Abstract:
OBJECTIVE:To evaluate statin use in the U.S. before and after the 2015 American Diabetes Association position statement, which expanded statin therapy recommendations to include all adults 40-75 years old with diabetes. RESEARCH DESIGN AND METHODS:The National Health and Nutrition Examination Survey (NHANES) was used to obtain a representative sample. The difference-in-differences technique determined the impact of the recommendation on the proportion of people with diabetes for whom statin therapy was newly recommended. RESULTS:Among people with diabetes, the change in statin use in people without atherosclerotic cardiovascular disease (ASCVD) risk factors, controlling for change among people with ASCVD/risk factors, was 6.6% (P = 0.388). In the adjusted analysis, overt ASCVD, age, Black race, health insurance, a place for routine care, and total cholesterol were significantly associated with statin use (P < 0.05). CONCLUSIONS:The most recent change in statin recommendations had minimal impact on the proportion of patients receiving a statin.
journal_name
Diabetes Carejournal_title
Diabetes careauthors
Leino AD,Dorsch MP,Lester CAdoi
10.2337/dc20-1481subject
Has Abstractpub_date
2020-12-01 00:00:00pages
3110-3112issue
12eissn
0149-5992issn
1935-5548pii
dc20-1481journal_volume
43pub_type
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