Low use of statins for secondary prevention in primary care: a survey in a northern Swedish population

Abstract Background Cholesterol-lowering therapy with statins is recommended in established cardiovascular disease (CVD) and should be considered for patients at high cardiovascular risk. We surveyed statin treatment before first-time myocardial infarction in clinical practice compared to current gu...

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Main Authors: Nilsson, Gunnar, Samuelsson, Eva, Söderström, Lars, Mooe, Thomas
Format: Article in Journal/Newspaper
Language:unknown
Published: Figshare 2016
Subjects:
Online Access:https://dx.doi.org/10.6084/m9.figshare.c.3628814.v1
https://figshare.com/collections/Low_use_of_statins_for_secondary_prevention_in_primary_care_a_survey_in_a_northern_Swedish_population/3628814/1
id ftdatacite:10.6084/m9.figshare.c.3628814.v1
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spelling ftdatacite:10.6084/m9.figshare.c.3628814.v1 2023-05-15T17:44:52+02:00 Low use of statins for secondary prevention in primary care: a survey in a northern Swedish population Nilsson, Gunnar Samuelsson, Eva Söderström, Lars Mooe, Thomas 2016 https://dx.doi.org/10.6084/m9.figshare.c.3628814.v1 https://figshare.com/collections/Low_use_of_statins_for_secondary_prevention_in_primary_care_a_survey_in_a_northern_Swedish_population/3628814/1 unknown Figshare https://dx.doi.org/10.1186/s12875-016-0505-0 https://dx.doi.org/10.6084/m9.figshare.c.3628814 CC BY 4.0 https://creativecommons.org/licenses/by/4.0 CC-BY Medicine Cell Biology Pharmacology Biotechnology Ecology FOS Biological sciences Immunology FOS Clinical medicine Cancer Science Policy 110309 Infectious Diseases FOS Health sciences Collection article 2016 ftdatacite https://doi.org/10.6084/m9.figshare.c.3628814.v1 https://doi.org/10.1186/s12875-016-0505-0 https://doi.org/10.6084/m9.figshare.c.3628814 2021-11-05T12:55:41Z Abstract Background Cholesterol-lowering therapy with statins is recommended in established cardiovascular disease (CVD) and should be considered for patients at high cardiovascular risk. We surveyed statin treatment before first-time myocardial infarction in clinical practice compared to current guidelines, in patients with and without known CVD in primary care clinics with general practitioners (GPs) on short-term contracts vs. permanent staff GPs. Methods A total of 931 patients (345 women) in northern Sweden were enrolled in the study between November 2009 and December 2014 and stratified by prior CVD, comprising angina pectoris, revascularisation, ischaemic stroke or transitory ischaemic attack, or peripheral artery disease. Primary care clinics were classified by the proportion of GP salaries that were paid to GPs working on short-term contracts: low (0–9 %), medium (10–39 %), or high (≥40 %). We used logistic regression to identify determinants of statin treatment. Results Among patients with prior CVD, only 34.5 % received statin treatment before myocardial infarction. The probability of statin treatment decreased with age (≥70 years OR 0.30; 95 % CI 0.13–0.66) and female gender (OR 0.39; 95 % CI 0.20–0.78) but increased in patients with diabetes (OR 3.52; 95 % CI 1.75–7.08). Among patients with prior CVD, the type of primary care clinic was not predictive of statin treatment. In the entire study cohort, 17.3 % of patients were treated with statins; women Article in Journal/Newspaper Northern Sweden DataCite Metadata Store (German National Library of Science and Technology)
institution Open Polar
collection DataCite Metadata Store (German National Library of Science and Technology)
op_collection_id ftdatacite
language unknown
topic Medicine
Cell Biology
Pharmacology
Biotechnology
Ecology
FOS Biological sciences
Immunology
FOS Clinical medicine
Cancer
Science Policy
110309 Infectious Diseases
FOS Health sciences
spellingShingle Medicine
Cell Biology
Pharmacology
Biotechnology
Ecology
FOS Biological sciences
Immunology
FOS Clinical medicine
Cancer
Science Policy
110309 Infectious Diseases
FOS Health sciences
Nilsson, Gunnar
Samuelsson, Eva
Söderström, Lars
Mooe, Thomas
Low use of statins for secondary prevention in primary care: a survey in a northern Swedish population
topic_facet Medicine
Cell Biology
Pharmacology
Biotechnology
Ecology
FOS Biological sciences
Immunology
FOS Clinical medicine
Cancer
Science Policy
110309 Infectious Diseases
FOS Health sciences
description Abstract Background Cholesterol-lowering therapy with statins is recommended in established cardiovascular disease (CVD) and should be considered for patients at high cardiovascular risk. We surveyed statin treatment before first-time myocardial infarction in clinical practice compared to current guidelines, in patients with and without known CVD in primary care clinics with general practitioners (GPs) on short-term contracts vs. permanent staff GPs. Methods A total of 931 patients (345 women) in northern Sweden were enrolled in the study between November 2009 and December 2014 and stratified by prior CVD, comprising angina pectoris, revascularisation, ischaemic stroke or transitory ischaemic attack, or peripheral artery disease. Primary care clinics were classified by the proportion of GP salaries that were paid to GPs working on short-term contracts: low (0–9 %), medium (10–39 %), or high (≥40 %). We used logistic regression to identify determinants of statin treatment. Results Among patients with prior CVD, only 34.5 % received statin treatment before myocardial infarction. The probability of statin treatment decreased with age (≥70 years OR 0.30; 95 % CI 0.13–0.66) and female gender (OR 0.39; 95 % CI 0.20–0.78) but increased in patients with diabetes (OR 3.52; 95 % CI 1.75–7.08). Among patients with prior CVD, the type of primary care clinic was not predictive of statin treatment. In the entire study cohort, 17.3 % of patients were treated with statins; women
format Article in Journal/Newspaper
author Nilsson, Gunnar
Samuelsson, Eva
Söderström, Lars
Mooe, Thomas
author_facet Nilsson, Gunnar
Samuelsson, Eva
Söderström, Lars
Mooe, Thomas
author_sort Nilsson, Gunnar
title Low use of statins for secondary prevention in primary care: a survey in a northern Swedish population
title_short Low use of statins for secondary prevention in primary care: a survey in a northern Swedish population
title_full Low use of statins for secondary prevention in primary care: a survey in a northern Swedish population
title_fullStr Low use of statins for secondary prevention in primary care: a survey in a northern Swedish population
title_full_unstemmed Low use of statins for secondary prevention in primary care: a survey in a northern Swedish population
title_sort low use of statins for secondary prevention in primary care: a survey in a northern swedish population
publisher Figshare
publishDate 2016
url https://dx.doi.org/10.6084/m9.figshare.c.3628814.v1
https://figshare.com/collections/Low_use_of_statins_for_secondary_prevention_in_primary_care_a_survey_in_a_northern_Swedish_population/3628814/1
genre Northern Sweden
genre_facet Northern Sweden
op_relation https://dx.doi.org/10.1186/s12875-016-0505-0
https://dx.doi.org/10.6084/m9.figshare.c.3628814
op_rights CC BY 4.0
https://creativecommons.org/licenses/by/4.0
op_rightsnorm CC-BY
op_doi https://doi.org/10.6084/m9.figshare.c.3628814.v1
https://doi.org/10.1186/s12875-016-0505-0
https://doi.org/10.6084/m9.figshare.c.3628814
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