Evidence map›Paper›PMID 21791073›Full record

ArticleBMC cardiovascular disorders2011

Adherence with statins in a real-life setting is better when associated cardiovascular risk factors increase: a cohort study.

Philippe Latry, Mathieu Molimard, Bernard Dedieu, Thierry Couffinhal, Bernard Bégaud, Karin Martin-Latry

Full text readComparative Study
In one paragraph

Article in BMC cardiovascular disorders, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Article
  3. Persistence and Adherence to Cardiovascular Medicines in Australia.Journal of the American Heart Association · 2023
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Factors Affecting Adherence to Statins in Hypercholesterolemic Kuwaiti Patients: A Cross-Sectional Study.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2017
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Philippe LatryUniv. de Bordeaux, Bordeaux, France.
Mathieu Molimard
Bernard Dedieu
Thierry Couffinhal
Bernard Bégaud
Karin Martin-Latry

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile the factors for poor adherence for treatment with statins have been highlighted, the impact of their combination on adherence is not clear.

aimsTo estimate adherence for statins and whether it differs according to the number of cardiovascular risk factors.

methodsA cohort study was conducted using data from the main French national health insurance system reimbursement database. Newly treated patients with statins between September 1 and December 31, 2004 were included. Patients were followed up 15 months. The cohort was split into three groups according to their number of additional cardiovascular risk factors that included age and gender, diabetes mellitus and cardiovascular disease (using co-medications as a proxy). Adherence was assessed for each group by using four parameters: (i) proportion of days covered by statins, (ii) regularity of the treatment over time, (iii) persistence, and (iv) the refill delay.

results16,397 newly treated patients were identified. Of these statin users, 21.7% did not have additional cardiovascular risk factors. Thirty-one percent had two cardiovascular risk factors and 47% had at least three risk factors. All the parameters showed a sub-optimal adherence whatever the group: days covered ranged from 56% to 72%, regularity ranged from 23% to 33% and persistence ranged from 44% to 59%, but adherence was better for those with a higher number of cardiovascular risk factors.

conclusionsThe results confirm that long-term drug treatments are a difficult challenge, particularly in patients at lower risk and invite to the development of therapeutic education.

Indexed as

AgedAge FactorsCardiovascular DiseasesCohort StudiesFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHypercholesterolemiaMaleMedication AdherenceMiddle AgedRisk FactorsSex FactorsHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID21791073
PMCPMC3160410

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.