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J Diabetes:西他列汀+二甲双胍 vs 磺酰脲类+二甲双胍,依从性更好

2016-11-18 MedSci MedSci原创

研究数据显示,服用西他列汀+二甲双胍的成年患者与服用磺酰脲类+二甲双胍的成年人相比,依从性和持久性均更好。 来自默克观测和真实世界证据研究中心的Swapnil N. Rajpathak博士和同事对14807名服用磺酰脲类+二甲双胍、14807名服用西他列汀+二甲双胍的2型糖尿病患只进行了研究。 服用西他列汀+二甲双胍的成年患者与服用磺酰脲类+二甲双胍的成年人相比,有更高的1年平均药物覆

研究数据显示,服用西他列汀+二甲双胍的成年患者与服用磺酰脲类+二甲双胍的成年人相比,依从性和持久性均更好。

来自默克观测和真实世界证据研究中心的Swapnil N. Rajpathak博士和同事对14807名服用磺酰脲类+二甲双胍、14807名服用西他列汀+二甲双胍的2型糖尿病患只进行了研究。

服用西他列汀+二甲双胍的成年患者与服用磺酰脲类+二甲双胍的成年人相比,有更高的1年平均药物覆盖天数比例。

服用西他列汀+二甲双胍的成年患者与服用磺酰脲类+二甲双胍的成年人相比,1年依从性更好(59.1% vs 55.9%;P < .001);2年依从性同样更好(52.6% vs.49.9%; P = .007);不过3年依从性就没有了组间差异。

与磺酰脲类+二甲双胍组比较,继续使用1、2和3年的西他列汀+二甲双胍组患者更多(P值均 < .05)。

西他列汀+二甲双胍组患者停药的可能性更小(P < .001)。

结果表明,服用西他列汀+二甲双胍的成年患者与服用磺酰脲类+二甲双胍的成年人相比,依从性和持久性均更好。

原始出处:


Bloomgarden ZT, et al. Adherence, persistence, and treatment discontinuation with sitagliptin compared with sulfonylureas as add-ons to metformin: A retrospective cohort database study.J Diabetes. 2016;doi:10.1111/1753-0407.12461.

Adherence high with sitagliptin plus metformin.Healio.November 17, 2016

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  5. 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encodeId=8fe3156e842d, content=这个研究背后问题很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Sat Nov 19 08:53:34 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156746, encodeId=4a48156e46e3, content=学习一下,赞了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sat Nov 19 07:18:28 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156706, encodeId=d78c156e06c4, content=学习了,多谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=161, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=84e21956153, createdName=1e1263e3m20(暂无匿称), createdTime=Sat Nov 19 00:04:25 CST 2016, time=2016-11-19, status=1, ipAttribution=)]
    2016-11-20 fyxzlh
  6. 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  7. 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encodeId=8fe3156e842d, content=这个研究背后问题很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Sat Nov 19 08:53:34 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156746, encodeId=4a48156e46e3, content=学习一下,赞了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sat Nov 19 07:18:28 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156706, encodeId=d78c156e06c4, content=学习了,多谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=161, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=84e21956153, createdName=1e1263e3m20(暂无匿称), createdTime=Sat Nov 19 00:04:25 CST 2016, time=2016-11-19, status=1, ipAttribution=)]
    2016-11-19 136****0753赵

    值得学习。

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1642327, encodeId=10e5164232ebc, content=<a href='/topic/show?id=2e74e3891da' target=_blank style='color:#2F92EE;'>#磺酰脲类#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73891, encryptionId=2e74e3891da, topicName=磺酰脲类)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=592c22907703, createdName=12498dabm84暂无昵称, createdTime=Sun Jan 15 10:49:00 CST 2017, time=2017-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1901506, encodeId=4ec4190150692, content=<a href='/topic/show?id=c097591ed5' target=_blank style='color:#2F92EE;'>#Diabetes#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5917, encryptionId=c097591ed5, topicName=Diabetes)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0045169, createdName=木头人513, createdTime=Mon Jan 16 14:49:00 CST 2017, time=2017-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1759821, encodeId=6a361e59821ff, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Thu Jul 27 09:49:00 CST 2017, time=2017-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1637551, encodeId=896e163e55120, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Sat Aug 19 12:49:00 CST 2017, time=2017-08-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1319264, encodeId=b3371319264c6, content=<a href='/topic/show?id=60172686668' target=_blank style='color:#2F92EE;'>#依从性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26866, encryptionId=60172686668, topicName=依从性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9df476, createdName=fyxzlh, createdTime=Sun Nov 20 07:49:00 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415991, encodeId=c62b141599136, content=<a href='/topic/show?id=f60890462d4' target=_blank style='color:#2F92EE;'>#西他列汀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90462, encryptionId=f60890462d4, topicName=西他列汀)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=37f33125782, createdName=tcm100hq, createdTime=Sun Nov 20 07:49:00 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156862, encodeId=f08f156862af, content=值得学习。, beContent=null, objectType=article, channel=null, level=null, likeNumber=149, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLMzGpMQ8w4I7FpiblCXNcmI6O7TDINutbaicEUpoYFR1rWqn3kTbulfMhT0iaPFurLz2ddEcWe3BiciaQ/0, createdBy=5f6e1724878, createdName=136****0753赵, createdTime=Sat Nov 19 11:55:18 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156784, encodeId=8fe3156e842d, content=这个研究背后问题很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Sat Nov 19 08:53:34 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156746, encodeId=4a48156e46e3, content=学习一下,赞了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sat Nov 19 07:18:28 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156706, encodeId=d78c156e06c4, content=学习了,多谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=161, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=84e21956153, createdName=1e1263e3m20(暂无匿称), createdTime=Sat Nov 19 00:04:25 CST 2016, time=2016-11-19, status=1, ipAttribution=)]
    2016-11-19 lovetcm

