The SWEET SPOTS study: a real-world interpretation of the 2012 American Diabetes Association Position Statement regarding individualized A1C targets
Nella Bieszk,1 Michael Grabner,2 Wenhui Wei,1 Nicole G Bonine,2 Judith J Stephenson,2 1Sanofi US, Inc., Bridgewater, NJ, 2HealthCore, Inc., Wilmington, DE, USA Objective: To evaluate awareness of the 2012 American Diabetes Association (ADA) Position Statement among physicians and assess its effects...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2016-11-01
|
| Series: | Risk Management and Healthcare Policy |
| Subjects: | |
| Online Access: | https://www.dovepress.com/the-sweet-spots-study-a-real-world-interpretation-of-the-2012-american-peer-reviewed-article-RMHP |
| _version_ | 1819211625582821376 |
|---|---|
| author | Bieszk N Grabner M Wei W Bonine NG Stephenson JJ |
| author_facet | Bieszk N Grabner M Wei W Bonine NG Stephenson JJ |
| author_sort | Bieszk N |
| collection | DOAJ |
| description | Nella Bieszk,1 Michael Grabner,2 Wenhui Wei,1 Nicole G Bonine,2 Judith J Stephenson,2 1Sanofi US, Inc., Bridgewater, NJ, 2HealthCore, Inc., Wilmington, DE, USA Objective: To evaluate awareness of the 2012 American Diabetes Association (ADA) Position Statement among physicians and assess its effects on patient-centered glycated hemoglobin (A1C) goals in the management of type 2 diabetes (T2D). Research design and methods: The Summarizing Real-World Individualized TrEatmEnT GoalS and Potential SuppOrT Systems in Type 2 Diabetes (SWEET SPOTS) study used the HealthCore claims database to identify T2D patients, stratified by risk, and their treating physicians to assess primary care physician and endocrinologist awareness of the 2012 ADA Position Statement. Physicians completed online surveys on A1C targets before and after receiving an educational intervention to review the position statement. Results: Of 125 responding physicians (mean age 50.3 years, 12.8% endocrinologists) who were linked to 125 patient profiles (mean age 56.9 years, 42% female, mean A1C 7.2%), 92% were at least somewhat aware of the position statement prior to the intervention and 59% believed that the statement would impact how they set A1C targets. The educational intervention resulted in mostly less stringent goal setting for both lower and higher risk patients, but changes were not significant. The proportion of physician-assigned A1C targets within ADA-recommended ranges increased from 56% to 66% post-intervention (P<0.0001). Conclusion: Physicians treating T2D are aware of the 2012 ADA Position Statement and believe that it may influence treatment goals. While patient-specific A1C targets were not significantly impacted, physicians indicated that they would make targets more or less stringent for lower and higher risk patients, respectively, across their practice. Further research into optimizing physician education regarding individualized A1C targets is warranted. Keywords: type 2 diabetes, HealthCore claims database, patient-centered, individualized A1C targets |
| first_indexed | 2024-12-23T06:30:03Z |
| format | Article |
| id | doaj.art-3f783e10228b4f55b6cb396bacd38711 |
| institution | Directory Open Access Journal |
| issn | 1179-1594 |
| language | English |
| last_indexed | 2024-12-23T06:30:03Z |
| publishDate | 2016-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Risk Management and Healthcare Policy |
| spelling | doaj.art-3f783e10228b4f55b6cb396bacd387112022-12-21T17:56:58ZengDove Medical PressRisk Management and Healthcare Policy1179-15942016-11-01Volume 924325129920The SWEET SPOTS study: a real-world interpretation of the 2012 American Diabetes Association Position Statement regarding individualized A1C targetsBieszk NGrabner MWei WBonine NGStephenson JJNella Bieszk,1 Michael Grabner,2 Wenhui Wei,1 Nicole G Bonine,2 Judith J Stephenson,2 1Sanofi US, Inc., Bridgewater, NJ, 2HealthCore, Inc., Wilmington, DE, USA Objective: To evaluate awareness of the 2012 American Diabetes Association (ADA) Position Statement among physicians and assess its effects on patient-centered glycated hemoglobin (A1C) goals in the management of type 2 diabetes (T2D). Research design and methods: The Summarizing Real-World Individualized TrEatmEnT GoalS and Potential SuppOrT Systems in Type 2 Diabetes (SWEET SPOTS) study used the HealthCore claims database to identify T2D patients, stratified by risk, and their treating physicians to assess primary care physician and endocrinologist awareness of the 2012 ADA Position