Geographic variation in statin use for complex acute myocardial infarction patients: evidence of effective care?

ABSTRACT:

Background

Despite strong evidence to designate statin use for secondary prevention of cardiovascular disease (CVD) as "effective care," observational studies show that many patients with CVD do not receive statins. This suggests that statin prescribing decisions for complex CVD patients are preference sensitive.

Objectives

The aim of this study was to evaluate local area variation in statin prescribing for subsets of complex patients after acute myocardial infarction (AMI) to assess whether current statin prescribing patterns fit profiles of either "effective care" or "preference-sensitive care."

Research design and subjects

This was a retrospective cohort study of 124,618 Medicare patients with fee-for-service parts A, B, and D benefits who were hospitalized with AM

SUBMITTER: Brooks JM 

PROVIDER: S-EPMC12643037 | biostudies-literature | 2014 Mar

REPOSITORIES: biostudies-literature