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I didn't hear anyone saying that it was primary care, and yet this would take a billion dollars out of the primary care system

Comment: A few commenters noted that for small, rural hospitals, delays in the ability to transfer patients are frequently out of their control

Study Population The population eligible for inclusion was adults (aged 18.0 years) with both CKD (stage 24 or stage unspecified) and type 2 diabetes who initiated either an SGLT2i or GLP-1 RA in the later period (9 July 2021 [i.e., the FDA approval date of finerenone] to 30 September 2023) with at least 12 months of continuous enrollment before medication initiation (ESM Fig