Statement. Physicians completed online surveys on A1C targets before and after receiving an educational intervention to review the position statement. Results: Of 125 responding physicians (mean age 50.3 years, 12.8% endocrinologists) who were linked to 125 patient profiles (mean age 56.9 years, 42% female, mean A1C 7.2%), 92% were at least somewhat aware of the position statement prior to the intervention and 59% believed that the statement would impact how they set A1C targets. The educational intervention resulted in mostly less stringent goal setting for both lower and higher risk patients, but changes were not significant. The proportion of physician-assigned A1C targets within ADA-recommended ranges increased from 56% to 66% post-intervention (P<0.0001). Conclusion: Physicians treating T2D are aware of the 2012 ADA Position Statement and believe that it may influence treatment goals. While patient-specific A1C targets were not significantly impacted, physicians indicated that they would make targets more or less stringent for lower and higher risk patients, respectively, across their practice. Further research into optimizing physician education regarding individualized A1C targets is warranted. Keywords: type 2 diabetes, HealthCore claims database, patient-centered, individualized A1C targetshttps://www.dovepress.com/the-sweet-spots-study-a-real-world-interpretation-of-the-2012-american-peer-reviewed-article-RMHPType 2 DiabetesHealthCore claims databasePatient-centeredIndividualized A1C targets |
| spellingShingle | Bieszk N Grabner M Wei W Bonine NG Stephenson JJ The SWEET SPOTS study: a real-world interpretation of the 2012 American Diabetes Association Position Statement regarding individualized A1C targets Risk Management and Healthcare Policy Type 2 Diabetes HealthCore claims database Patient-centered Individualized A1C targets |
| title | The SWEET SPOTS study: a real-world interpretation of the 2012 American Diabetes Association Position Statement regarding individualized A1C targets |
| title_full | The SWEET SPOTS study: a real-world interpretation of the 2012 American Diabetes Association Position Statement regarding individualized A1C targets |
| title_fullStr | The SWEET SPOTS study: a real-world interpretation of the 2012 American Diabetes Association Position Statement regarding individualized A1C targets |
| title_full_unstemmed | The SWEET SPOTS study: a real-world interpretation of the 2012 American Diabetes Association Position Statement regarding individualized A1C targets |
| title_short | The SWEET SPOTS study: a real-world interpretation of the 2012 American Diabetes Association Position Statement regarding individualized A1C targets |
| title_sort | sweet spots study a real world interpretation of the 2012 american diabetes association position statement regarding individualized a1c targets |
| topic | Type 2 Diabetes HealthCore claims database Patient-centered Individualized A1C targets |
| url | https://www.dovepress.com/the-sweet-spots-study-a-real-world-interpretation-of-the-2012-american-peer-reviewed-article-RMHP |
| work_keys_str_mv | AT bieszkn thesweetspotsstudyarealworldinterpretationofthe2012americandiabetesassociationpositionstatementregardingindividualizeda1ctargets AT grabnerm thesweetspotsstudyarealworldinterpretationofthe2012americandiabetesassociationpositionstatementregardingindividualizeda1ctargets AT weiw thesweetspotsstudyarealworldinterpretationofthe2012americandiabetesassociationpositionstatementregardingindividualizeda1ctargets AT bonineng thesweetspotsstudyarealworldinterpretationofthe2012americandiabetesassociationpositionstatementregardingindividualizeda1ctargets AT stephensonjj thesweetspotsstudyarealworldinterpretationofthe2012americandiabetesassociationpositionstatementregardingindividualizeda1ctargets AT bieszkn sweetspotsstudyarealworldinterpretationofthe2012americandiabetesassociationpositionstatementregardingindividualizeda1ctargets AT grabnerm sweetspotsstudyarealworldinterpretationofthe2012americandiabetesassociationpositionstatementregardingindividualizeda1ctargets AT weiw sweetspotsstudyarealworldinterpretationofthe2012americandiabetesassociationpositionstatementregardingindividualizeda1ctargets AT bonineng sweetspotsstudyarealworldinterpretationofthe2012americandiabetesassociationpositionstatementregardingindividualizeda1ctargets AT stephensonjj sweetspotsstudyarealworldinterpretationofthe2012americandiabetesassociationpositionstatementregardingindividualizeda1ctargets |