Why patients don’t take statins as prescribed

Shared by Radhika Narayanan | 0 0 0 | about 3 months ago

According to new research published in the Journal of the American Heart Association, many patients who could benefit from statins do not take them. Statins lower the amount of LDL and have been proven to lower the risk of heart attack and stroke. The American Heart AssociationAmerican College of Cardiology recommend the use of an atherosclerotic and cardiovascular disease risk calculator to assess a patient’s 10-year risk for heart disease and to create a personalised plan based on the score. However, even with clear evidence of the benefits of statins, adherence to the guidelines andor prescription is quite low. Despite national guidelines which clearly indicate that statins can lower the risk of heart attack and stroke, many eligible patients are still not taking them. For the purpose of this analysis, the researchers surveyed 5693 adults who participated in a registry at a cardiology, primary care or endocrinology practice. The survey findings showed that of the 26.5% patients who were not taking statins, 59.2% had never been offered the drugs. Among the patients who were not offered a statin, 22% were females, 48% were black, and 38% were without insurance. The survey findings also showed that patients in cardiology practices were more likely to be offered a statin compared to patients who were in primary care. Approximately 10.1% of the patients who were offered a statin declined it while 30.7% discontinued it because of a fear of side effects. Non-users of statin were more likely to believe that statins are safe compared to statin-users. 59.7% of the patients who discontinued the statin stated that they would consider retrying it. Dr. Ann Marie Navar, Assistant Professor of Medicine at the Duke Clinical Research Institute and senior author of the study explained that misconceptions about statins are being fuelled by false information on the Internet. There is a need to combat this type of misinformation so that the public fear of side effects is decreased.

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