Evidence map›Paper›PMID 32514873›Full record

ArticleDrugs & aging2020

Factors Associated with Reinitiation of Statin Treatment in Older Patients with Peripheral Arterial Disease.

Martin Wawruch, Gejza Wimmer, Jan Murin, Martina Paduchova, Tomas Tesar, Lubica Hlinkova, Peter Slavkovsky, Emma Aarnio

Abstract read
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In one paragraph

Article in Drugs & aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 89% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 4 institutions in 2 countries.

Martin WawruchInstitute of Pharmacology and Clinical Pharmacology, Faculty of Medicine, Comenius University, Sasinkova 4, 811 08, Bratislava, Slovakia. martin.wawruch@gmail.com.ORCID http://orcid.org/0000-0001-7672-1574
Gejza WimmerInstitute of Measurement Science, Slovak Academy of Sciences, Bratislava, Slovakia.
Jan Murin1st Department of Internal Medicine, Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Martina PaduchovaDepartment of Angiology, Health Centre, Trnava, Slovakia.
Tomas TesarDepartment of Organization and Management of Pharmacy, Faculty of Pharmacy, Comenius University, Odbojarov 10, 832 32, Bratislava, Slovakia. tesar@fpharm.uniba.sk.
Lubica HlinkovaGeneral Health Insurance Company, Bratislava, Slovakia.
Peter SlavkovskyInstitute of Pathophysiology, Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Emma AarnioInstitute of Biomedicine, University of Turku, Turku, Finland.
Comenius University Bratislava · SKSlovak Academy of Sciences · SKUniversity of Turku · FIVysoká Škola Zdravotníctva a Sociálnej Práce sv. Alžbety · SK

Funding

Vedecká Grantová Agentúra MŠVVaŠ SR a SAV VEGA 1/0112/17
6 · The paper itself

Abstract

backgroundLong-term persistence represents a basic precondition of successful statin treatment in patients with peripheral arterial disease (PAD).

objectivesThe aims of our study were evaluation of reinitiation in older PAD patients who were non-persistent with statin treatment, and identification of patient-related characteristics associated with the patient's probability of reinitiation.

methodsOur study cohort included 2977 older patients (≥ 65 years) who were non-persistent with statin treatment in whom PAD was newly diagnosed in 2012. Reinitiation was defined as the first statin prescription recorded after discontinuation. To analyze factors associated with the patient´s probability of reinitiation, Cox regression with time-dependent covariates was applied.

resultsAfter post-discontinuation follow-up of a mean of 27 months, reinitiation of statin treatment was recorded for 1244 (41.8%) patients. Increasing age, Parkinson's disease, being a new statin user (patient in whom statin treatment was initiated in association with PAD diagnosis), general practitioner as the index prescriber who prescribed a statin for the first time after diagnosis of PAD, coadministration of loop diuretics, and longer persistence before discontinuation decreased the patient's likelihood of reinitiation, whereas myocardial infarction during non-persistence, high-intensity statin treatment, and increasing number of medications increased the patient's probability of reinitiation.

conclusionsIn patients with characteristics associated with a lower probability of reinitiation, more concentrated outreach and further evaluation of these groups to identify interventions that might be helpful to encourage reinitiation are needed.

Indexed as

Drug MonitoringAgedCohort StudiesDrug Administration ScheduleFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedMyocardial InfarctionPeripheral Arterial DiseaseProportional Hazards ModelsSecondary PreventionHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID32514873
OpenAlexW3033546684

What OpenQuestion holds

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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.