Sex Differences in Statin Prescribing in Diabetic and Heart Disease Patients in FQHCs: A Comparison of the ATPIII and 2013 ACC/AHA Cholesterol Guidelines

Khan, Nazia; Kelly‐Blake, Karen; Luo, Zhehui; Olomu, Adesuwa

doi:10.1177/2333392818825414

Cited by 3 publications

(1 citation statement)

References 33 publications

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“… 16 Khan et al reported that while males were more likely to be prescribed a statin, males were actually less likely to be on the recommended dosage compared to women. 17 …”

Section: Discussionmentioning

confidence: 99%

Health Disparities: Statin Prescribing Patterns Among Patients with Diabetes in a Family Medicine Clinic

et al. 2022

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Purpose: To analyze the impact of gender and race on statin prescribing patterns in patients with diabetes in a family medicine clinic. Methods: This study ( n =192) was a single-center, cross-sectional study that examined statin prescribing patterns at a family medicine clinic. Patients were obtained from January 2015 to November 2018, who were considered eligible for statin therapy based on a documented diagnosis of diabetes. The patients were divided into four subgroups for analysis (white males, non-white males, white females, and non-white females). Results: Females were found to have higher rates of prescribed statin therapy and appropriate statin intensity therapy when compared to males ( p >0.05). When evaluating gender and race, white females were more likely to be prescribed an appropriate statin when compared to non-white females ( p <0.05). Conclusion: The study shows that although males had a significantly higher mean 10-year atherosclerotic cardiovascular disease risk score, they were less likely than females to receive the appropriate intensity statin. Previous studies have shown race and gender disparities exist in the prevention of cardiovascular disease. A more collective, unified approach to improve prescribing patterns for statin therapy can eliminate these disparities.

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“… 16 Khan et al reported that while males were more likely to be prescribed a statin, males were actually less likely to be on the recommended dosage compared to women. 17 …”

Section: Discussionmentioning

confidence: 99%

Health Disparities: Statin Prescribing Patterns Among Patients with Diabetes in a Family Medicine Clinic

et al. 2022

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The heterogeneity of metabolic syndrome presentation and challenges this causes in its pharmacological management: a narrative review focusing on principal risk modifiers

Lonardo

2023

Expert Review of Clinical Pharmacology

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<p>Determinants of Statin Initiation Among Adult Diabetic Patients in Bonga, Ethiopia</p>

Kebede

Feyisa

2020

DMSO

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Background Diabetes mellitus (DM) is a chronic degenerative disease associated with a high risk of chronic complications and comorbidities. According t the World Health Organization, 16.7 million people worldwide die of cardiovascular diseases each year. Aim of the Study The aim of this study is to evaluate determinants of statin initiation among diabetic patients. Methods A hospital-based cross-sectional study was conducted to evaluate statin initiation and determinants in Gebre Tsadik Shewa General Hospital, Bonga, Ethiopia. This hospital covers a catchment population of about 1.4 million and offers diagnosis and treatment in outpatient and inpatient settings in different departments. Epi data 4.0.2.49 and STATA 14.2 were used for data entry and analysis. Before analysis, presence of co-linearity and model fitness were checked. Chi-square statistics were used to check adequacy of cells for binary logistic regression. Bivariate analysis was done and p <0.25 was included in a multivariate model. Finally p-value less than 0.05 was considered a significant predictor. Results A total of 120 patients were included in this study, of which 77 (64.17%) were males. The mean age and standard deviation was 47.04 ± 12.13 years with 75% of patients ≥40 years. The mean duration of illness was 10.26 ± 0.6 years. Ninety-eight (81.67%) patients had varying comorbidities. Sixty-four (53.33%) patients developed complications. The majority of patients were evaluated by a general practitioner (GP). Fifty-one (42.5%) patients started statins. Of them, 31 (60.78%) started for secondary prevention. The majority of patients had atorvastatin with moderate dosage. Government insurance (p=0.029), polypharmacy (0.008), physician level of training (0.023) and previous counseling of patients about the importance of statins (p<001) were significantly associated with initiation of statins. Conclusion Only near to 40% of patients started statins. Physician reluctance and unavailability of drugs were the most common reasons not to initiate statins. The hospital tries to provide medication. Physicians should evaluate patients in need of cardio-protective drugs.

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Sex Differences in Statin Prescribing in Diabetic and Heart Disease Patients in FQHCs: A Comparison of the ATPIII and 2013 ACC/AHA Cholesterol Guidelines

Cited by 3 publications

References 33 publications

Health Disparities: Statin Prescribing Patterns Among Patients with Diabetes in a Family Medicine Clinic

Health Disparities: Statin Prescribing Patterns Among Patients with Diabetes in a Family Medicine Clinic

The heterogeneity of metabolic syndrome presentation and challenges this causes in its pharmacological management: a narrative review focusing on principal risk modifiers

<p>Determinants of Statin Initiation Among Adult Diabetic Patients in Bonga, Ethiopia</p>

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