دورية أكاديمية
Incidence of statin use in older adults with and without cardiovascular disease and diabetes mellitus, January 2008- March 2018.
| العنوان: | Incidence of statin use in older adults with and without cardiovascular disease and diabetes mellitus, January 2008- March 2018. |
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| المؤلفون: | Catherine A Panozzo, Lesley H Curtis, James Marshall, Lawrence Fine, Barbara L Wells, Jeffrey S Brown, Kevin Haynes, Pamala A Pawloski, Adrian F Hernandez, Sarah Malek, Beth Syat, Richard Platt |
| المصدر: | PLoS ONE, Vol 14, Iss 12, p e0223515 (2019) |
| بيانات النشر: | Public Library of Science (PLoS) |
| سنة النشر: | 2019 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Medicine, Science |
| الوصف: | Background Data from randomized controlled trials and observational studies on older adults who take statins for primary prevention of atherosclerotic cardiovascular disease are limited. To determine the incidence of statin use in older adults with and without cardiovascular disease (CVD) and/or diabetes (DM), we conducted a descriptive observational study. Methods The cohort consisted of health plan members in the NIH Collaboratory Distributed Research Network aged >75 years who had continuous drug and medical benefits for ≥183 days during the study period, January 1, 2008- March 31, 2018. We defined DM and CVD using diagnosis codes, and identified statins using dispensing data. Statin use was considered incident if a member had no evidence of statin exposure in the claims during the previous 183 days, and the use was considered long-term if statins were supplied for ≥180 days. Incidence rates were reported among members with and without CVD and/or diabetes, and stratified by year, sex, and age group. Results Among 757,569 eligible members, 109,306 older adults initiated statins and 54,624 became long-term users. Health plan members with CVD had the highest incidence of statin use (143.9 initiators per 1,000 member-years for CVD & DM; 114.5 initiators per 1,000 member-years for CVD & No DM). Among health plan members without CVD, those with DM had rates of statin use that were over two times higher than members without DM (76.1 versus 34.5 initiators per 1,000 member-years, respectively). Statin initiation remained steady throughout 2008-2016, was slightly higher in males, and declined with increasing age. Conclusion Incidence of statin use varied by CVD and DM comorbidity, and was lowest among those without CVD. These results highlight the potential clinical equipoise to conduct large pragmatic clinical trials to generate evidence that could be used to inform future blood cholesterol guidelines. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1932-6203 |
| العلاقة: | https://doi.org/10.1371/journal.pone.0223515Test; https://doaj.org/toc/1932-6203Test; https://doaj.org/article/7943cfdd0ff84a6a88d4f62860405c01Test |
| DOI: | 10.1371/journal.pone.0223515 |
| الإتاحة: | https://doi.org/10.1371/journal.pone.0223515Test https://doaj.org/article/7943cfdd0ff84a6a88d4f62860405c01Test |
| رقم الانضمام: | edsbas.B7DBB8B3 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 19326203 |
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| DOI: | 10.1371/journal.pone.0223515 |