Evidence map›Paper›PMID 37702065›Full record

ArticleJournal of the American Heart Association2023

Association of PCSK9 Inhibitor Initiation on Statin Adherence and Discontinuation.

Christopher LaFratte, Samuel K Peasah, Yan Huang, Deanne Hall, Urvashi Patel, Chester B Good

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Clinical Considerations for Healthcare Provider-Administered Lipid-Lowering Medications.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
    Review
  8. Article
  9. 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.

Christopher LaFratteDepartment of Pharmacy UPMC Pittsburgh PA USA.ORCID 0000-0002-8448-3809
Samuel K PeasahUPMC Value-Based Pharmacy Initiatives, Center for High-Value Health Care UPMC Health Plan Pittsburgh PA USA.ORCID 0000-0002-4991-7392
Yan HuangUPMC Value-Based Pharmacy Initiatives, Center for High-Value Health Care UPMC Health Plan Pittsburgh PA USA.ORCID 0000-0003-1043-7604
Deanne HallDepartment of Pharmacy UPMC Pittsburgh PA USA.ORCID 0009-0001-7009-9363
Urvashi PatelEvernorth Research Institute Evernorth Health Services St. Louis MO USA.
Chester B GoodUPMC Value-Based Pharmacy Initiatives, Center for High-Value Health Care UPMC Health Plan Pittsburgh PA USA.ORCID 0000-0003-4388-4558

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background PCSK9is (proprotein convertase subtilisin/kexin type 9 inhibitors) are well tolerated, potently lower cholesterol, and decrease cardiovascular events when added to statins. However, statin adherence may decrease after PCSK9i initiation and alter clinical outcomes. We evaluate the association of PCSK9i initiation on statin discontinuation and adherence. Methods and Results In this retrospective pre-post difference-in-difference analysis, new PCSK9i claims were propensity matched with statin-alone users (April 2017-September 2019). The primary outcomes were statin adherence (proportion of days covered) and statin discontinuation (absence of statin coverage for at least 60 days) 12 months following PCSK9i initiation. Secondary outcomes included low-density lipoprotein cholesterol levels after 1 year. A total of 220 538 statin users and 700 PCSK9i users were identified, from which 178 on PCSK9i were included and matched to 712 on statins alone. At 12 months, mean statin proportion of days covered decreased from 67% to 48% in the PCSK9i group but increased from 68% to 86% in the statin-alone groups (

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsAntiviral AgentsCholesterol, LDLHumansPCSK9 InhibitorsProprotein Convertase 9Retrospective StudiesAntiviral AgentsCholesterol, LDLHydroxymethylglutaryl-CoA Reductase InhibitorsPCSK9 InhibitorsPCSK9 protein, humanProprotein Convertase 9adherencediscontinuationlow‐density lipoproteinPCSK9statin

Identifiers

PMID37702065
PMCPMC10547275

What OpenQuestion holds

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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.