{"id":"https://openalex.org/W4281744912","doi":"https://doi.org/10.2337/db22-1069-p","title":"1069-P: A National Physician Survey of Perspectives on Deintensifying Diabetes Medications","display_name":"1069-P: A National Physician Survey of Perspectives on Deintensifying Diabetes Medications","publication_year":2022,"publication_date":"2022-05-31","ids":{"openalex":"https://openalex.org/W4281744912","doi":"https://doi.org/10.2337/db22-1069-p"},"language":"en","primary_location":{"id":"doi:10.2337/db22-1069-p","doi":"https://doi.org/10.2337/db22-1069-p","is_oa":false,"landing_page_url":"https://doi.org/10.2337/db22-1069-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5065102139","display_name":"Scott J. Pilla","orcid":"https://orcid.org/0000-0002-3292-9047","observed_orcids":["https://orcid.org/0000-0002-3292-9047"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"SCOTT J. PILLA","raw_affiliation_strings":["Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Baltimore, MD","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023514556","display_name":"Isabelle J. Wang","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"ISABELLE J. WANG","raw_affiliation_strings":["Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Baltimore, MD","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080949608","display_name":"Nancy Li Schoenborn","orcid":"https://orcid.org/0000-0001-5053-5132","observed_orcids":["https://orcid.org/0000-0001-5053-5132"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"NANCY SCHOENBORN","raw_affiliation_strings":["Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Baltimore, MD","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035889126","display_name":"CYNTHIA BOYD","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"CYNTHIA BOYD","raw_affiliation_strings":["Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Baltimore, MD","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023153504","display_name":"Sherita Hill Golden","orcid":"https://orcid.org/0000-0001-8854-4026","observed_orcids":["https://orcid.org/0000-0001-8854-4026"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"SHERITA GOLDEN","raw_affiliation_strings":["Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Baltimore, MD","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051572835","display_name":"Nestoras Nicolas Mathioudakis","orcid":"https://orcid.org/0000-0002-0210-655X","observed_orcids":["https://orcid.org/0000-0002-0210-655X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"NESTORAS N. MATHIOUDAKIS","raw_affiliation_strings":["Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Baltimore, MD","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5082539490","display_name":"NISA M. MARUTHUR","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"NISA M. MARUTHUR","raw_affiliation_strings":["Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Baltimore, MD","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.08534673,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"71","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10401","display_name":"Diabetes Treatment and Management","score":0.8511000275611877,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10401","display_name":"Diabetes Treatment and Management","score":0.8511000275611877,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.13600000739097595,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.0032999999821186066,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/deintensification","display_name":"treatment deintensification","score":0.8519999980926514},{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.9819999933242798},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.996999979019165},{"id":"https://openalex.org/keywords/physician-attitudes","display_name":"physician attitudes","score":0.8809999823570251},{"id":"https://openalex.org/keywords/hypoglycemia","display_name":"hypoglycemia","score":0.8259999752044678},{"id":"https://openalex.org/keywords/drug-switching","display_name":"drug switching","score":0.7450000047683716},{"id":"https://openalex.org/keywords/barriers-and-facilitators","display_name":"barriers and facilitators","score":0.7170000076293945},{"id":"https://openalex.org/keywords/geriatricians","display_name":"geriatricians","score":0.5920000076293945},{"id":"https://openalex.org/keywords/endocrinologists","display_name":"endocrinologists","score":0.9599999785423279},{"id":"https://openalex.org/keywords/glycemic-control","display_name":"glycemic control","score":0.6299999952316284},{"id":"https://openalex.org/keywords/treatment-costs","display_name":"treatment