Table 2.
Annual SGLT2 inhibitor and GLP1 receptor agonist use in the integrated health system clinics (2013–2019), overall and in high-risk patients.
| Variable | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | Absolute difference 2013–2019 | 95% confidence interval | p Value for trend |
|---|---|---|---|---|---|---|---|---|---|---|
|
| ||||||||||
| Integrated health system patients, total population | ||||||||||
|
| ||||||||||
| Eligible patients (n) | 4522 | 4747 | 4915 | 5103 | 5496 | 6342 | 16422 | – | – | – |
| Medication users (n) | ||||||||||
| SGLT2i | 40 | 270 | 547 | 631 | 801 | 987 | 2405 | – | – | P < 0.01 |
| GLP1-RA | 471 | 578 | 682 | 679 | 722 | 940 | 1671 | – | – | P = 0.99 |
| Total | 495 | 742 | 1059 | 1135 | 1302 | 1639 | 3539 | – | – | P < 0.01 |
| Prescription Rate (%) | ||||||||||
| SGLT2i | 1% | 6% | 11% | 12% | 15% | 16% | 15% | 14% | 13%–15% | – |
| GLP1-RA | 10% | 12% | 14% | 13% | 13% | 15% | 10% | 0% | −1%–1% | – |
| Total | 11% | 16% | 22% | 22% | 24% | 26% | 22% | 11% | 10%–12% | – |
|
| ||||||||||
| High-risk patient subgroup * | ||||||||||
|
| ||||||||||
| Eligible patients (n) | 335 | 398 | 489 | 626 | 737 | 812 | 1395 | – | – | – |
| Medication users (n) | ||||||||||
| SGLT2i | 4 | 12 | 37 | 76 | 107 | 140 | 249 | – | – | P < 0.01 |
| GLP1-RA | 21 | 30 | 49 | 52 | 73 | 96 | 142 | – | – | P = 0.01 |
| Total | 24 | 38 | 77 | 114 | 158 | 203 | 340 | – | – | P < 0.01 |
| Prescription Rate (%) | ||||||||||
| SGLT2i | 1% | 3% | 8% | 12% | 15% | 17% | 18% | 17% | 13%–21% | – |
| GLP1-RA | 6% | 8% | 10% | 8% | 10% | 12% | 10% | 4% | 1%–7% | – |
| Total | 7% | 10% | 16% | 18% | 21% | 25% | 24% | 17% | 12%–22% | – |
Usage rates equal the number of medication users divided by the total eligible per year.
This includes patients with diabetes, an A1c >7.0%, an ICD-9 or ICD-10 diagnosis of HF or atherosclerotic CVD and with an active prescription for metformin.