Changes in Statin Use Among U.S. Adults With Diabetes: A Population-Based Analysis of NHANES 2011-2018.

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 Care

journal_title

Diabetes care

authors

Leino AD,Dorsch MP,Lester CA

doi

10.2337/dc20-1481

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

3110-3112

issue

12

eissn

0149-5992

issn

1935-5548

pii

dc20-1481

journal_volume

43

pub_type

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