential impact of a 6-Frontiers in pharmacology · 2024
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  11. Optimizing Therapeutic Outcomes With Oral Semaglutide: A Patient-Centered Approach.Diabetes spectrum : a publication of the American Diabetes Association · 2021
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  16. Impact of initial medication non-adherence on use of healthcare services and sick leave: a longitudinal study in a large primary care cohort in Spain.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Po-Ya ChangFrom the School of Public Health (P-YC, H-YC), School of Health Care Administration (L-NC), Graduate Institute of Clinical Medicine (Y-FL), and Graduate Institute of Injury Prevention and Control (W-TC), Taipei Medical University, Taipei, Taiwan.
Li-Nien Chien
Yuh-Feng Lin
Hung-Yi Chiou
Wen-Ta Chiu
Taipei Medical University · TWHsing Wu University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Poor glycemic control is related to an increased risk of end-stage renal disease (ESRD). This study investigated the association between medication adherence and the risk of ESRD in patients with newly diagnosed diabetes mellitus.In this population-based cohort study, we used the Taiwan National Health Insurance Research Database (NHIRD) to identify 559,864 patients with newly diagnosed or treated diabetes mellitus who were ages from 20 to 85 years between 2001 and 2008. We identified 1695 patients with ESRD during the study period. The mean follow-up time of the patients with ESRD was 5.7 years. Time-dependent Cox proportional hazards regression was performed to estimate the hazard ratios for ESRD among the patients with newly diagnosed diabetes mellitus.After adjustment for various covariates, nonadherence to oral antihyperglycemic medication (OAM) was associated with a higher risk of ESRD compared with adherence to OAM (hazard ratio [HR], 1.11; 95% confidence interval [CI], 1.01-1.23). The effects of nonadherence to OAM on the risk of ESRD were significant for patients without hypertension, without gout, without chronic kidney disease, undergoing OAM polytherapy, and undergoing metformin polytherapy (HR [95% CIs], 1.18 [1.00-1.39], 1.13 [1.02-1.26], 1.17 [1.03-1.33], 1.22 [1.08-1.38], and 1.13 [1.02-1.25], respectively).In conclusion, nonadherence to OAM therapy is associated with ESRD. Adherence to medication therapy can prevent the progressive loss of renal function and ESRD for patients with diabetes.

Indexed as

Diabetes Mellitus, Type 2Drug MonitoringKidney Failure, ChronicAgedBlood GlucoseCohort StudiesDisease ProgressionFemaleHumansHypoglycemic AgentsMaleMiddle AgedProportional Hazards ModelsRisk FactorsSecondary PreventionTaiwanBlood GlucoseHypoglycemic Agents

Identifiers

PMID26632708
PMCPMC5058977
OpenAlexW2330048999

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.