- Title
- Temporal trends in, and associations of, early-career general practitioner prescriptions of second-line Type 2 Diabetes medications, 2010-2018
- Creator
- Patsan, Irena; Tapley, Amanda; Spike, Neil; FitzGerald, Kristen; Magin, Parker; Davoren, Peter; Fielding, Alison; Holliday, Elizabeth; Ball, Jean; Davey, Andrew; van Driel, Mieke; Turner, Rachel; Mulquiney, Katie
- Relation
- PLoS One Vol. 18, Issue 1, no. e0280668
- Publisher Link
- http://dx.doi.org/10.1371/journal.pone.0280668
- Publisher
- Public Library of Science (PLOS)
- Resource Type
- journal article
- Date
- 2023
- Description
- Introduction: Second-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 Methods: A 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. Results: 2333 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. Conclusion: Registrar uptake of 'new' oral agents compared to sulphonylureas has increased rapidly.
- Subject
- diabetes mellitus; drug therapy; type 2 diabetes; Australia; cardiovascular disease; cardiology; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1477419
- Identifier
- uon:49974
- Identifier
- ISSN:1932-6203
- Rights
- x
- Language
- eng
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