Statin Prescription for Patients With Atherosclerotic Cardiovascular Disease from National Survey Data

Authors

Kristina Vatcheva, The University of Texas Rio Grande ValleyFollow
Vicente Aparicio, University of Texas Rio
Ayesha Araya, The University of Texas Rio Grande Valley
Eduardo Gonzalez, The University of Texas Rio Grande Valley
Susan T. Laing, University of Texas Health Science Center at Houston

Document Type

Article

Publication Date

7-1-2019

Abstract

Despite strong evidence for the use of statins for patients with atherosclerotic cardiovascular disease (ASCVD), statin prescription is still suboptimal. We aimed to determine the rates and factors that influence statin prescription using national survey data. This is a cross-sectional retrospective study on 8,468 patients with clinical ASCVD who were drawn from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey from years 2011 to 2015. Survey-weighted analysis was conducted to estimate weighted prevalence and odds ratios for statin prescription. There was a significant increase in statin prescription from the years 2011 to 2015. Nevertheless, only 52% of ASCVD patients (55.4% in coronary heart disease and 37.7% in noncoronary heart disease) were prescribed a statin. Based on multivariable regression analysis, after adjusting for covariates, males had 1.28 (1.06, 1.55) higher odds of statin prescription, in coronary heart disease patients only. In the overall study population, Black n on-Hispanics had 31% lower odds of statin prescription compared with White non-Hispanics, and patients seen only by a healthcare provider other than a physician were 80% less likely to have a statin prescribed to them. In conclusion, the disparity in statin prescription in patients with ASCVD exists across minority groups, and our findings underscore existing variations in healthcare delivery.

Comments

Original published version available at https://doi.org/10.1016/j.amjcard.2019.03.048

Recommended Citation

Vatcheva, Kristina P., Vicente Aparicio, Ayesha Araya, Eduardo Gonzalez, and Susan T. Laing. "Statin prescription for patients with atherosclerotic cardiovascular disease from national survey data." The American Journal of Cardiology 124, no. 1 (2019): 1-7. https://doi.org/10.1016/j.amjcard.2019.03.048

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.

Publication Title

The American Journal of Cardiology

DOI

10.1016/j.amjcard.2019.03.048