costs","score":0.6129999756813049},{"id":"https://openalex.org/keywords/hyperglycemia","display_name":"hyperglycemia","score":0.8360000252723694}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8030397295951843},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.7126418948173523},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.6452613472938538},{"id":"https://openalex.org/C2780668416","wikidata":"https://www.wikidata.org/wiki/Q202758","display_name":"Hypoglycemia","level":3,"score":0.642184853553772},{"id":"https://openalex.org/C54183767","wikidata":"https://www.wikidata.org/wiki/Q10384","display_name":"Geriatrics","level":2,"score":0.5177154541015625},{"id":"https://openalex.org/C105776082","wikidata":"https://www.wikidata.org/wiki/Q617473","display_name":"Likert scale","level":2,"score":0.5016326904296875},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.46997660398483276},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.43913984298706055},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4206112325191498},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.4202403426170349},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.17562061548233032},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.15061154961585999},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.10850584506988525},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.2337/db22-1069-p","doi":"https://doi.org/10.2337/db22-1069-p","is_oa":false,"landing_page_url":"https://doi.org/10.2337/db22-1069-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4388488388","https://openalex.org/W4281625244","https://openalex.org/W4321183786","https://openalex.org/W4298006438","https://openalex.org/W4381337632","https://openalex.org/W4392756038","https://openalex.org/W2944382679","https://openalex.org/W4411061928","https://openalex.org/W2968065392","https://openalex.org/W2933592800"],"abstract_inverted_index":{"Deintensifying":[0],"diabetes":[1,11,130],"medications":[2,131,156,188],"rarely":[3],"occurs":[4],"for":[5,35],"older":[6,36,138],"adults":[7,37],"with":[8,18,38,82],"type":[9],"2":[10],"(T2D)":[12],"despite":[13],"many":[14],"being":[15],"tightly":[16],"controlled":[17],"hypoglycemia-inducing":[19],"medications.":[20],"We":[21,103],"conducted":[22],"a":[23,45,55,80,83],"national":[24],"survey":[25,41],"of":[26,47,58,74,77,93,125,137,176,228],"US":[27,126],"physicians":[28,59,127],"to":[29,54,79,108,134,154,158,162],"understand":[30],"their":[31,160],"perspectives":[32],"on":[33,87],"deintensification":[34],"T2D.":[39],"The":[40,113],"was":[42,173],"designed":[43],"by":[44],"team":[46],"patients,":[48],"caregivers,":[49],"and":[50,52,64,76,101,191,231],"physicians,":[51],"distributed":[53],"random":[56],"sample":[57],"in":[60,66,96],"general":[61],"medicine,":[62],"geriatrics,":[63],"endocrinology":[65],"three":[67],"mailing":[68],"waves.":[69],"Respondents":[70],"rated":[71],"the":[72,91,97,122,135],"importance":[73],"deintensifying,":[75],"switching":[78],"medication":[81],"better":[84],"risk/benefit":[85],"profile,":[86],"5-point":[88],"Likert":[89],"scales;":[90],"frequency":[92],"these":[94],"actions":[95],"past":[98],"3":[99],"months;":[100],"barriers/facilitators.":[102],"received":[104],"427":[105],"completed":[106],"surveys":[107],"date,":[109],"response":[110],"rate":[111],"27%.":[112],"Figure":[114],"shows":[115],"physicians\u2019":[116,148],"responses.":[117],"Our":[118],"findings":[119],"show":[120],"that":[121,150],"vast":[123],"majority":[124],"view":[128],"deintensifying":[129,180],"as":[132,172],"important":[133],"care":[136],"adults,":[139],"although":[140],"they":[141],"accomplish":[142],"this":[143],"infrequently.":[144],"Major":[145],"barriers":[146],"were":[147,152,169,192],"views":[149],"patients":[151],"reluctant":[153],"change":[155],"or":[157],"allow":[159],"glucose":[161],"be":[163],"higher.":[164],"Adverse":[165],"events,":[166],"especially":[167],"hypoglycemia,":[168],"strong":[170],"facilitators,":[171],"reducing":[174],"cost":[175],"therapy.":[177],"Geriatricians":[178],"reported":[179],"more":[181,189,193],"often":[182,190],"than":[183],"other":[184],"specialties.":[185],"Endocrinologists":[186],"switched":[187],"concerned":[194],"about":[195],"short-term":[196],"hyperglycemia.":[197],"Disclosure":[198],"S.J.Pilla:":[199],"None.":[200,202,204,217],"I.J.Wang:":[201],"N.Schoenborn:":[203],"C.Boyd:":[205],"Other":[206,219],"Relationship;":[207,220],"Dynamed,":[208],"UpToDate.":[209],"S.Golden:":[210],"Advisory":[211],"Panel;":[212],"Abbott":[213],"Diabetes,":[214],"Medtronic.":[215],"N.N.Mathioudakis:":[216],"N.M.Maruthur:":[218],"Johns":[221],"Hopkins":[222],"HealthCare":[223],"Solutions.":[224],"Funding":[225],"National":[226],"Institutes":[227],"Health":[229],"(1R24AG064025":[230],"1K23DK128572)":[232]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2022-06-13T00:00:00"}
