Clinical efficacy and cost‐effectiveness of metformin in different patient populations: A narrative review of real‐world evidence
Diabetes Obesity and Metabolism,
Journal Year:
2024,
Volume and Issue:
26(S3), P. 20 - 30
Published: June 28, 2024
Over
the
past
two
decades,
diabetes
pharmacopoeia
has
flourished,
with
new
drugs
that,
on
top
of
their
glucose-lowering
efficacy,
have
been
shown
to
protect
heart
and
kidney.
Despite
these
opportunities,
metformin
retains
a
pivotal
role
among
agents.
As
one
few
available
insulin
sensitizers,
is
an
effective,
safe,
overall
well-tolerated
drug
backed
by
over
60
years
clinical
experience,
including
evidence
for
potential
benefits
beyond
glucose
reduction
across
different
ages,
sexes,
genetic
backgrounds,
geographical
areas,
stages
disease.
Although
there
some
discussion
whether
offers
most
effective
front-line
option
in
newly
diagnosed
type
2
(T2D),
it
remains
natural
companion
all
other
Furthermore,
comes
at
very
low
cost
and,
as
such,
extremely
high
cost-effectiveness,
particularly
given
serious
economic
burden
associated
complications.
This
financial
advantage
relevant
resource-constrained
healthcare
systems,
where
affordability
may
be
instrumental
implementing
treatment
evergrowing
number
individuals.
We
present
here
compelling
real-world
support
efficacy
cost-effectiveness
patient
populations,
highlighting
areas
more
population-based
studies
are
needed
further
incorporate
consolidate
its
use
pharmacological
management
T2D.
Language: Английский
Disease Clusters in Multimorbidity: A Systematic Review and Meta-Analysis
Jennifer K. Ferris,
No information about this author
Lean Fiedeldey,
No information about this author
Boah Kim
No information about this author
et al.
Published: Jan. 1, 2025
Language: Английский
Temporal change in multimorbidity prevalence, clustering patterns, and the association with mortality: findings from the China Kadoorie Biobank study in Jiangsu Province
Hao Yu,
No information about this author
Ran Tao,
No information about this author
Jinyi Zhou
No information about this author
et al.
Frontiers in Public Health,
Journal Year:
2024,
Volume and Issue:
12
Published: April 18, 2024
Objectives
The
characteristics
of
multimorbidity
in
the
Chinese
population
are
currently
unclear.
We
aimed
to
determine
temporal
change
prevalence,
clustering
patterns,
and
association
with
mortality
from
all
causes
four
major
chronic
diseases.
Methods
This
study
analyzed
data
China
Kadoorie
Biobank
performed
Wuzhong
District,
Jiangsu
Province.
A
total
53,269
participants
aged
30–79
years
were
recruited
between
2004
2008.
New
diagnoses
15
diseases
death
events
collected
during
mean
follow-up
10.9
years.
Yule's
Q
cluster
analysis
method
was
used
patterns
multimorbidity.
Cox
proportional
hazards
model
estimate
associations
mortalities.
Results
overall
prevalence
rate
21.1%
at
baseline
27.7%
end
follow-up.
Multimorbidity
increased
more
rapidly
individuals
who
had
a
higher
risk
baseline.
Three
main
identified:
(i)
cardiometabolic
(diabetes,
coronary
heart
disease,
stroke,
hypertension),
(ii)
respiratory
(tuberculosis,
asthma,
obstructive
pulmonary
disease),
(iii)
mental,
kidney
arthritis
(neurasthenia,
psychiatric
disorders,
rheumatoid
arthritis).
There
3,433
deaths
by
24%
each
additional
disease
[hazard
ratio
(HR)
=
1.24,
95%
confidence
interval
(CI)
1.20–1.29].
Compared
those
without
baseline,
both
associated
Cardiometabolic
additionally
cardiovascular
diabetes,
HRs
2.64
(95%
CI
2.19–3.19)
28.19
14.85–53.51),
respectively.
