PMID- 23880594 OWN - NLM STAT- MEDLINE DCOM- 20140624 LR - 20151119 IS - 1878-1780 (Electronic) IS - 1262-3636 (Linking) VI - 39 IP - 5 DP - 2013 Oct TI - Avoidance of weight gain is important for oral type 2 diabetes treatments in Sweden and Germany: patient preferences. PG - 397-403 LID - S1262-3636(13)00125-0 [pii] LID - 10.1016/j.diabet.2013.06.001 [doi] AB - AIMS: The aim of the study was to quantify patient preferences for outcomes associated with oral antidiabetic medications (OAMs) in Sweden and Germany through a discrete-choice experiment. METHODS: Adults taking OAMs who had a self-reported physician's diagnosis of type 2 diabetes mellitus (T2DM) made a series of nine choices between pairs of hypothetical profiles. Each profile had a predefined range of attributes: blood glucose control, frequency of mild-to-moderate hypoglycaemia, annual severe hypoglycaemic events, annual weight gain, pill burden and frequency of administration, and cost. Choice questions were based on an experimental design with known statistical properties. Bivariate probit analysis estimated the probabilities of choice of medication administration from patient characteristics and, conditional on that choice, preferences for treatment outcomes. RESULTS: The final sample consisted of 188 Swedish and 195 German patients. For both countries, weight gain was the most important attribute, followed by blood glucose control. Avoiding a 5-kg weight gain was 1.5 times more important in Sweden and 2.3 times more important in Germany than achieving moderate blood glucose control, thereby, suggesting that blood glucose control is relatively more important to Swedish than to German patients. Least important outcomes were the number of daily pills (Sweden) and frequency of mild-to-moderate hypoglycaemia (Germany). CONCLUSION: Patients in both Sweden and Germany preferred OAMs not associated with weight gain. CI - Copyright (c) 2013 Elsevier Masson SAS. All rights reserved. FAU - Mohamed, A F AU - Mohamed AF AD - RTI Health Solutions, 200 Park Offices Drive, Research Triangle Park, NC, USA. FAU - Zhang, J AU - Zhang J FAU - Johnson, F R AU - Johnson FR FAU - Lomon, I Duprat AU - Lomon ID FAU - Malvolti, E AU - Malvolti E FAU - Townsend, R AU - Townsend R FAU - Ostgren, C J AU - Ostgren CJ FAU - Parhofer, K G AU - Parhofer KG LA - eng PT - Journal Article PT - Multicenter Study DEP - 20130720 PL - France TA - Diabetes Metab JT - Diabetes & metabolism JID - 9607599 RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) SB - IM MH - Administration, Oral MH - Blood Glucose/*metabolism MH - Choice Behavior MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*drug therapy/epidemiology MH - Diabetic Angiopathies/epidemiology/etiology/*prevention & control MH - Female MH - Germany/epidemiology MH - Humans MH - Hypoglycemia/chemically induced MH - Hypoglycemic Agents/*administration & dosage/adverse effects MH - Male MH - Medication Adherence MH - Middle Aged MH - Patient Preference MH - Self Care MH - Surveys and Questionnaires MH - Sweden/epidemiology MH - Treatment Outcome MH - Weight Gain/*drug effects OTO - NOTNLM OT - Analyse conjointe OT - Choice-format conjoint analysis OT - Discrete-choice experiment OT - Oral antidiabetic medication OT - Patient preferences OT - Preferences des patients OT - Traitements antidiabetiques oraux EDAT- 2013/07/25 06:00 MHDA- 2014/06/25 06:00 CRDT- 2013/07/25 06:00 PHST- 2013/02/13 00:00 [received] PHST- 2013/06/03 00:00 [revised] PHST- 2013/06/04 00:00 [accepted] PHST- 2013/07/25 06:00 [entrez] PHST- 2013/07/25 06:00 [pubmed] PHST- 2014/06/25 06:00 [medline] AID - S1262-3636(13)00125-0 [pii] AID - 10.1016/j.diabet.2013.06.001 [doi] PST - ppublish SO - Diabetes Metab. 2013 Oct;39(5):397-403. doi: 10.1016/j.diabet.2013.06.001. Epub 2013 Jul 20.