Gender disparities in time-to-initiation of cardioprotective glucose-lowering drugs in patients with type 2 diabetes and cardiovascular disease:a Danish nationwide cohort study
| Autor: | Kristian Løkke Funck, Lasse Bjerg, Anders Aasted Isaksen, Annelli Sandbæk, Erik Lerkevang Grove |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Male
Endocrinology Diabetes and Metabolism Myocardial Ischemia Myocardial Ischemia/complications Gender equity Heart Failure/diagnosis Hypoglycemic Agents/adverse effects Cohort Studies Diabetes Mellitus Type 2/diagnosis Risk Factors Hypoglycemic Agents Humans Sodium-Glucose Transporter 2 Inhibitors Cardiovascular Diseases/diagnosis Aged Heart Failure Aged 80 and over Pharmacoepidemiology Type 2 diabetes Middle Aged Cardiovascular disease Stroke Glucose Diabetes Mellitus Type 2 Cardiovascular Diseases Antidiabetic agents Female Sex Cardiology and Cardiovascular Medicine |
| Zdroj: | Funck, K L, Bjerg, L, Isaksen, A A, Sandbæk, A & Grove, E L 2022, ' Gender disparities in time-to-initiation of cardioprotective glucose-lowering drugs in patients with type 2 diabetes and cardiovascular disease : a Danish nationwide cohort study ', Cardiovascular Diabetology, vol. 21, 279 . https://doi.org/10.1186/s12933-022-01713-3 |
| Popis: | Background We aimed to examine the impact of gender and specific type of cardiovascular disease (CVD) diagnosis (ischemic heart disease [IHD], heart failure, peripheral artery disease [PAD] or stroke) on time-to-initiation of either a sodium glucose cotransporter 2 inhibitor or glucagon-like peptide 1 analogue (collectively termed cardioprotective GLD) after a dual diagnosis of type 2 diabetes (T2DM) and CVD. Methods In a nationwide cohort study, we identified patients with a new dual diagnosis of T2DM and CVD (January 1, 2012 and December 31, 2018). Cumulative user proportion (CUP) were assessed. Poisson models were used to estimate the initiation rate of cardioprotective GLDs. The final analyses were adjusted for potential confounders. Results In total, we included 70,538 patients with new-onset T2DM and CVD (38% female, mean age 70 ± 12 years at inclusion). During 183,256 person-years, 6,276 patients redeemed a prescription of a cardioprotective GLD. One-year CUPs of cardioprotective GLDs were lower in women than men. Initiation rates of GLDs were lower in women (female-to-male initiation-rate-ratio crude: 0.76, 95% CI 0.72–0.81); adjusted 0.92, 95% CI 0.87–0.97). In CVD-stratified analysis, the adjusted initiation rate ratio was lower in female patients with IHD and heart failure (IHD: 0.91 [95% CI 0.85–0.98], heart failure: 0.85 [95% CI 0.73–1.00], PAD: 0.92 [95% CI 0.78–1.09], and stroke: 1.06 [95% CI 0.93–1.20]). Conclusions Among patients with a new dual diagnosis of T2DM and CVD, female gender is associated with lower initiation rates of cardioprotective GLDs, especially if the patient has IHD or heart failure. |
| Databáze: | OpenAIRE |
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