Evidence map›Paper›PMID 30677504›Full record

ReviewDiabetes & metabolism2019

Efficacy and adherence of glucagon-like peptide-1 receptor agonist treatment in patients with type 2 diabetes mellitus in real-life settings.

B Guerci, B Charbonnel, P Gourdy, S Hadjadj, H Hanaire, M Marre, B Vergès

Registry-linked trialOpen access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Diabetes & metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT05535322. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT05535322 completed

Real-world Evaluation of GLP-1 Receptor Agonists (GLP-1RA) on Efficacy and Persistence, Adherence and Therapeutic Inertia Among Type 2 Diabetes Adults With Obesity in the Department of Health of Valencia Clínico-Malvarrosa

Ran2014Enrolled26,944Registered outcomes12Posted comparisons0ConditionsObesity, Type 2 DiabetesArmsGLP-1RA, Insulin, Miscellany, SGLT2i
Open the trial in the graph
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
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  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Review
  12. Review
  13. Article
  14. Cost-Effectiveness of iGlarLixi in People with Type 2 Diabetes Mellitus Suboptimally Controlled on Basal Insulin Plus Metformin in the UK.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2021
    Article
  15. Article
  16. Real-World Effectiveness of Dulaglutide in Patients with Type 2 Diabetes Mellitus: A Literature Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020
    Review
  17. Is Digital Health for Diabetes in an Investment Bubble?Journal of diabetes science and technology · 2020
    Article
  18. Article
  19. Review
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

7 authors at 5 institutions in 1 country.

B GuerciDepartment of endocrinology, diabetology, and nutrition, Brabois hospital and university of Lorraine, 54500 Vandœuvre-lès-Nancy, France. Electronic address: b.guerci@chu-nancy.fr.
B CharbonnelDepartment of endocrinology, university of Nantes, 44000 Nantes, France.
P GourdyDepartment of diabetology, metabolic diseases and nutrition, Toulouse university hospital, 31059 Toulouse, France.
S HadjadjDepartment of diabetology, Poitiers university hospital, 86000 Poitiers, France.
H HanaireDepartment of diabetology, metabolic diseases and nutrition, Toulouse university hospital, 31059 Toulouse, France.
M MarreDepartment of diabetology, endocrinology and nutrition, Bichat hospital, AP-HP, 75018 Paris, France.
B VergèsDepartment of endocrinology-diabetology, University Hospital, 14 rue Gaffarel, 21000 Dijon, France.
Hôpital Bichat-Claude-Bernard · FRMaison des Sciences de l’Homme de Dijon · FRNantes Université · FRUniversité de Lorraine · FRUniversité de Poitiers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the availability of a large number of therapeutic options throughout the world, rates of optimal glycaemic control in adult patients with type 2 diabetes mellitus remain low. Delays in treatment intensification to insulin and low adherence to insulin regimes, which are well-documented contributors to poor glycaemic control, are in many cases driven by fear of hypoglycaemic events, weight gain and injections. Over the last 10 years, injectable glucagon-like peptide-1 receptor agonists (GLP1-RAs) have emerged as alternatives to basal insulin for treatment intensification in patients inadequately controlled with oral antidiabetic drugs. As a class, GLP1-RAs are associated with weight loss and fewer hypoglycaemic events than insulin. In addition, some of them are available in once-a-week formulations and therefore require fewer injections. However, as randomized controlled trials are not representative of everyday practice, physicians should consider the results of real-life studies to guide their treatment decisions. In this review, while significant variations in efficacy, tolerability and adherence data were noted from one study to another, rates of glycaemic control overall were low. Indeed, our present analysis has suggested that regular re-evaluations of treatment, including response, tolerability, adherence, cost and quality of life, are necessary.

Indexed as

Drug MonitoringGlucagon-Like Peptide-1 Receptor AgonistsAdultBlood GlucoseDiabetes Mellitus, Type 2Drug-Related Side Effects and Adverse ReactionsGlycated HemoglobinHumansHypoglycemic AgentsPrimary Health CareQuality of LifeTreatment OutcomeBlood GlucoseGlucagon-Like Peptide-1 Receptor AgonistsGlycated HemoglobinHypoglycemic AgentsAdherenceCostEfficacyGlucagon-like peptide-1 receptor agonistsPersistenceType 2 diabetes mellitus

Identifiers

PMID30677504
OpenAlexW2912404136

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.