Disclosures Eric Huang, Rodney Moore, William Quick and Jane Moran are employees of i3 Global. Gary Zdon is an employee of i3 Pharma Informatics. Eric Huang, Rodney Moore, William Quick, Jane Moran and Gary Zdon are significant shareholders of United Health Group, the parent company of i3 Global and i3 Pharma Informatics.
The impact of publishing medical specialty society guidelines on subsequent adoption of best practices: a case study with type 2 diabetes
Article first published online: 10 MAR 2010
© 2010 Blackwell Publishing Ltd
International Journal of Clinical Practice
Volume 64, Issue 5, pages 558–561, April 2010
How to Cite
Huang, E. A., Zdon, G. S., Moore, R. J., Jane Moran, H. and Quick, W. W. (2010), The impact of publishing medical specialty society guidelines on subsequent adoption of best practices: a case study with type 2 diabetes. International Journal of Clinical Practice, 64: 558–561. doi: 10.1111/j.1742-1241.2009.02319.x
- Issue published online: 10 MAR 2010
- Article first published online: 10 MAR 2010
- Paper received September 2009, accepted December 2009
Aims: Our goal was to determine the effect of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) consensus algorithm for the initiation and adjustment of type 2 diabetes (T2D) therapy, published in 2006, on the incidence of early metformin monotherapy (EMM), defined as the prescription of metformin and no other antidiabetic medications within 30 days of initial T2D diagnosis.
Methods: The incidence of EMM in the United States (US) from January 2005 to December 2007 was estimated using data from the i3 InVision™ Data Mart, an integrated database of enrolment dates, inpatient and outpatient medical claims, pharmaceutical claims, and laboratory results from a diverse group of US health plans. The trend in the incidence of EMM was analysed using joinpoint regression modelling.
Results: A statistically significant joinpoint was found in July 2006 (p < 0.05). From January 2005 to July 2006, EMM increased at an annualised rate of 15.6%. From July 2006 to December 2007, EMM increased at an annualised rate of 66.0%.
Conclusions: Our findings suggest that publication of the ADA/EASD algorithm caused a significant acceleration in the incidence of EMM.