Guideline Concordance of Statin Treatment Decisions: A Retrospective Cohort Study.

ABSTRACT: Guidelines recommend initiation of statins depending on cardiovascular risk and low-density lipoprotein cholesterol (LDL-C) levels. In this retrospective cohort study, we aimed to assess guideline concordance of statin treatment decisions and to find determinants of undertreatment in Swiss primary care in the period 2016-2019. We drew on electronic medical records of 8060 statin-naive patients (50.0% female, median age 59 years) with available LDL-C levels and cardiovascular risk. Guideline concordance was assessed based on the recommendations of the European Society of Cardiology, and multilevel logistic regression was performed to find determinants of undertreatment. We found that statin treatment was initiated in 10.2% of patients (50.0% female, median age 59 years) during one year of f

SUBMITTER: Rachamin Y 

PROVIDER: S-EPMC7699602 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature