Overall, survey respondents indicated a high level of satisfaction with the services provided by CPCRS. Based upon patient satisfaction, the results of this survey suggest that the use of telephone and mail systems to provide patient care can allow clinical pharmacy specialists to manage a large number of patients successfully. Health care systems may wish to explore similar methods to address the needs of patients with coronary artery disease.
The comprehensive and aggressive implementation of secondary cardiac prevention strategies and close monitoring and follow-up of patients with coronary artery disease provided by the CCCS were associated with reduced health care expenditures.
Background:
High intensity statin therapy (HIST) is the gold standard therapy for
decreasing the risk of recurrent atherosclerotic cardiovascular disease
(ASCVD); however, little is known about the use of HIST in older adults with
ASCVD.
Objectives:
The aim of this cross-sequential study was to determine trends in statin
intensity in older adults over a 10-year timeframe.
Methods:
The study was conducted in an integrated healthcare delivery system. Patients
were 76 years or older with validated coronary ASCVD. Data were collected
from administrative databases. Statin intensity level was assessed in
eligible patients on January 1st and July 1st from January 1, 2007 to
December 31, 2016.
Results:
Overall, a total of 5,453 patients were included with 2,119 (38.9%)
and 3,334 (61.1%) categorized as HIST and Non-HIST, respectively.
Included patients had a mean age of 79.8 years and were primarily male and
white and had a cardiac intervention. The rate of HIST use increased from
14.5% to 41.3% over the study period (p<0.001 for
trend). Conversely, the rates of moderate and low intensity statin use
decreased from 61.8% and 9.8% to 41.2% and 4.8%,
respectively (both p<0.001 for trend). Similar trends were identified
for females and males.
Conclusions:
The percentage of patients with ASCVD 76 years and older who received HIST
substantially increased from 2007 to 2016. This trend was identified in both
females and males. Future comparative effectiveness research should be
conducted in this patient population to examine cardiac-related outcomes
with HIST and Non-HIST use.
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