Evidence map›Paper›PMID 30062465›Full record

ArticleCardiovascular drugs and therapy2018

Trends in Statin Use 2009-2015 in a Large Integrated Health System: Pre- and Post-2013 ACC/AHA Guideline on Treatment of Blood Cholesterol.

Teresa N Harrison, Ronald D Scott, T Craig Cheetham, Shen-Chih Chang, Jin-Wen Y Hsu, Rong Wei, Deborah S Ling Grant, Susan H Boklage, Victoria Romo-LeTourneau, Kristi Reynolds

Open access · hybridFull text read
In one paragraph

Article in Cardiovascular drugs and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Statins utilization trends and expenditures in the U.S. before and after the implementation of the 2013 ACC/AHA guidelines.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
    Article
  5. Review
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  7. Article
  8. Article
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  10. Comparative effectiveness of gastric bypass and sleeve gastrectomy on predicted 10-year risk of cardiovascular disease 5 years after surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2022
    Article
  11. Article
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  17. Observational
  18. Observational
  19. Article
  20. Trends in Acute Myocardial Infarction by Race and Ethnicity.Journal of the American Heart Association · 2020
    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

10 authors at 4 institutions in 1 country.

Teresa N HarrisonKaiser Permanente Southern California, Department of Research & Evaluation, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91101, USA.
Ronald D ScottSouthern California Permanente Medical Group, West Los Angeles Medical Center, Los Angeles, CA, USA.
T Craig CheethamKaiser Permanente Southern California, Department of Research & Evaluation, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91101, USA.
Shen-Chih ChangKaiser Permanente Southern California, Department of Research & Evaluation, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91101, USA.
Jin-Wen Y HsuKaiser Permanente Southern California, Department of Research & Evaluation, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91101, USA.
Rong WeiKaiser Permanente Southern California, Department of Research & Evaluation, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91101, USA.
Deborah S Ling GrantKaiser Permanente Southern California, Department of Research & Evaluation, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91101, USA.
Susan H BoklageRegeneron Pharmaceuticals, Inc., 777 Old Saw Mill River Rd, Tarrytown, NY, 10591, USA.
Victoria Romo-LeTourneauUS Medical Affairs, Sanofi Aventis Group, Bridgewater, NJ, USA.
Kristi ReynoldsKaiser Permanente Southern California, Department of Research & Evaluation, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91101, USA. Kristi.Reynolds@kp.org.ORCID 0000-0001-7619-1649
Kaiser Permanente · USLos Angeles Medical Center · USRegeneron (United States) · USSanofi (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeImplementation of the 2013 ACC/AHA cholesterol treatment guideline is likely to vary by statin benefit group. The aim of this study was to document trends in statin use before and after introduction of the ACC/AHA guideline.

methodsWe conducted a retrospective study with annual cohorts from 2009 to 2015 among members of Kaiser Permanente Southern California aged ≥ 21 years. Members were categorized into four mutually exclusive statin benefit groups: atherosclerotic cardiovascular disease (ASCVD), LDL-C ≥ 190 mg/dL in the last year, diabetes (aged 40-75 years), and 10-year ASCVD risk ≥ 7.5% (aged 40-75 years).

resultsThe cohorts ranged from 1,993,755 members in 2009 to 2,440,429 in 2015. Approximately 5% of patients had ASCVD, 1% had LDL-C ≥ 190 mg/dL, 6% had diabetes, and 10% had a 10-year ASCVD risk ≥ 7.5% each year. Trends in statin use were stable for adults with ASCVD (2009 78%; 2015 80%), recent LDL-C ≥ 190 mg/dL (2009 45%; 2015 44%), and diabetes (2009 74%; 2015 73%), but increased for patients with 10-year ASCVD risk ≥ 7.5% (2009 36%; 2015 47%). High-intensity statin use also increased 142% and 54% among patients with LDL-C ≥ 190 mg/dL and those with ASCVD ≤ 75 years of age, respectively. Moderate-to-high intensity statin utilization increased over 50% among those with a 10-year ASCVD risk ≥ 7.5%.

conclusionsStatin use increased substantially among patients with 10-year ASCVD risk ≥ 7.5% and use of appropriate statin dosage increased in each of the four statin benefit groups between 2009 and 2015; however, there is room for improvement.

Indexed as

AgedAged, 80 and overBiomarkersCaliforniaCholesterol, LDLDown-RegulationDrug PrescriptionsDyslipidemiasFemaleHealth Maintenance OrganizationsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedPractice Guidelines as TopicPractice Patterns, Physicians'BiomarkersCholesterol, LDLHydroxymethylglutaryl-CoA Reductase InhibitorsHypercholesterolemiaPractice guidelinePrescribing trendsStatins

Identifiers

PMID30062465
PMCPMC6133188
OpenAlexW2886544093

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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.