Evidence map›Paper›PMID 35475341›Full record

ArticleJournal of the American Heart Association2022

National Trends in Use of Sodium-Glucose Cotransporter-2 Inhibitors and Glucagon-like Peptide-1 Receptor Agonists by Cardiologists and Other Specialties, 2015 to 2020.

Rishav Adhikari, Kunal Jha, Zeina Dardari, James Heyward, Roger S Blumenthal, Robert H Eckel, G Caleb Alexander, Michael J Blaha

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 1 pooled it
18.8field-weighted citation impact, top 1% 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

90 citing papers in PubMed, 1 synthesis or guideline pooled it, 146 citations in OpenAlex.

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30 more citing papers are in PubMed but not listed here.

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

8 authors at 2 institutions in 1 country.

Rishav AdhikariCiccarone Center for the Prevention of Cardiovascular Disease Johns Hopkins School of Medicine Baltimore MD.ORCID 0000-0001-7800-5846
Kunal JhaCiccarone Center for the Prevention of Cardiovascular Disease Johns Hopkins School of Medicine Baltimore MD.ORCID 0000-0002-3166-9335
Zeina DardariCiccarone Center for the Prevention of Cardiovascular Disease Johns Hopkins School of Medicine Baltimore MD.ORCID 0000-0001-6026-3329
James HeywardDepartment of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MD.
Roger S BlumenthalCiccarone Center for the Prevention of Cardiovascular Disease Johns Hopkins School of Medicine Baltimore MD.ORCID 0000-0003-1910-3168
Robert H EckelDivision of Endocrinology Metabolism & Diabetes University of Colorado Anschutz Medical Campus Aurora CO.ORCID 0000-0002-4870-4600
G Caleb AlexanderDepartment of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MD.ORCID 0000-0002-5622-2986
Michael J BlahaCiccarone Center for the Prevention of Cardiovascular Disease Johns Hopkins School of Medicine Baltimore MD.ORCID 0000-0001-5138-9683
Johns Hopkins University · USUniversity of Colorado Anschutz Medical Campus · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Sodium-glucose cotransporter-2 inhibitors (SGLT2is) and glucagon-like peptide-1 receptor agonists (GLP-1RAs) mitigate cardiovascular risk in individuals with type 2 diabetes, but most eligible patients do not receive them. We characterized temporal trends in SGLT2i and GLP-1RA use by cardiologists compared with other groups of clinicians. Methods and Results We conducted a descriptive analysis of serial, cross-sectional data derived from IQVIA's National Prescription Audit, a comprehensive audit capturing ≈90% of US retail prescription dispensing and projected to population-level data, to estimate monthly SGLT2is and GLP-1RAs dispensed from January 2015 to December 2020, stratified by prescriber specialty and molecule. We also used the American Medical Association's Physician Masterfile to calculate average annual SGLT2is and GLP-1RAs dispensed per physician. Between January 2015 and December 2020, a total of 63.2 million SGLT2i and 63.4 million GLP-1RA prescriptions were dispensed in the United States. Monthly prescriptions from cardiologists increased 12-fold for SGLT2is (from 2228 to 25 815) and 4-fold for GLP-1RAs (from 1927 to 6981). Nonetheless, cardiologists represented only 1.5% of SGLT2i prescriptions and 0.4% of GLP-1RA prescriptions in 2020, while total use was predominated by primary care physicians/internists (57% of 2020 SGLT2is and 52% of GLP-1RAs). Endocrinologists led in terms of prescriptions dispensed per physician in 2020 (272 SGLT2is and 405 GLP-1RAs). Cardiologists, but not noncardiologists, increasingly used SGLT2is over GLP-1RAs, with accelerated uptake of empagliflozin and dapagliflozin coinciding with their landmark cardiovascular outcomes trials and subsequent US Food and Drug Administration label expansions. Conclusions While use of SGLT2is and GLP-1RAs by cardiologists in the United States increased substantially over a 6-year period, cardiologists still account for a very small proportion of all use, contributing to marked undertreatment of individuals with type 2 diabetes at high cardiovascular risk.

Indexed as

CardiologistsDiabetes Mellitus, Type 2Sodium-Glucose Transporter 2 InhibitorsCross-Sectional StudiesGlucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsGlucoseHumansHypoglycemic AgentsSodiumSodium-Glucose Transporter 2GLP1R protein, humanGlucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsGlucoseHypoglycemic AgentsSLC5A2 protein, humanSodiumSodium-Glucose Transporter 2Sodium-Glucose Transporter 2 Inhibitorscardiometabolic healthGLP‐1 receptor agonistsprescribing patternsrisk reductionSGLT2 inhibitorstype 2 diabetes

Identifiers

PMID35475341
PMCPMC9238581
OpenAlexW4224981835

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.