TABLE 1.
Percentage of overall total cost for each agent, and comparison between Quadrant 1 (low cost, good outcome) and the other quadrants
Agent | Number of items prescribed | Overall (% of total cost per practice) | Relationship to Quadrant 1 (low cost, good outcome) | p‐value | ||
---|---|---|---|---|---|---|
Median | IQR | |||||
Overall | ||||||
Insulin | 453,839 | 38.4 | 32.4–44.1 | |||
DPP‐IV inhibitors | 382,068 | 20.5 | 15.8–24.6 | |||
SGLT2 inhibitor | 314,522 | 11.9 | 9.0–17.1 | |||
GLP‐1 agonist | 83,199 | 11.9 | 9.5–15.5 | |||
Biguanide | 1,366,399 | 10.3 | 8.83–12.0 | |||
Sulphonylurea | 495,417 | 2.41 | 1.7–3.13 | |||
Thiazolidinediones | 49,100 | 0.3 | 0.16–0.65 | |||
Quadrant 1 Low Cost, meeting metabolic target | ||||||
Insulin | 41.2 | 37.2–45.6 | NA | |||
DPP‐IV inhibitors | 20.6 | 16.9–23.9 | NA | |||
SGLT2 inhibitor | 9.7 | 7.6–13.5 | NA | |||
GLP‐1 agonist | 11.3 | 7.8–14.1 | NA | |||
Biguanide | 11.4 | 9.8–13.0 | NA | |||
Sulphonylurea | 3.0 | 2.3–3.7 | NA | |||
Thiazolidinediones | 0.3 | 0.2–0.7 | NA | |||
Quadrant 2 High Cost, meeting metabolic target | ||||||
Insulin | 33.3 | 28.4–38.1 |
|
<0.001 | ||
DPP‐IV inhibitors | 21.4 | 16.4–25.9 | 0.38 | |||
SGLT2 inhibitor | 16 | 11.5–22.7 |
|
<0.001 | ||
GLP‐1 agonist | 13.2 | 10.6–16.6 |
|
0.002 | ||
Biguanide | 9.24 | 7.9–10.4 |
|
<0.001 | ||
Sulphonylurea | 1.7 | 1.21–2.43 |
|
<0.001 | ||
Thiazolidinediones | 0.4 | 0.2–0.7 | 0.42 | |||
Quadrant 3 Low Cost, not meeting metabolic target |
||||||
Insulin | 43.2 | 39.0–47.6 | 0.13 | |||
DPP‐IV inhibitors | 19.0 | 14.4–22.8 |
|
0.05 | ||
SGLT2 inhibitor | 9.9 | 7.7–12.6 | 0.92 | |||
GLP‐1 agonist | 11.3 | 8.7–15.5 | 0.40 | |||
Biguanide | 11.7 | 10.3–12.7 | 0.62 | |||
Sulphonylurea | 3.0 | 2.4–3.7 | 0.60 | |||
Thiazolidinediones | 0.4 | 0.2–0.7 | 0.07 | |||
Quadrant 4 High cost, not meeting metabolic target | ||||||
Insulin | 35.8 | 28.7–40.4 |
|
<0.001 | ||
DPP‐IV inhibitors | 21.0 | 15.8–25.4 | 0.94 | |||
SGLT2 inhibitor | 14.1 | 10.9–23.1 |
|
<0.001 | ||
GLP‐1 agonist | 11.5 | 8.1–15.3 | 0.49 | |||
Biguanide | 9.26 | 6.98–10.6 |
|
<0.001 | ||
Sulphonylurea | 2.1 | 1.4–2.6 |
|
<0.001 | ||
Thiazolidinediones | 0.3 | 0.1–0.5 | 0.29 |