{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T15:55:02Z","timestamp":1769270102832,"version":"3.49.0"},"reference-count":59,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,1,20]],"date-time":"2017-01-20T00:00:00Z","timestamp":1484870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004323","name":"Amylin Pharmaceuticals","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004323","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004325","name":"AstraZeneca","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004325","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>\n                      Examine real\u2010world outcomes in patients with type 2 diabetes mellitus (\n                      <jats:styled-content style=\"fixed-case\">T2DM<\/jats:styled-content>\n                      ) initiating injectable therapy as part of the Initiation of New Injectable Treatment Introduced after Antidiabetic Therapy with Oral\u2010only Regimens (\n                      <jats:styled-content style=\"fixed-case\">INITIATOR<\/jats:styled-content>\n                      ) study.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      Linked insurance claims and medical record data were collected from 2 large\n                      <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>\n                      health insurers (April 1, 2010 to March 31, 2012) of\n                      <jats:styled-content style=\"fixed-case\">T2DM<\/jats:styled-content>\n                      adults initiating treatment with glargine (\n                      <jats:styled-content style=\"fixed-case\">GLA<\/jats:styled-content>\n                      ) or liraglutide (\n                      <jats:styled-content style=\"fixed-case\">LIRA<\/jats:styled-content>\n                      ). Baseline characteristics were examined and changes in 12\u2010month follow\u2010up outcomes were described for both treatment groups:\n                      <jats:styled-content style=\"fixed-case\">HbA1c<\/jats:styled-content>\n                      , weight change, hypoglycaemia, persistence, healthcare utilisation and costs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 4490 patients were included (\n                      <jats:styled-content style=\"fixed-case\">GLA<\/jats:styled-content>\n                      , 2116;\n                      <jats:styled-content style=\"fixed-case\">LIRA<\/jats:styled-content>\n                      , 2374). At baseline,\n                      <jats:styled-content style=\"fixed-case\">GLA<\/jats:styled-content>\n                      patients had significantly higher\n                      <jats:styled-content style=\"fixed-case\">HbA1c<\/jats:styled-content>\n                      vs\n                      <jats:styled-content style=\"fixed-case\">LIRA<\/jats:styled-content>\n                      patients (9.72% vs 8.19%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), lower likelihood of having\n                      <jats:styled-content style=\"fixed-case\">HbA1c<\/jats:styled-content>\n                      &lt; 7% (7.1% vs 23.8%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), lower bodyweight (100.9 kg vs 110.9 kg,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), higher Charlson Comorbidity Index score (0.88 vs 0.63;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), and higher diabetes\u2010related costs ($3492 vs $2089;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), respectively.\n                    <\/jats:p>\n                    <jats:p>\n                      During 12\u2010months of follow\u2010up, treatment persistence was 64%, mean\n                      <jats:styled-content style=\"fixed-case\">HbA1c<\/jats:styled-content>\n                      reduction was \u22121.24% and weight change was + 1.17 among\n                      <jats:styled-content style=\"fixed-case\">GLA<\/jats:styled-content>\n                      patients, and was 49%, \u22120.51% and \u22122.74 kg, respectively, among\n                      <jats:styled-content style=\"fixed-case\">LIRA<\/jats:styled-content>\n                      patients. Diabetes\u2010related costs increased significantly from baseline to follow\u2010up for\n                      <jats:styled-content style=\"fixed-case\">LIRA<\/jats:styled-content>\n                      patients ($2089 vs $3258,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) but not for\n                      <jats:styled-content style=\"fixed-case\">GLA<\/jats:styled-content>\n                      patients ($3492 vs $3550,\n                      <jats:italic>P<\/jats:italic>\n                      = .890).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      There were clinically relevant baseline differences in both groups, suggesting that\n                      <jats:styled-content style=\"fixed-case\">GLA<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">LIRA<\/jats:styled-content>\n                      are prescribed for different patient groups, and highlighting that efficacy results from clinical trials do not always translate into real\u2010world practice. Significant increases in healthcare costs were observed in the\n                      <jats:styled-content style=\"fixed-case\">LIRA<\/jats:styled-content>\n                      group, warranting further cost\u2010effectiveness analysis.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.12828","type":"journal-article","created":{"date-parts":[[2016,11,17]],"date-time":"2016-11-17T01:26:25Z","timestamp":1479345985000},"page":"375-386","source":"Crossref","is-referenced-by-count":21,"title":["A real\u2010world study of treatment patterns and outcomes in\n                    <scp>US<\/scp>\n                    managed\u2010care patients with type 2 Diabetes initiating injectable therapies"],"prefix":"10.1111","volume":"19","author":[{"given":"Wenhui","family":"Wei","sequence":"first","affiliation":[{"name":"Sanofi US, Inc.  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