PMID- 35857060 OWN - NLM STAT- MEDLINE DCOM- 20220822 LR - 20221207 IS - 1945-7197 (Electronic) IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 107 IP - 9 DP - 2022 Aug 18 TI - Changes in Treatment Satisfaction Over 3 Years in Patients With Type 2 Diabetes After Initiating Second-line Treatment. PG - 2424-2432 LID - 10.1210/clinem/dgac420 [doi] AB - CONTEXT: J-DISCOVER is a prospective observational cohort study aiming to understand the current management of patients with early-stage type 2 diabetes mellitus (T2DM) in Japan, enrolling patients initiating second-line treatment. OBJECTIVE: The current analysis examined the change in treatment satisfaction during the study period and factors affecting this change among patients in J-DISCOVER. METHODS: We used data from the J-DISCOVER study, in which 1798 patients with T2DM aged >/= 20 years were enrolled from 142 sites across Japan. Treatment satisfaction was assessed using the Diabetes Treatment Satisfaction Questionnaire (DTSQ). RESULTS: The mean DTSQ treatment satisfaction score increased from 25.9 points at baseline to 27.3 points at 6 months, which was maintained through 36 months. Among the baseline characteristics examined, higher baseline DTSQ treatment satisfaction scores (P < 0.0001), older age (>/= 75 vs < 65 years, P = 0.0096), living alone (P = 0.0356), and type of facility (clinics vs hospitals, P = 0.0044) had a significantly negative impact on the changes in DTSQ treatment satisfaction scores. Improvement in mean glycated hemoglobin (HbA1c) from baseline (7.7%) to 36 months (7.1%) was associated with positive changes in the DTSQ treatment satisfaction score (P = 0.0003). CONCLUSION: Changes in DTSQ treatment satisfaction scores were related to HbA1c improvement, suggesting that the management strategy was appropriately planned for each patient. The results also suggest that the availability of social support for patients with T2DM who are elderly or living alone may be an important factor affecting treatment satisfaction, adherence, and clinical outcomes. CI - (c) The Author(s) 2022. Published by Oxford University Press on behalf of the Endocrine Society. FAU - Mita, Tomoya AU - Mita T AD - Department of Metabolism and Endocrinology, Juntendo University Graduate School of Medicine, Tokyo, Japan. FAU - Katakami, Naoto AU - Katakami N AD - Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan. FAU - Takahara, Mitsuyoshi AU - Takahara M AD - Department of Diabetes Care Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan. FAU - Kawashima, Masaru AU - Kawashima M AD - Ono Pharmaceutical Co., Ltd., Osaka, Japan. FAU - Wada, Fumitaka AU - Wada F AD - AstraZeneca K.K., Osaka, Japan. FAU - Akiyama, Hiroki AU - Akiyama H AD - AstraZeneca K.K., Osaka, Japan. FAU - Morita, Naru AU - Morita N AD - AstraZeneca K.K., Osaka, Japan. FAU - Kidani, Yoko AU - Kidani Y AD - AstraZeneca K.K., Osaka, Japan. FAU - Yajima, Toshitaka AU - Yajima T AUID- ORCID: 0000-0001-8409-4937 AD - AstraZeneca K.K., Osaka, Japan. FAU - Shimomura, Iichiro AU - Shimomura I AD - Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan. FAU - Watada, Hirotaka AU - Watada H AUID- ORCID: 0000-0001-5961-1816 AD - Department of Metabolism and Endocrinology, Juntendo University Graduate School of Medicine, Tokyo, Japan. LA - eng SI - ClinicalTrials.gov/NCT02322762 SI - ClinicalTrials.gov/NCT02226822 PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) SB - IM MH - Aged MH - *Diabetes Mellitus, Type 2/drug therapy MH - Glycated Hemoglobin/analysis MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Patient Satisfaction MH - Personal Satisfaction MH - Prospective Studies PMC - PMC9387712 OTO - NOTNLM OT - DTSQ OT - Diabetes Treatment Satisfaction Questionnaire OT - J-DISCOVER OT - patient-reported outcome OT - treatment satisfaction OT - type 2 diabetes mellitus EDAT- 2022/07/21 06:00 MHDA- 2022/08/23 06:00 PMCR- 2022/07/20 CRDT- 2022/07/20 11:13 PHST- 2022/03/23 00:00 [received] PHST- 2022/07/21 06:00 [pubmed] PHST- 2022/08/23 06:00 [medline] PHST- 2022/07/20 11:13 [entrez] PHST- 2022/07/20 00:00 [pmc-release] AID - 6647028 [pii] AID - dgac420 [pii] AID - 10.1210/clinem/dgac420 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2022 Aug 18;107(9):2424-2432. doi: 10.1210/clinem/dgac420.