Impact of automatic e-consults on use of SGLT2i and GLP-1 RA in rural veterans with type 2 diabetes and chronic kidney disease

In this pilot study, we identified rural veterans with chronic kidney disease and type 2 diabetes who have an indication for SGLT2i or GLP-1 RA but not yet on either of these agents. Nearly a third of providers changed their practice based on automatic e-consult; however, there were still 69% of cases where providers did not.

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Publication Details

Journal
Primary care diabetes
Published
2026-04-01
DOI
https://doi.org/10.1016/j.pcd.2026.04.004
Primary Topic
Healthcare Systems and Technology
Type
article
Field-Weighted Citation Impact
0.00

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article

Impact of automatic e-consults on use of SGLT2i and GLP-1 RA in rural veterans with type 2 diabetes and chronic kidney disease

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Primary care diabetes
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article

Impact of automatic e-consults on use of SGLT2i and GLP-1 RA in rural veterans with type 2 diabetes and chronic kidney disease

Sydney E. Hartsell, Robert E. Boucher, Srinivasan Beddhu, Amara Sarwal, McKenna Nevers, Guo Wei, Michael J Throolin, Jincheng Shen
article en

Abstract

In this pilot study, we identified rural veterans with chronic kidney disease and type 2 diabetes who have an indication for SGLT2i or GLP-1 RA but not yet on either of these agents. Nearly a third of providers changed their practice based on automatic e-consult; however, there were still 69% of cases where providers did not.

Primary care diabetes
University of Utah (US), VA Salt Lake City Healthcare System (US)
Office of Rural Health
Good health and well-being
Openalex Percentile: Top 16%
Healthcare Systems and Technology
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