Time to do more: Addressing clinical inertia in the management of type 2 diabetes mellitus

Strain, W D and Cos, X and Hirst, M and Vencio, S and Mohan, V and Vokó, Z and Yabe, D and Blüher, M and Paldánius, P M (2014) Time to do more: Addressing clinical inertia in the management of type 2 diabetes mellitus. Diabetes Research and Clinical Practice, 105 (3). p. 302. ISSN 01688227



Aims Clinical inertia, the tendency to maintain current treatment strategies despite results demanding escalation, is thought to substantially contribute to the disconnect between clinical aspirations for patients with diabetes and targets achieved. We wished to explore potential causes of clinical inertia among physicians and people with diabetes. Methods A 20-min online survey of 652 adults with diabetes and 337 treating physicians in six countries explored opinions relating to clinical inertia from both perspectives, in order to correlate perceptions and expectations relating to diagnosis, treatment, diabetes complications and therapeutic escalation. Results Physicians had low expectations for their patients, despite the belief that the importance of good glycaemic control through lifestyle and pharmacological interventions had been adequately conveyed. Conversely, people with diabetes had, at best, a rudimentary understanding of the risks of complications and the importance of good control; indeed, only a small proportion believed lifestyle changes were important and the majority did not intend to comply. Conclusions The principal findings of this survey suggest that impairments in communication are at the heart of clinical inertia. This manuscript lays out four key principles that we believe are achievable in all environments and can improve the lives of people with diabetes.

Item Type:Article
Official URL/DOI:http://dx.doi.org/10.1016/j.diabres.2014.05.005
Uncontrolled Keywords:Clinical inertia; Type 2 diabetes; Hypoglycaemia
Subjects:Diabetes > Diabetes Management
Diabetology > Diabetes Mellitus Type 2
Divisions:Department of Epidemiology
Department of Clinical Trials
ID Code:876
Deposited By:surendar radha
Deposited On:07 Nov 2014 13:52
Last Modified:07 Nov 2014 13:52

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