Evidence map›Paper›PMID 28495699›Full record

ArticleJournal of the American Heart Association2017

American College of Cardiology/American Heart Association (ACC/AHA) Class I Guidelines for the Treatment of Cholesterol to Reduce Atherosclerotic Cardiovascular Risk: Implications for US Hispanics/Latinos Based on Findings From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).

Waqas T Qureshi, Robert C Kaplan, Katrina Swett, Gregory Burke, Martha Daviglus, Molly Jung, Gregory A Talavera, Diana A Chirinos, Samantha A Reina, Sonia Davis and 1 more

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Ten things to know about ten cardiovascular disease risk factors - 2022.American journal of preventive cardiology · 2022
    Review
  8. Ten things to know about ten cardiovascular disease risk factors.American journal of preventive cardiology · 2021
    Review
  9. Article
  10. Article
  11. Article
  12. PCSK9 Inhibitor Use in the Real World: Data From the National Patient-Centered Research Network.Journal of the American Heart Association · 2019 · on this map
    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

11 authors at 7 institutions in 1 country.

Waqas T QureshiDivision of Cardiology, Department of Internal Medicine, Wake Forest School of Medicine, Winston Salem, NC wqureshi@wakehealth.edu.
Robert C KaplanDivision of Cardiology, Department of Internal Medicine, Albert Einstein College of Medicine, New York, NY.
Katrina SwettDivision of Cardiology, Department of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC.
Gregory BurkeDivision of Cardiology, Department of Internal Medicine, Albert Einstein College of Medicine, New York, NY.
Martha DaviglusDivision of Cardiology, Department of Internal Medicine, Northwestern University, Chicago, IL.
Molly JungJohn Hopkins University, Baltimore, MD.
Gregory A TalaveraSan Diego State University, San Diego, CA.
Diana A ChirinosUniversity of Miami, FL.
Samantha A ReinaUniversity of Miami, FL.
Sonia DavisUniversity of North Carolina, Chapel Hill, NC.
Carlos J RodriguezDivision of Cardiology, Department of Internal Medicine, Wake Forest School of Medicine, Winston Salem, NC.
Wake Forest University · USAlbert Einstein College of Medicine · USUniversity of Miami · USJohns Hopkins University · USNorthwestern University · USSan Diego State University · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence estimates of statin eligibility among Hispanic/Latinos living in the United States under the new 2013 American College of Cardiology/American Heart Association (ACC/AHA) cholesterol treatment guidelines are not known. METHODS AND

resultsWe estimated prevalence of statin eligibility under 2013 ACC/AHA and 3rd National Cholesterol Education Program Adult Treatment Panel (NCEP/ATP III) guidelines among Hispanic Community Health Study/Study of Latinos (n=16 415; mean age 41 years, 40% males) by using sampling weights calibrated to the 2010 US census. We examined the characteristics of Hispanic/Latinos treated and not treated with statins under both guidelines. We also redetermined the statin-therapy eligibility by using black risk estimates for Dominicans, Cubans, Puerto Ricans, and Central Americans. Compared with NCEP/ATP III guidelines, statin eligibility increased from 15.9% (95% CI 15.0-16.7%) to 26.9% (95% CI 25.7-28.0%) under the 2013 ACC/AHA guidelines. This was mainly driven by the ≥7.5% atherosclerotic cardiovascular disease risk criteria (prevalence 13.9% [95% CI 13.0-14.7%]). Of the participants eligible for statin eligibility under NCEP/ATP III and ACC/AHA guidelines, only 28.2% (95% CI 26.3-30.0%) and 20.6% (95% CI 19.4-21.9%) were taking statins, respectively. Statin-eligible participants who were not taking statins had a higher prevalence of cardiovascular risk factors compared with statin-eligible participants who were taking statins. There was no significant increase in statin eligibility when atherosclerotic cardiovascular disease risk was calculated by using black estimates instead of recommended white estimates (increase by 1.4%,

conclusionsThe eligibility of statin therapy increased consistently across all Hispanic/Latinos subgroups under the 2013 ACC/AHA guidelines and therefore will potentially increase the number of undertreated Hispanic/Latinos in the United States.

Indexed as

Hispanic or LatinoPractice Guidelines as TopicAdolescentAdultAgedAmerican Heart AssociationAtherosclerosisBiomarkersCardiologyCholesterolClinical Decision-MakingCross-Sectional StudiesDyslipidemiasEligibility DeterminationFemaleHealthcare DisparitiesBiomarkersCholesterolHydroxymethylglutaryl-CoA Reductase InhibitorsACC/AHA cholesterol treatmentdisparitiesepidemiologyguidelineHispanics/Latinosstatin therapy

Identifiers

PMID28495699
PMCPMC5524073
OpenAlexW2613274125

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.