    这个研究背后问题很多

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1642327, encodeId=10e5164232ebc, content=<a href='/topic/show?id=2e74e3891da' target=_blank style='color:#2F92EE;'>#磺酰脲类#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73891, encryptionId=2e74e3891da, topicName=磺酰脲类)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=592c22907703, createdName=12498dabm84暂无昵称, createdTime=Sun Jan 15 10:49:00 CST 2017, time=2017-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1901506, encodeId=4ec4190150692, content=<a href='/topic/show?id=c097591ed5' target=_blank style='color:#2F92EE;'>#Diabetes#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5917, encryptionId=c097591ed5, topicName=Diabetes)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0045169, createdName=木头人513, createdTime=Mon Jan 16 14:49:00 CST 2017, time=2017-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1759821, encodeId=6a361e59821ff, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Thu Jul 27 09:49:00 CST 2017, time=2017-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1637551, encodeId=896e163e55120, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Sat Aug 19 12:49:00 CST 2017, time=2017-08-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1319264, encodeId=b3371319264c6, content=<a href='/topic/show?id=60172686668' target=_blank style='color:#2F92EE;'>#依从性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26866, encryptionId=60172686668, topicName=依从性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9df476, createdName=fyxzlh, createdTime=Sun Nov 20 07:49:00 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415991, encodeId=c62b141599136, content=<a href='/topic/show?id=f60890462d4' target=_blank style='color:#2F92EE;'>#西他列汀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90462, encryptionId=f60890462d4, topicName=西他列汀)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=37f33125782, createdName=tcm100hq, createdTime=Sun Nov 20 07:49:00 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156862, encodeId=f08f156862af, content=值得学习。, beContent=null, objectType=article, channel=null, level=null, likeNumber=149, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLMzGpMQ8w4I7FpiblCXNcmI6O7TDINutbaicEUpoYFR1rWqn3kTbulfMhT0iaPFurLz2ddEcWe3BiciaQ/0, createdBy=5f6e1724878, createdName=136****0753赵, createdTime=Sat Nov 19 11:55:18 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156784, encodeId=8fe3156e842d, content=这个研究背后问题很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Sat Nov 19 08:53:34 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156746, encodeId=4a48156e46e3, content=学习一下,赞了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sat Nov 19 07:18:28 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156706, encodeId=d78c156e06c4, content=学习了,多谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=161, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=84e21956153, createdName=1e1263e3m20(暂无匿称), createdTime=Sat Nov 19 00:04:25 CST 2016, time=2016-11-19, status=1, ipAttribution=)]
    2016-11-19 老段

    学习一下,赞了!

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=1642327, encodeId=10e5164232ebc, content=<a href='/topic/show?id=2e74e3891da' target=_blank style='color:#2F92EE;'>#磺酰脲类#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73891, encryptionId=2e74e3891da, topicName=磺酰脲类)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=592c22907703, createdName=12498dabm84暂无昵称, createdTime=Sun Jan 15 10:49:00 CST 2017, time=2017-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1901506, encodeId=4ec4190150692, content=<a href='/topic/show?id=c097591ed5' target=_blank style='color:#2F92EE;'>#Diabetes#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5917, encryptionId=c097591ed5, topicName=Diabetes)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0045169, createdName=木头人513, createdTime=Mon Jan 16 14:49:00 CST 2017, time=2017-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1759821, encodeId=6a361e59821ff, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Thu Jul 27 09:49:00 CST 2017, time=2017-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1637551, encodeId=896e163e55120, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Sat Aug 19 12:49:00 CST 2017, time=2017-08-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1319264, encodeId=b3371319264c6, content=<a href='/topic/show?id=60172686668' target=_blank style='color:#2F92EE;'>#依从性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26866, encryptionId=60172686668, topicName=依从性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9df476, createdName=fyxzlh, createdTime=Sun Nov 20 07:49:00 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415991, encodeId=c62b141599136, content=<a href='/topic/show?id=f60890462d4' target=_blank style='color:#2F92EE;'>#西他列汀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90462, encryptionId=f60890462d4, topicName=西他列汀)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=37f33125782, createdName=tcm100hq, createdTime=Sun Nov 20 07:49:00 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156862, encodeId=f08f156862af, content=值得学习。, beContent=null, objectType=article, channel=null, level=null, likeNumber=149, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLMzGpMQ8w4I7FpiblCXNcmI6O7TDINutbaicEUpoYFR1rWqn3kTbulfMhT0iaPFurLz2ddEcWe3BiciaQ/0, createdBy=5f6e1724878, createdName=136****0753赵, createdTime=Sat Nov 19 11:55:18 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156784, encodeId=8fe3156e842d, content=这个研究背后问题很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Sat Nov 19 08:53:34 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156746, encodeId=4a48156e46e3, content=学习一下,赞了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sat Nov 19 07:18:28 CST 2016, time=2016-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=156706, encodeId=d78c156e06c4, content=学习了,多谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=161, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=84e21956153, createdName=1e1263e3m20(暂无匿称), createdTime=Sat Nov 19 00:04:25 CST 2016, time=2016-11-19, status=1, ipAttribution=)]
    2016-11-19 1e1263e3m20(暂无匿称)

    学习了,多谢分享

    0

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