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Clinical Inertia in Individualising Care for Diabetes: Is There Time to do More in Type 2 Diabetes?

机译：糖尿病个性化护理中的临床惯性：是否有时间在2型糖尿病中做更多？

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Clinical inertia is defined as the failure to establish appropriate targets and escalate treatment to achieve treatment goals. It accounts for a significant proportion of failure to achieve targets in the management of diabetes and contributes to up to 200,000 adverse diabetes- related outcomes per year. Despite a growing awareness of the phenomenon, and newer, better-tolerated agents for the control of diabetes, there has been little improvement over the last decade in the prevalence of clinical inertia. Although common-place in clinical practice, clinical inertia does not appear to affect clinical trials. There are lessons that may be translated from these randomised controlled trials to clinical practice, which that may improve the care for those with diabetes. Key amongst these interventions are good education, clear treatment strategy and more time for interaction between physician and patients, all of which appears to reduce clinical inertia as evidenced by the "placebo effect" of clinical trials. We plan to review here, the lessons that can be learnt from clinical trials and how these may translate to better care for people with diabetes.
机译：临床惯性被定义为未能建立适当的目标和升级治疗以实现治疗目标。它占未能达到糖尿病管理的目标，并且每年有助于达到200,000个不利糖尿病相关结果的目标。尽管对这种现象的认识越来越认识到了对糖尿病的控制，但在过去十年中几乎没有改善临床惯性。虽然临床实践中的共同，临床惯性似乎不会影响临床试验。有可能从这些随机对照试验转化为临床实践的课程，这可能会改善糖尿病那些人的护理。这些干预措施之间的关键是良好的教育，清晰的治疗策略和更多时间用于医生和患者之间的相互作用，所有这些都似乎减少了临床试验“安慰剂效应”所证明的临床惯性。我们计划在这里审查，可以从临床试验中学到的课程以及这些课程以及这些课程可以转化为更好地照顾糖尿病的人。

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