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Patient-Reported Reasons for Declining or Discontinuing Statin Therapy: Insights From the PALM Registry.


ABSTRACT: Background Many adults eligible for statin therapy for cardiovascular disease prevention are untreated. Our objective was to investigate patient-reported reasons for statin underutilization, including noninitiation, refusal, and discontinuation. Methods and Results This study included the 5693 adults recommended for statin therapy in the PALM (Patient and Provider Assessment of Lipid Management) registry. Patient surveys evaluated statin experience, reasons for declining or discontinuing statins, and beliefs about statins and cardiovascular disease risk. Overall, 1511 of 5693 adults (26.5%) were not on treatment. Of those not on a statin, 894 (59.2%) reported never being offered a statin, 153 (10.1%) declined a statin, and 464 (30.7%) had discontinued therapy. Women (relative risk: 1.22),

SUBMITTER: Bradley CK 

PROVIDER: S-EPMC6509731 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature