Gaps and Disparities in Primary Prevention Statin Prescription During Outpatient Care.
Gaps and Disparities in Primary Prevention Statin Prescription During Outpatient Care.
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初级预防局的差距和差异在门诊治疗期间汀类药物处方。
DOI：
10.1016/j.amjcard.2021.08.070
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发表时间：
2021-12-15
期刊：
影响因子：
--
通讯作者：
Ye S
中科院分区：
文献类型：
--
作者：
Metser G;Bradley C;Moise N;Liyanage-Don N;Kronish I;Ye S
The 2018 ACC/AHA Guideline on the Management of Blood Cholesterol recommends statin therapy for eligible patients to reduce the risk of atherosclerotic cardiovascular disease (ASCVD). We extracted electronic health record (EHR) data for patients with at least one primary care or cardiology visit between October 2018 and January 2020 at an urban, academic medical center in New York City. Clinical and demographic data were used to identify patients eligible for primary prevention statin therapy. Statin prescription status was extracted from the EHR, and multivariate logistic regression was used to assess the association between statin prescription and age, sex, race, ethnicity, and other clinical and demographic covariables. Among 7,550 patients eligible for primary prevention statin therapy, 3,994 (52.9%) were prescribed statins on at least one visit. Statin prescription was highest among patients with diabetes mellitus (73.6%) and with 10-year ASCVD risk ≥ 20% (60.6%), and was lowest for those with 10-year ASCVD risk between 5% and 7.5% (18.7%). Compared to those never prescribed statins, patients prescribed statins were less likely to be women, mainly driven by lower statin prescription rates for women with diabetes. In a fully adjusted model, women remained less likely to be prescribed statin therapy (adusted odds ratios 0.79, 95% confidence interval, 0.71 to 0.88). In conclusion, primary prevention statin therapy remains underutilized.
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影响因子：
24
作者：
Adusumalli, Srinath;Westover, Julie E.;Patel, Mitesh S.
通讯作者：
Patel, Mitesh S.
影响因子：
--
作者：
Weymiller, Audrey J.;Montori, Victor M.;Smith, Steven A.
通讯作者：
Smith, Steven A.
影响因子：
3.2
作者：
Segars, Larry W.;Lea, Amanda R.
通讯作者：
Lea, Amanda R.
影响因子：
39.3
作者：
DeFilippis, Ersilia M.;Collins, Bradley L.;Blankstein, Ron
通讯作者：
Blankstein, Ron
DOI：
10.1161/circoutcomes.118.005562
发表时间：
2019-08-01
影响因子：
6.9
作者：
Nanna, Michael G.;Wang, Tracy Y.;Navar, Ann Marie
通讯作者：
Navar, Ann Marie