Evidence map›Paper›PMID 36662823›Full record

ArticlePloS one2023

Temporal trends in, and associations of, early-career general practitioner prescriptions of second-line Type 2 Diabetes medications, 2010-2018.

Irena Patsan, Amanda Tapley, Peter Davoren, Alison Fielding, Elizabeth Holliday, Jean Ball, Andrew Davey, Mieke van Driel, Rachel Turner, Katie Mulquiney and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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 6 institutions in 1 country.

Irena PatsanUniversity of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.ORCID 0000-0003-3586-4514
Amanda TapleyUniversity of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.ORCID 0000-0002-1536-5518
Peter DavorenGriffith University, Southport, QLD, Australia.ORCID 0000-0003-3273-3842
Alison FieldingUniversity of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.
Elizabeth HollidayUniversity of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.
Jean BallClinical Research Design and Statistical Support Unit (CReDITSS), Hunter Medical Research Institute (HMRI), New Lambton Heights, NSW, Australia.
Andrew DaveyUniversity of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.
Mieke van DrielPrimary Care Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Rachel TurnerUniversity of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.
Katie MulquineyUniversity of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.
Neil SpikeDepartment of General Practice and Primary Health Care, University of Melbourne, Victoria, Australia.
Kristen FitzGeraldSchool of Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Parker MaginUniversity of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.ORCID 0000-0001-8071-8749
University of Newcastle Australia · AUGriffith University · AUHunter Medical Research Institute · AUThe University of Melbourne · AUThe University of Queensland · AUUniversity of Tasmania · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSecond-line pharmacotherapy for Type 2 Diabetes Mellitus ('diabetes') is necessary for optimal glycaemic control and preventing longer-term complications. We aimed to describe temporal trends in, and associations of, Australian general practitioner (GP) registrars' prescription, and initiation, of 'new' second-line oral agents (dipeptidyl peptidase 4 inhibitors, sodium-glucose cotransporter 2 inhibitors, glucagon-like peptide 1 agonists) compared to sulphonylureas. MATERIALS AND

methodsA longitudinal analysis (2010-2018) of data from the Registrar Clinical Encounters in Training project. Analysis included any diabetes problem/diagnosis that involved prescription of sulphonylureas or 'new' oral agents. Simple and multiple logistic regression models were fitted within the generalised estimating equations framework.

results2333 registrars recorded 6064 diabetes problems/diagnoses (1.4%). 835 problems/diagnoses involved sulphonylurea or 'new' medication prescription. Of these, 61.0% [95% CI:57.4-64.4] involved 'new' medication prescription. 230 problems/diagnoses involved sulphonylurea or 'new' medication initiation, with 77% [95%CI:70.8-82.1] involving a 'new' medication. There was a significant 52% per year increase in prescribing (OR = 1.52[95% CI:1.38-1.68],p<0.001), and a 77% per (two-to-three-year) time-interval increase in initiation (OR = 1.77,[95% CI:1.30-2.43],p = <0.001) of 'new' medications compared to sulphonylureas. 'New' medications were prescribed less for non-English-speaking patients. There was some regional variation in prescribing.

conclusionRegistrar uptake of 'new' oral agents compared to sulphonylureas has increased rapidly.

Indexed as

Diabetes Mellitus, Type 2General PractitionersAustraliaDrug PrescriptionsHumansHypoglycemic AgentsSulfonylurea CompoundsHypoglycemic AgentsSulfonylurea Compounds

Identifiers

PMID36662823
PMCPMC9858089
OpenAlexW4317567481

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.