Evidence map›Paper›PMID 36581144›Full record

ArticleDiabetes research and clinical practice2023

Disparities in adoption of new diabetic therapies with cardiovascular benefits.

Elena C Vasti, Marina Basina, Jamie Calma, David J Maron, Fatima Rodriguez, Alexander T Sandhu

Open access · greenAbstract read
In one paragraph

Article in Diabetes research and clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 20% 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, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Achieving equitable access to incretin-based therapies in cardiovascular care.American heart journal plus : cardiology research and practice · 2024
    Article
  9. 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

6 authors at 2 institutions in 1 country.

Elena C VastiDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, United States. Electronic address: ecvasti@stanford.edu.
Marina BasinaDivision of Endocrinology, Department of Medicine, Stanford University, Palo Alto, CA, USA.
Jamie CalmaDivision of Cardiovascular Medicine, Department of Medicine, Stanford University, Palo Alto, CA, USA.
David J MaronDivision of Cardiovascular Medicine, Department of Medicine, Stanford University, Palo Alto, CA, USA; Stanford Prevention Research Center, Department of Medicine, Stanford University, Palo Alto, CA, USA.
Fatima RodriguezDivision of Cardiovascular Medicine, Department of Medicine, Stanford University, Palo Alto, CA, USA.
Alexander T SandhuDivision of Cardiovascular Medicine, Department of Medicine, Stanford University, Palo Alto, CA, USA; Palo Alto Veteran's Affairs Healthcare System, Palo Alto, CA, United States.
Stanford University · USVA Palo Alto Health Care System · US

Funding

SURPASS: (Statin Use and Risk Prediction of Atherosclerotic Cardiovascular Disease in minority Subgroups)K01HL144607 · NHLBI · STANFORD UNIVERSITY · PI RODRIGUEZ, FATIMA · 2019 to 2023
$856k
The Effect of Value-based Payment on Heart Failure Quality of Care (Value-HF)K23HL151672 · NHLBI · STANFORD UNIVERSITY · PI SANDHU, ALEXANDER · 2020 to 2024
$854k
NHLBI NIH HHS K01 HL144607NHLBI NIH HHS K23 HL151672
6 · The paper itself

Abstract

aimsSodium-glucose co-transporter 2 inhibitors (SGLT2i) and glucagon-like peptide-1 agonists (GLP1a) have cardiovascular benefit, but adoption into clinical practice has been lagging. We aim to evaluate use of SGLT2i and GLP1a across socioeconomic strata (SES), medical risk as well as provider type.

methodsWe conducted a retrospective cohort study of the prescription of SGLT2i or GLP1a within 12 months of clinic visit between January 1, 2018 and January 1, 2019 using de-identified claims data. The primary outcome was the composite of a medication fill of either an SGLT2i and/or GLP1a within 180 days of the index visit.

resultsOf the total cohort, 125,636 (15.8 %) received either a GLP-1a or SGLT2i.The odds of prescription of either medication was 0.64 [p = 0.006)] in patients with heart failure. Patients who identified as Black, Hispanic or Asian had lower odds of the primary outcome [Black: (AOR 0.81, p < 0.000); Hispanic: (AOR 0.87, p < 0.000); Asian: (AOR 0.83, p < 0.000). The odds was higher for those treated by an endocrinologist versus primary care clinician [AOR 2.12, p < 0.000)].

conclusionsPrescriptionof SGLT2i or GLP1a was lower among patients with cardiovascular co-morbidities and those who identified as Black, Hispanic or Asian. Further efforts to minimize these disparities should be pursued.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Heart FailureSodium-Glucose Transporter 2 InhibitorsGlucagon-Like Peptide-1 ReceptorHumansHypoglycemic AgentsRetrospective StudiesGlucagon-Like Peptide-1 ReceptorHypoglycemic AgentsSodium-Glucose Transporter 2 InhibitorsCardiovascular diseaseDiabetesGLP1 agonistsHealth disparitiesSGLT2 inhibitors

Identifiers

PMID36581144
PMCPMC10234597
OpenAlexW4312221549

What OpenQuestion holds

Textmetadata
LicenceTDM
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.