Analysis in risk factors of clinical inertia in treatment of patients with type 2 diabetes mellitus in suburbs of Shanghai
- VernacularTitle:上海郊区2型糖尿病患者治疗过程中临床惰性现象的危险因素分析
- Author:
Tingting GUI
1
;
Xiaoyi LU
;
Qian LI
;
Jia CHEN
;
Yuanyuan XIAO
;
Dahong ZHAI
Author Information
- Publication Type:Research Article
- Keywords: type 2 diabetes mellitus; clinical inertia; risk factors; suburbs of Shanghai
- From: Journal of Clinical Medicine in Practice 2024;28(23):121-125
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the current status of clinical inertia in the treatment of patients with type 2 diabetes mellitus (T2DM) in the suburbs of Shanghai and analyze its risk factors. Methods A total of 1, 804 T2DM patients who visited the Endocrinology and Metabolism Clinic of Shanghai Sixth People's Hospital from November 2022 to November 2023 were selected as research objects. Patients were divided into clinical inertia group and non-clinical inertia group based on whether clinical inertia occurred during their treatment, and demographic and clinical data were collected. Logistic regression analysis was used to identify risk factors for clinical inertia in the treatment of T2DM patients. Results The incidence of clinical inertia in T2DM patients was 52.00% (938/1, 804). The results of multivariate Logistic regression analysis showed that longer diabetes duration, high level of glycated hemoglobin (HbA1c), high score of the Problem Areas in Diabetes Scale(PAID) score, taking over two oral medications, shorter life expectancy, and coexisting retinopathy were risk factors for clinical inertia in the treatment of T2DM patients (
P < 0.05). Conclusion The incidence of clinical inertia is high in T2DM patients during treatment in the suburbs of Shanghai. T2DM patients with poor glycemic control, longer disease duration, high level of psychological distress, taking over two oral medications, shorter life expectancy, and coexisting retinopathy are more prone to occur clinical inertia.
