Cardiometabolic & kidneySecondary analysis

Effects of an Intervention to Improve Evidence-Based Care for People With Diabetes and Cardiovascular Disease Across Sex, Race, and Ethnicity Subgroups: Insights From the COORDINATE-Diabetes Trial

CirculationPublished

  • Secondary analysis of the COORDINATE-Diabetes randomised trial
  • cluster randomised
  • prespecified analysis
  • 43 US cardiology clinics

Authors' conclusion

The COORDINATE-Diabetes intervention successfully improved delivery of evidence-based care, regardless of sex, race, or ethnicity.

Study context

Population
Participants with T2DM and atherosclerotic CVD at US cardiology clinics
Participants
1,045 participants
Comparison
Intervention vs Usual care
Primary endpoint
Proportion prescribed all 3 groups of evidence-based therapy (high-intensity statin, ACEi/ARB, and SGLT2 inhibitor or GLP-1 receptor agonist)
Follow-up
Last trial assessment (6 to 12 months)

Primary result

As reported in the abstract

Prescribed all 3 evidence-based therapy groups, by subgroup · last trial assessment

Consistent benefit across sex (male vs female)

Pinteraction=0.44

Consistent benefit across race (Black vs White)

Pinteraction=0.59

Consistent benefit across ethnicity (Hispanic vs Non-Hispanic)

Pinteraction= 0.78

Original publication

Effects of an Intervention to Improve Evidence-Based Care for People With Diabetes and Cardiovascular Disease Across Sex, Race, and Ethnicity Subgroups: Insights From the COORDINATE-Diabetes Trial. Circulation. Published 27 June 2024. doi:10.1161/circulationaha.124.068962

Summarised from the published abstract; every number is checked against it