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内分泌科医生参与临床护理团队与冠状动脉旁路移植术后2型糖尿病患者钠-葡萄糖协同转运蛋白2抑制剂处方的关联:一项双中心研究

Association of Endocrinologists on Clinical Care Team With Sodium-Glucose Cotransporter 2 Inhibitor Prescription for People With Type 2 Diabetes After Coronary Artery Bypass Grafting: A Two-Center Study.

作者信息

Yi Yangtian, Kumar Nicolas, Smith Matthew R, Mueller Ariel, Houle Timothy, Jassar Arminder, Cornella Lauren J, Schonberger Robert B, Bardia Amit

机构信息

Deparment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

Division of Cardiac Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

出版信息

Clin Diabetes. 2025 Mar 6;43(3):409-415. doi: 10.2337/cd24-0107. eCollection 2025 Summer.

Abstract

Sodium-glucose cotransporter 2 (SGLT2) inhibitors are underutilized in people with type 2 diabetes after coronary artery bypass grafting (CABG). This study investigated the association of the presence of an endocrinologist on treatment teams with SGLT2 inhibitor prescription in patients with type 2 diabetes after CABG. The presence of an endocrinologist was associated with a more than twofold increase in the odds of obtaining an SGLT2 inhibitor prescription. This finding suggests that involving endocrinologists in these patients' postoperative care may improve prescription and use of SGLT2 inhibitors after CABG.

摘要

钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂在冠状动脉旁路移植术(CABG)后的2型糖尿病患者中未得到充分利用。本研究调查了内分泌科医生参与治疗团队与CABG术后2型糖尿病患者使用SGLT2抑制剂处方之间的关联。内分泌科医生的参与使开具SGLT2抑制剂处方的几率增加了两倍多。这一发现表明,让内分泌科医生参与这些患者的术后护理可能会改善CABG后SGLT2抑制剂的处方开具和使用情况。

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