Respiratory
mortality,
an
HR
9.76
6.22–15.31).
Conclusion
has
substantially
over
past
decade.
revealed
that
have
significantly
rates.
These
findings
indicate
need
consider
high-risk
populations
provide
local
evidence
for
intervention
strategies
health
management
economically
developed
regions.
Language: Английский
COMORBIDITY IN ONCOLOGY: MODERN CHALLENGES AND THE SEARCH FOR WAYS TO SOLVE THE PROBLEM
O.V. Drobotun,
No information about this author
Nikolai N. Kolotilov,
No information about this author
V.F. Konovalenko
No information about this author
et al.
Clinical and Preventive Medicine,
Journal Year:
2024,
Volume and Issue:
3, P. 132 - 141
Published: May 8, 2024
Introduction.
The
article
is
devoted
to
the
current
problem
of
modern
oncology
–
increasing
treatment
effectiveness
cancer
patients
with
comorbidities.
Comorbidity
accompanied
by
higher
rates
mortality,
disability,
side
effects
treatment,
increased
use
patient's
body
resources,
and
lower
quality
life.
aim
study.
To
develop
a
method
recurrence
prevention
after
bone
lesions
resection
replacement
surgery
for
malignant
primary
tumors,
which
would
ensure
longer
duration
1st
recurrence-free
period
in
Materials
methods.
study
included
control
group
consisting
27
who
underwent
removal
tumors
pelvis
extremities.
25
biomin
pelvic
bones
limbs,
as
well
neuropeptide
therapy
drug
dalargin.
Results.
obtained
data
testify
proposed
dalargin:
compaction
structure
compact
spongy
tissues
an
increase
their
heterogeneity
have
been
established.
Under
influence
dalargin,
interface,
characteristic
intact
tissue,
reorganized,
accordingly,
restoration
strength
observed.
12
months
operation,
density
main
practically
recovered
values
typical
limb
(p<0.01).
No
such
recovery
was
observed
group.
Within
11
23
months,
10
had
tumor
recurrences.
Instead,
group,
analysis
results
revealed
following:
within
21
only
1
patient
tumor.
Conclusions.
Neuropeptide
Dalargin
helps
relapse-free
polymorbidity.
integration
into
therapeutic
protocol
dalargin
allows
complex
improve
prognosis
course
disease.
Language: Английский
Geoenvironmental variables as causal cofactors of diseases of unknown etiology
Elsevier eBooks,
Journal Year:
2024,
Volume and Issue:
unknown, P. 81 - 193
Published: Jan. 1, 2024
Language: Английский
Exploring Laboratory Findings in Psychotic Patients
Ibrahim Abdul Jaleel Yamani
No information about this author
African Journal of Biomedical Research,
Journal Year:
2024,
Volume and Issue:
unknown, P. 2705 - 2710
Published: Oct. 15, 2024
psychoses
lose
touch
with
reality.
Laboratory
findings
are
widely
used
in
the
differential
diagnosis,
treatment,
and
outcome
monitoring
of
psychotic
patients.
Study
objectives:
The
main
objectives
this
review
study
were
to
explore
if
laboratory
can
participate
diagnosis
progress
Psychotic
disorders.
Methods:
Literature
was
reviewed
collect
appropriate
cited
articles
field.
searching
engines
including
ScienceDirect,
PubMed,
Googlescholar.
selected
summarized.
research
team
organized
data
prepared
final
manuscript.
Results:
showed
that
there
several
biochemical
be
utilized
monitor
progression
diseases.
These
tests
include,
but
not
restricted
to,
magnesium,
vitamin
D,
heavy
metals
such
as
mercury,
lead,
cadmium.
Conclusion:
Although
great
importance
diseases,
these
may
conclusive
Further
future
studies
required
find
more
in-depth
tests.
Language: Английский