Evidence map›Paper›PMID 30540837›Full record

Observational studyPloS one2018

Penetration of new antidiabetic medications in East Asian countries and the United States: A cross-national comparative study.

Kiyoshi Kubota, Yukari Kamijima, Yea-Huei Kao Yang, Shinya Kimura, Edward Chia-Cheng Lai, Kenneth K C Man, Patrick Ryan, Martijn Schuemie, Paul Stang, Chien-Chou Su and 3 more

Open access · goldAbstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

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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

13 authors at 7 institutions in 5 countries.

Kiyoshi KubotaNPO Drug Safety Research Unit Japan, Tokyo, Japan.ORCID 0000-0001-6092-8685
Yukari KamijimaNPO Drug Safety Research Unit Japan, Tokyo, Japan.
Yea-Huei Kao YangInstitute of Clinical Pharmacy and Pharmaceutical Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Shinya KimuraJapan Medical Data Center, Tokyo, Japan.
Edward Chia-Cheng LaiDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Kenneth K C ManCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, University of Hong Kong, Hong Kong, China.
Patrick RyanJanssen Research & Development, LLC, Titusville, New Jersey, United States of America.
Martijn SchuemieJanssen Research & Development, LLC, Titusville, New Jersey, United States of America.
Paul StangJanssen Research & Development, LLC, Titusville, New Jersey, United States of America.
Chien-Chou SuInstitute of Clinical Pharmacy and Pharmaceutical Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Ian C K WongCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, University of Hong Kong, Hong Kong, China.ORCID 0000-0001-8242-0014
Yinghong ZhangDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Soko SetoguchiDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Janssen (United States) · USDuke University · USFood and Drug Safety Center · JPNational Cheng Kung University · TWUniversity College London · GBJapan Clinical Cancer Research Organization · JPRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of patients with diabetes is increasing particularly in Asia-Pacific region. Many of them are treated with antidiabetics. As the basis of the studies on the benefit and harm of antidiabetic drugs in the region, the information on patterns of market penetration of new classes of antidiabetic medications is important in providing context for subsequent research and analyzing and interpreting results.

methodsWe compared penetration patterns of dipeptidyl peptidase-4 (DPP-4) inhibitors in Taiwan, Hong Kong, Japan, and the United States. We used the Taiwan National Health Insurance Research Database, a random sample of the Hong Kong Clinical Data Analysis and Reporting System, the Japan Medical Data Center database, and a 5% random sample of the US Medicare database converted to the Observational Medical Outcomes Partnership's Common Data Model to identify new users of oral antidiabetic medications. We standardized prevalence and incidence rates of medication use by age and sex to those in the 2010 Taiwanese population. We compared age, sex, comorbid conditions, and concurrent medications between new users of DPP-4 inhibitors and biguanides.

resultsUse of DPP-4 inhibitors 1 year after market entry was highest in Japan and lowest in Hong Kong. New users had more heart failure, hyperlipidemia, and renal failure than biguanide users in Taiwan, Hong Kong, and the United States while the proportions were similar in Japan. In a country with low penetration of DPP-4 inhibitors (eg, Hong Kong), users had diabetes with multiple comorbid conditions compared with biguanidine users. In a country with high penetration (eg, Japan), the proportion of users with comorbid conditions was similar to that of biguanide users.

conclusionsWe observed a marked difference of the penetration patterns of newly marketed antidiabetics in different countries in Asia. Those results will provide the basic information useful in the future studies.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsAsia, EasternChildChild, PreschoolDiabetes MellitusDipeptidyl-Peptidase IV InhibitorsFemaleHumansHypoglycemic AgentsInfantInfant, NewbornMaleDipeptidyl-Peptidase IV InhibitorsHypoglycemic Agents

Identifiers

PMID30540837
PMCPMC6291148
OpenAlexW2903882073

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.