Clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications: a narrative literature review View Full Text


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Article Info

DATE

2020-06-17

AUTHORS

F. Andreozzi, R. Candido, S. Corrao, R. Fornengo, A. Giancaterini, P. Ponzani, M. C. Ponziani, F. Tuccinardi, D. Mannino

ABSTRACT

Diabetes mellitus is a chronic disease characterized by high social, economic and health burden, mostly due to the high incidence and morbidity of diabetes complications. Numerous studies have shown that optimizing metabolic control may reduce the risk of micro and macrovascular complications related to the disease, and the algorithms suggest that an appropriate and timely step of care intensification should be proposed after 3 months from the failure to achieve metabolic goals. Nonetheless, many population studies show that glycemic control in diabetic patients is often inadequate. The phenomenon of clinical inertia in diabetology, defined as the failure to start a therapy or its intensification/de-intensification when appropriate, has been studied for almost 20 years, and it is not limited to diabetes care, but also affects other specialties. In the present manuscript, we have documented the issue of inertia in its complexity, assessing its dimensions, its epidemiological weight, and its burden over the effectiveness of care. Our main goal is the identification of the causes of clinical inertia in diabetology, and the quantification of its social and health-related consequences through the adoption of appropriate indicators, in an effort to advance possible solutions and proposals to fight and possibly overcome clinical inertia, thus improving health outcomes and quality of care. More... »

PAGES

52

References to SciGraph publications

  • 2019-04-16. High level of clinical inertia in insulin initiation in type 2 diabetes across Central and South-Eastern Europe: insights from SITIP study in ACTA DIABETOLOGICA
  • 2016-11-11. Is there evidence of potential overtreatment of glycaemia in elderly people with type 2 diabetes? Data from the GUIDANCE study in ACTA DIABETOLOGICA
  • 2018-10-29. Clinical inertia on insulin treatment intensification in type 2 diabetes mellitus patients of a tertiary public diabetes center with limited pharmacologic armamentarium from an upper-middle income country in DIABETOLOGY & METABOLIC SYNDROME
  • 2018-10-29. Addressing Clinical Inertia in Type 2 Diabetes Mellitus: A Review in ADVANCES IN THERAPY
  • 2006-01-04. The Indian Diabetes Prevention Programme shows that lifestyle modification and metformin prevent type 2 diabetes in Asian Indian subjects with impaired glucose tolerance (IDPP-1) in DIABETOLOGIA
  • 2018-05-30. Reduced risk of heart failure with intensified multifactorial intervention in individuals with type 2 diabetes and microalbuminuria: 21 years of follow-up in the randomised Steno-2 study in DIABETOLOGIA
  • 2007-10-24. Reasons for Not Intensifying Medications: Differentiating “Clinical Inertia” from Appropriate Care in JOURNAL OF GENERAL INTERNAL MEDICINE
  • 2016-05-04. Decision making under uncertainty, therapeutic inertia, and physicians’ risk preferences in the management of multiple sclerosis (DIScUTIR MS) in BMC NEUROLOGY
  • 2017-06-15. Assessment of short and long-term outcomes of diabetes patient education using the health education impact questionnaire (HeiQ) in BMC RESEARCH NOTES
  • 2012-06-15. Physician Reasons for Nonpharmacologic Treatment of Hyperglycemia in Older Patients Newly Diagnosed with Type 2 Diabetes Mellitus in DIABETES THERAPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s13098-020-00559-7

    DOI

    http://dx.doi.org/10.1186/s13098-020-00559-7

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1128551236

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/32565924


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