Standards of statin usage in Poland in high-risk patients: 3ST-POL study results.

Abstract:

BACKGROUND:According to epidemiological studies, dyslipidaemia is the commonest risk factor of atherosclerosis in the Polish population. It is estimated that 18 million adult Poles are affected by dyslipidaemia. AIM:The purpose of this study was to evaluate the quality of the statin therapy in high-risk Polish outpatients. METHODS:The 3ST-POL study involved 49,950 Polish outpatients. The enrolled patients met the following inclusion criteria: age between 40 and 85 years and a history of a minimum three months of statin therapy. A full lipid profile was screened in each patient; 72% of all subjects were high-risk patients. RESULTS:Among the patients in the 3ST-POL study, women represented 53%, and the mean age was 59.5 ± 10.8 years. Patients were treated by: general practitioners (GPs) 78.95%; diabetologists 5.02%; and cardiologists 16.03%. The most frequently used statins were atorvastatin and simvastatin. The most common dose was 20 mg/24 h. In the high-risk population, the lowest recommended total cholesterol (TC) concentration was achieved in 3.7% of treated subjects, whereas 5.6% of patients attained LDL < 80 mg/dL (2.0 mmol/L). 9.5% of patients did not exceed the upper limit of normal values for TC (155-175 mg/dL; 4.0-4.5 mmol/L) and 12.6% of patients reached LDL between 80-100 mg/dL (2.0-2.5 mmol/L). Subjects under the cardiologists' and diabetologists' care more often reached the recommended TC concentration (TC < 175 mg/dL; TC < 4.5 mmol/dL) and the difference was statistically important. CONCLUSIONS:This partial efficacy in dyslipidaemia control is not satisfactory.

journal_name

Kardiol Pol

journal_title

Kardiologia polska

authors

Sliż D,Filipiak KJ,Naruszewicz M,Siebert J,Mamcarz A

doi

10.5603/KP.2013.0037

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

253-9

issue

3

eissn

0022-9032

issn

1897-4279

pii

VM/OJS/KP/7126

journal_volume

71

pub_type

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