Statin Prescribing Patterns: An Analysis of Data From Patients With Diabetes in the National Hospital Ambulatory Medical Care Survey Outpatient Department and National Ambulatory Medical Care Survey Databases, 2005–2010

Pauff, Brandy R.; Jiroutek, Michael R.; Holland, Melissa A.; Sutton, Beth S.

doi:10.1016/j.clinthera.2015.03.020

Cited by 20 publications

(24 citation statements)

References 16 publications

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“…All drug classes and individual drugs were more commonly reported in women with the exception of statins, which were comparable in both genders. This exception may be because males have been more likely to be prescribed a statin compared to females, shown by studies of statin prescribing patterns in recent years . An increased usage of statins could have reflected a higher prevalence of reported statin allergies.…”

Section: Discussionmentioning

confidence: 99%

Drug allergies documented in electronic health records of a large healthcare system

Zhou

Dhopeshwarkar

Blumenthal

et al. 2016

Allergy

235

186

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Background The prevalence of drug allergies documented in electronic health records (EHRs) of large patient populations is understudied. Objective We aimed to describe the prevalence of common drug allergies and patient characteristics documented in EHRs of a large healthcare network over the last two decades. Methods Drug allergy data were obtained from EHRs of patients who visited two large tertiary care hospitals in Boston from 1990 to 2013. The prevalence of each drug and drug class was calculated and compared by sex and race/ethnicity. The number of allergies per patient was calculated and the frequency of patients having 1, 2, 3…, or 10+ drug allergies was reported. We also conducted a trend analysis by comparing the proportion of each allergy to the total number of drug allergies over time. Results Among 1 766 328 patients, 35.5% of patients had at least one reported drug allergy with an average of 1.95 drug allergies per patient. The most commonly reported drug allergies in this population were to penicillins (12.8%), sulfonamide antibiotics (7.4%), opiates (6.8%), and nonsteroidal anti‐inflammatory drugs (NSAIDs) (3.5%). The relative proportion of allergies to angiotensin‐converting enzyme (ACE) inhibitors and HMG CoA reductase inhibitors (statins) have more than doubled since early 2000s. Drug allergies were most prevalent among females and white patients except for NSAIDs, ACE inhibitors, and thiazide diuretics, which were more prevalent in black patients. Conclusion Females and white patients may be more likely to experience a reaction from common medications. An increase in reported allergies to ACE inhibitors and statins is noteworthy.

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Section: Discussionmentioning

confidence: 99%

Drug allergies documented in electronic health records of a large healthcare system

Zhou

Dhopeshwarkar

Blumenthal

et al. 2016

Allergy

235

186

View full text Add to dashboard Cite

show abstract

“…In another study that assessed statin prescribing patterns according to the ADA guidelines, only 35.1% of the patients were prescribed statins 17. The new ACC/AHA guidelines recommend primary prevention with moderate-intensity statin to individuals with diabetes aged 40-75 years and LDL-C 70-189 mg/d.…”

Section: Discussionmentioning

confidence: 99%

Use of Aspirin and Statin as primary prevention for cardiovascular diseases

2016

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Objective:To ascertain whether recommendations for the use of Statins and Aspirin as primary prevention in diabetic patients are correctly implemented at our institution.Methods:This cross-sectional study was conducted between February 2014 and April 2014 at the General Practice Department of King Abdulaziz University Hospital. Three hundred twelve patients were included in the study. Data were collected from the electronic patient medical records for the characteristics of the patients, existing co-morbidities, and results of laboratory investigations. Descriptive statistics were performed for all variables.Results:Of 312 patients, aspirin was indicated for 17.0% but it was not prescribed. It was both indicated and prescribed in 36.2% of the cases. Statin treatment was indicated in 27.2% of the patients but it was not prescribed, while in 63.1% of cases it was indicated and prescribedConclusion:The proportion of patients who achieved treatment targets at our institution is greater than that reported by other studies, albeit treatment targets are not being met in a significant number of cases.

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“… 3 , 4 , 5 However, despite their clinical utility and established national guidelines, 3 , 6 clinicians fail to prescribe them to approximately 50% of patients who could benefit from them. 7 , 8 , 9 , 10 , 11 …”

Section: Introductionmentioning

confidence: 99%

Effect of an Automated Patient Dashboard Using Active Choice and Peer Comparison Performance Feedback to Physicians on Statin Prescribing

et al. 2018

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Key Points Question Can an automated patient dashboard and nudges to physicians increase guideline-appropriate statin prescription rates among patients who were not previously receiving statin therapy? Findings In this cluster randomized clinical trial of 96 primary care physicians from 32 practice sites including 4774 patients, an automated patient dashboard using active choice framing and peer comparison feedback led to a modest but significant increase in guideline-appropriate statin prescribing rates compared with usual care. Meaning Nudges to physicians offer an effective, low-cost, and scalable approach to increase use of automated patient dashboards to improve guideline-concordant prescribing behaviors, but these approaches may need to be designed to better fit within clinician workflow or be combined with other approaches to further increase their impact.

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Statin Prescribing Patterns: An Analysis of Data From Patients With Diabetes in the National Hospital Ambulatory Medical Care Survey Outpatient Department and National Ambulatory Medical Care Survey Databases, 2005–2010

Cited by 20 publications

References 16 publications

Drug allergies documented in electronic health records of a large healthcare system

Drug allergies documented in electronic health records of a large healthcare system

Use of Aspirin and Statin as primary prevention for cardiovascular diseases

Effect of an Automated Patient Dashboard Using Active Choice and Peer Comparison Performance Feedback to Physicians on Statin Prescribing

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