Clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications: a narrative literature review
Abstract Diabetes mellitus is a chronic disease characterized by high social, economic and health burden, mostly due to the high incidence and morbidity of diabetes complications. Numerous studies have shown that optimizing metabolic control may reduce the risk of micro and macrovascular complicatio...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | Diabetology & Metabolic Syndrome |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13098-020-00559-7 |
| _version_ | 1811208171761434624 |
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| author | F. Andreozzi R. Candido S. Corrao R. Fornengo A. Giancaterini P. Ponzani M. C. Ponziani F. Tuccinardi D. Mannino |
| author_facet | F. Andreozzi R. Candido S. Corrao R. Fornengo A. Giancaterini P. Ponzani M. C. Ponziani F. Tuccinardi D. Mannino |
| author_sort | F. Andreozzi |
| collection | DOAJ |
| description | Abstract Diabetes mellitus is a chronic disease characterized by high social, economic and health burden, mostly due to the high incidence and morbidity of diabetes complications. Numerous studies have shown that optimizing metabolic control may reduce the risk of micro and macrovascular complications related to the disease, and the algorithms suggest that an appropriate and timely step of care intensification should be proposed after 3 months from the failure to achieve metabolic goals. Nonetheless, many population studies show that glycemic control in diabetic patients is often inadequate. The phenomenon of clinical inertia in diabetology, defined as the failure to start a therapy or its intensification/de-intensification when appropriate, has been studied for almost 20 years, and it is not limited to diabetes care, but also affects other specialties. In the present manuscript, we have documented the issue of inertia in its complexity, assessing its dimensions, its epidemiological weight, and its burden over the effectiveness of care. Our main goal is the identification of the causes of clinical inertia in diabetology, and the quantification of its social and health-related consequences through the adoption of appropriate indicators, in an effort to advance possible solutions and proposals to fight and possibly overcome clinical inertia, thus improving health outcomes and quality of care. |
| first_indexed | 2024-04-12T04:17:36Z |
| format | Article |
| id | doaj.art-458a56c58ef542f5b42d3b0b2464af72 |
| institution | Directory Open Access Journal |
| issn | 1758-5996 |
| language | English |
| last_indexed | 2024-04-12T04:17:36Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Diabetology & Metabolic Syndrome |
| spelling | doaj.art-458a56c58ef542f5b42d3b0b2464af722022-12-22T03:48:21ZengBMCDiabetology & Metabolic Syndrome1758-59962020-06-0112111110.1186/s13098-020-00559-7Clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications: a narrative literature reviewF. Andreozzi0R. Candido1S. Corrao2R. Fornengo3A. Giancaterini4P. Ponzani5M. C. Ponziani6F. Tuccinardi7D. Mannino8Department of Medical and Surgical Sciences, University Magna Graecia of CatanzaroDiabetes Center District 3, Azienda Sanitaria Universitaria Integrata di TriesteDepartment of Internal Medicine, University of PalermoSSD of Diabetology and Metabolic Diseases, Hospital of ChivassoDiabetology Service, Muggiò PolyambulatoryOperative Unit of Diabetology, “La Colletta” HospitalSSD of Diabetology-Azienda Sanitaria Locale NovaraDiabetology and Endocrinology Unit “Clinica del Sole” FormiaSection of Endocrinology and Diabetes, Bianchi Melacrino Morelli HospitalAbstract Diabetes mellitus is a chronic disease characterized by high social, economic and health burden, mostly due to the high incidence and morbidity of diabetes complications. Numerous studies have shown that optimizing metabolic control may reduce the risk of micro and macrovascular complications related to the disease, and the algorithms suggest that an appropriate and timely step of care intensification should be proposed after 3 months from the failure to achieve metabolic goals. Nonetheless, many population studies show that glycemic control in diabetic patients is often inadequate. The phenomenon of clinical inertia in diabetology, defined as the failure to start a therapy or its intensification/de-intensification when appropriate, has been studied for almost 20 years, and it is not limited to diabetes care, but also affects other specialties. In the present manuscript, we have documented the issue of inertia in its complexity, assessing its dimensions, its epidemiological weight, and its burden over the effectiveness of care. Our main goal is the identification of the causes of clinical inertia in diabetology, and the quantification of its social and health-related consequences through the adoption of appropriate indicators, in an effort to advance possible solutions and proposals to fight and possibly overcome clinical inertia, thus improving health outcomes and quality of care.http://link.springer.com/article/10.1186/s13098-020-00559-7Clinical inertiaDiabetes careItalian association of medical diabetologistsTherapeutic inertiaType 2 diabetes mellitus |
| spellingShingle | F. Andreozzi R. Candido S. Corrao R. Fornengo A. Giancaterini P. Ponzani M. C. Ponziani F. Tuccinardi D. Mannino Clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications: a narrative literature review Diabetology & Metabolic Syndrome Clinical inertia Diabetes care Italian association of medical diabetologists Therapeutic inertia Type 2 diabetes mellitus |
| title | Clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications: a narrative literature review |
| title_full | Clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications: a narrative literature review |
| title_fullStr | Clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications: a narrative literature review |
| title_full_unstemmed | Clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications: a narrative literature review |
| title_short | Clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications: a narrative literature review |
| title_sort | clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications a narrative literature review |
| topic | Clinical inertia Diabetes care Italian association of medical diabetologists Therapeutic inertia Type 2 diabetes mellitus |
| url | http://link.springer.com/article/10.1186/s13098-020-00559-7 |
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