Evidence map›Paper›PMID 31145536›Full record

ArticleJournal of diabetes investigation2020

Comparing treatment intensification and clinical outcomes of metformin and dipeptidyl peptidase-4 inhibitors in treatment-naïve patients with type 2 diabetes in Japan.

Takeshi Horii, Makiko Iwasawa, Jyunichi Shimizu, Koichiro Atsuda

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Article in Journal of diabetes investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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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

4 authors.

Takeshi HoriiPharmacy Practice and Science I, Research and Education Center for Clinical Pharmacy, Kitasato University School of Pharmacy, Sagamihara, Kanagawa, Japan.ORCID https://orcid.org/0000-0002-5465-4531
Makiko IwasawaResearch and Education Center for Clinical Pharmacy Division of Drug Information, Kitasato University School of Pharmacy, Sagamihara, Kanagawa, Japan.
Jyunichi ShimizuDepartment of Pharmacy, Tokyo Saiseikai Central Hospital, Tokyo, Japan.
Koichiro AtsudaPharmacy Practice and Science I, Research and Education Center for Clinical Pharmacy, Kitasato University School of Pharmacy, Sagamihara, Kanagawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Japan's guidelines emphasize tailored therapy, but do not guide physicians on the use of a specific regimen in drug-naive patients. The role of long-term initial therapy could be important in key elements of diabetes treatment, such as continuation of the initially prescribed drug. We investigated the frequency of occurrence to treatment intensification after the initiation of metformin or dipeptidyl peptidase-4 inhibitor treatment. In multivariable-adjusted Cox proportional hazards models, initiation of dipeptidyl peptidase-4 inhibitor was associated with a low hazard of intensification. The findings of this survey showed that dipeptidyl peptidase-4 inhibitors were the preferred first-line treatment in Japan because of the high continuation rate of the treatment and hemoglobin A1c-lowering effect. This information would provide guidance in selecting initial hypoglycemic drugs to optimize the treatment of type 2 diabetes mellitus patients in Japan and Asia.

Indexed as

AgedBiomarkersBlood GlucoseDiabetes Mellitus, Type 2Dipeptidyl-Peptidase IV InhibitorsFemaleFollow-Up StudiesGlycated HemoglobinHumansHypoglycemic AgentsMaleMetforminPrognosisRetrospective StudiesBiomarkersBlood GlucoseDipeptidyl-Peptidase IV InhibitorsGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsMetforminOral antidiabetic drugsTreatment intensificationType 2 diabetes mellitus

Identifiers

PMID31145536
PMCPMC6944821

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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.