Evidence map›Paper›PMID 39680131›Full record

Observational studyActa diabetologica2025

Comparing medication persistence with oral and subcutaneous semaglutide in a real-world setting.

Matteo Conti, Lorenzo Pontiggia, Michela Vergani, Emanuele Muraca, Rosa Cannistraci, Silvia Perra, Guido Lattuada, Gianluca Perseghin, Stefano Ciardullo

Abstract readObservational StudyComparative Study
PubMed Publisher
In one paragraph

Observational study in Acta diabetologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. 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

9 authors.

Matteo ContiDepartment of Medicine and Rehabilitation, Policlinico di Monza, Monza, Italy.
Lorenzo PontiggiaDepartment of Medicine and Surgery, University of Milano Bicocca, Milan, Italy.
Michela VerganiDepartment of Medicine and Surgery, University of Milano Bicocca, Milan, Italy.
Emanuele MuracaDepartment of Medicine and Rehabilitation, Policlinico di Monza, Monza, Italy.
Rosa CannistraciDepartment of Medicine and Rehabilitation, Policlinico di Monza, Monza, Italy.
Silvia PerraDepartment of Medicine and Rehabilitation, Policlinico di Monza, Monza, Italy.
Guido LattuadaDepartment of Medicine and Rehabilitation, Policlinico di Monza, Monza, Italy.
Gianluca PerseghinDepartment of Medicine and Rehabilitation, Policlinico di Monza, Monza, Italy.
Stefano CiardulloDepartment of Medicine and Rehabilitation, Policlinico di Monza, Monza, Italy. stefano.ciardullo@policlinicodimonza.it.ORCID http://orcid.org/0000-0003-2422-3041

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo compare medication persistence and efficacy of oral and subcutaneous semaglutide, in a real-world setting. MATERIALS AND

methodsThis is a single-center, retrospective observational cohort study. Patients with type 2 diabetes mellitus (T2DM) starting treatment with either formulation of semaglutide between January 1 2019 and July 31 2023 and with at least one follow-up visit were included. The primary endpoint was the difference in the proportion of patients that continued treatment after 6, 12 and 18 months. Main secondary endpoints were change in HbA1c and body weight.

resultsWe included 242 patients on oral (n = 121) and subcutaneous (n = 121) semaglutide. At baseline, patients in the oral semaglutide group were significantly older (mean age: 67 ± 11 vs. 63 ± 11 years, p = 0.002) and had a lower body mass index (BMI: 30.5 ± 5.6 vs. 33.9 ± 7.1 kg/m

conclusionsThe present real-world study suggests that persistence is significantly lower when semaglutide is administered as a once-daily tablet compared with a weekly injection, while there are no differences in efficacy between the two formulations.

Indexed as

Diabetes Mellitus, Type 2Glucagon-Like PeptidesHypoglycemic AgentsAdministration, OralAgedBlood GlucoseFemaleGlucagon-Like Peptide 1Glycated HemoglobinHumansInjections, SubcutaneousMaleMiddle AgedRetrospective StudiesSemaglutideBlood GlucoseGlucagon-Like Peptide 1Glucagon-Like PeptidesGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsSemaglutideAdherenceDiabetesPersistenceReal-worldSemaglutide

Identifiers

What OpenQuestion holds

Texttitle and abstract
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.