Back to all articles

Physician Perceptions of the Safety and Efficacy of GLP-1 Receptor Agonists: Underestimating Cardiovascular Risk Reduction and Discrepancies with Clinical Evidence

Journal of cardiovascular development and disease
Read Full Paper
Srikanth Krishnan, Pratyaksh K Srivastava, Jayram Attaluri, Rebecca Nayeri, Dhananjay Chatterjee, Jay Patel, Ali Nsair, Matthew Budoff, Arash Nayeri

A recent study by researchers from The Lundquist Institute at Harbor-UCLA reveals significant gaps between physician perceptions and clinical evidence regarding the safety and efficacy of GLP-1 receptor agonists, such as semaglutide and tirzepatide. While clinical trials have demonstrated cardiovascular benefits associated with these medications, many physicians remain unaware of these advantages, which could impact patient care decisions.


Key Findings

  • Underestimated Weight Loss Effects: Physicians reported an average weight loss of 9.22% in their patients, compared to 14.9% and 18.5% reported in the STEP and SURMOUNT trials, respectively.

  • Misjudged Side Effects: Physicians estimated side effect rates at 32.62%, significantly lower than the trial-reported figures of 89.7% and 80.5%.

  • Limited Awareness of Cardiovascular Benefits: Only 48.4% of physicians recognized cardiovascular benefits in diabetic patients, and just 39.3% acknowledged such benefits in nondiabetic patients, indicating a lack of awareness or understanding.

"These results highlight discrepancies between physician perceptions and clinical evidence, suggesting gaps in understanding regarding the efficacy and safety profiles of these agents." - Study Abstract


Why It Matters

Understanding the capabilities of GLP-1 receptor agonists is crucial, especially as obesity and cardiometabolic diseases continue to present significant global health challenges. These medications offer broader health benefits, including cardiovascular risk reduction. Misconceptions among physicians could lead to the underutilization of these potentially life-saving treatments.

"Addressing these gaps could enhance physician knowledge, patient adherence, and clinical outcomes." - Study Abstract

Increasing awareness and education among healthcare providers can lead to improved decision-making and better patient outcomes. Highlighting these benefits may also encourage more patients to adhere to prescribed therapies, understanding the full spectrum of health improvements they offer.


Research Details

The study surveyed 165 attending physicians specializing in internal or family medicine, with 122 responses collected. The survey assessed their perceptions of the efficacy and safety profiles of semaglutide and tirzepatide. Physicians' estimates of patient outcomes, side effects, and discontinuation rates were compared with data from major clinical trials.

  • Survey Methodology: Physicians were asked about their experiences and observations regarding these medications, covering aspects such as weight loss, side effects, and cardiovascular benefits.

  • Statistical Analysis: Data were analyzed using IBM SPSS Statistics, with descriptive statistics providing insights into the discrepancies between perceived and actual clinical trial outcomes.

  • Sample Demographics: The physician cohort had an average age of 41.6 years and was evenly split between male and female participants.

"The estimated mean reported weight loss among patients was significantly lower than clinical trial findings." - Study Results


Looking Ahead

This study underscores the need for ongoing medical education and improved dissemination of clinical trial data among healthcare providers. Bridging the gap between perception and evidence is essential for maximizing the therapeutic potential of GLP-1 receptor agonists.

Future initiatives may include:

  • Enhanced Training Programs: Integrating updated clinical trial results into medical curricula and continuous professional development courses.

  • Patient Education Campaigns: Empowering patients with knowledge about the full benefits and potential side effects, fostering better communication with their healthcare providers.

  • Collaborative Research Efforts: Encouraging ongoing studies to monitor real-world outcomes and further validate clinical trial findings in diverse patient populations.

By addressing these educational gaps, the medical community can ensure that the full benefits of GLP-1 receptor agonists are realized, ultimately improving patient health outcomes and advancing the management of obesity and cardiometabolic diseases.

Diabetes