Evidence map›Paper›PMID 40650484›Full record

Trial reportJournal of diabetes investigation2025

Relationship between medication use and non-attendance (missed appointment) from primary care visits among people with type 2 diabetes: The Japan Diabetes Outcome Intervention Trial-2 Large-Scale Trial 006 (J-DOIT2-LT006).

Yusuke Hikima, Ryotaro Bouchi, Yasuaki Hayashino, Atsushi Goto, Hikari Suzuki, Katsuya Yamazaki, Kazuo Izumi, Masaomi Nangaku, Mitsuhiko Noda, J‐DOIT2 Study Group

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of diabetes investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Yusuke HikimaDivision of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0009-0005-5344-7839
Ryotaro BouchiDepartment of Diabetes, Endocrinology and Metabolism, National Center for Global, Health and Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-7664-4342
Yasuaki HayashinoDepartment of Endocrinology, Tenri Hospital, Nara, Japan.
Atsushi GotoDepartment of Public Health, School of Medicine, Yokohama City University, Kanagawa, Japan.ORCID https://orcid.org/0000-0003-0669-654X
Hikari SuzukiDiabetes Center, Japan Community Health Care Organization Takaoka Fushiki Hospital, Toyama, Japan.
Katsuya YamazakiKawai Clinic, Ibaraki, Japan.
Kazuo IzumiDepartment of Diabetes, Endocrinology and Metabolism, National Center for Global, Health and Medicine, Tokyo, Japan.
Masaomi NangakuDivision of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.
Mitsuhiko NodaDepartment of Diabetes, Metabolism and Endocrinology, Ichikawa Hospital, International University of Health and Welfare, Chiba, Japan.ORCID https://orcid.org/0000-0003-0413-4631
J‐DOIT2 Study Group

Funding

Japan Agency for Medical Research and DevelopmentJapan Diabetes Foundationthe Ministry of Health, Labour and Welfare of Japan
6 · The paper itself

Abstract

AIMS/

introductionTo clarify the relationship between medication use and primary care visit non-attendance (missed appointment) among people with type 2 diabetes. MATERIALS AND

methodsData of 2,200 patients registered in the Japan Diabetes Outcome Intervention Trial-2 Large-Scale trial were reviewed. The intervention group received multifaceted interventions encouraging regular visits. The hazard ratios (HR) and 95% confidence intervals (CI) of oral medications relative to not taking any oral medications were estimated using the Cox proportional hazards model, adjusted for district medical association ID, intervention, insulin usage, age, sex, and HbA1c. We also investigated whether the HRs differed based on the oral medication type. Furthermore, we divided the intervention and control groups into four groups based on medication use (taking/not taking oral medications and insulin therapy) and performed survival analysis for each group.

resultsThe HRs (95% CI) for oral medication use relative to not taking oral medications and for insulin use relative to not receiving insulin therapy were 0.178 (0.104-0.305) and 0.725 (0.378-1.352), respectively. Regardless of the type of oral medication, non-attendance was lower in the groups taking oral medications. The HRs (95% CI) in the groups taking only oral hypoglycemic agents, only other drugs, and both relative to no oral medication were 0.229 (0.126-0.417), 0.235 (0.112-0.494), and 0.148 (0.084-0.260), respectively. Only in the control group, non-attendance was more frequent with no medications than with oral medications, regardless of insulin (P < 0.01, respectively).

conclusionsOur findings suggest that taking oral medications might be important to prevent non-attendance among people with type 2 diabetes.

Indexed as

Diabetes Mellitus, Type 2Hypoglycemic AgentsMedication AdherenceOffice VisitsPrimary Health CareAdministration, OralAdultFemaleHumansInsulinJapanMaleMiddle AgedProportional Hazards ModelsSecondary Data AnalysisHypoglycemic AgentsInsulinDiabetesMedicationNon‐attendance (missed appointment)

Identifiers

PMID40650484
PMCPMC12489325

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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.