Initiation and persistence to statin treatment in patients with diabetes receiving glucose-lowering medications 1997- 2006

H Dominguez; T K Schramm; M L Norgaard; S Z Abildstrøm; Lars Valeur Køber; C Jørgensen; T J Guterbaum; H E Poulsen; C Torp-Pedersen; G H Gislason; H Dominguez; T K Schramm; M L Norgaard; S Z Abildstrøm; L Kober; C Jørgensen; T J Guterbaum; H E Poulsen; C Torp-Pedersen; G H Gislason

doi:10.2174/1874192400903010152

Initiation and persistence to statin treatment in patients with diabetes receiving glucose-lowering medications 1997- 2006

H Dominguez, T K Schramm, M L Norgaard, S Z Abildstrøm, Lars Valeur Køber, C Jørgensen, T J Guterbaum, H E Poulsen, C Torp-Pedersen, G H Gislason, H Dominguez, T K Schramm, M L Norgaard, S Z Abildstrøm, L Kober, C Jørgensen, T J Guterbaum, H E Poulsen, C Torp-Pedersen, G H Gislason

12 Citations (Scopus)

Abstract

AIMS: Since 2001 guidelines recommend statin treatment in most patients with diabetes. We investigated secular changes in initiation and persistence to statin treatment during a 10-year period in a nationwide cohort of patients initiating glucose-lowering medication (GLM). METHODS: All Danish citizens 30 years and older who claimed prescriptions of GLM between 1997 and 2006 were identified from nationwide registers of drug dispensing from pharmacies and hospitalizations, and followed until 2006. Statin treatment was registered if a prescription was claimed during the period. By logistic regression we analyzed factors related to initiation and persistence to statin treatment. RESULTS: In total 128,106 patients were included. In 1997 only 7% of the patients receiving GLM claimed statins within the first year after GLM initiation. Despite increasing statin prescriptions the following years, only 62% were using statins at the end of follow up. The chance of ever receiving statins was lowest if not initiated within 180-days following the first purchase of GLM (OR 0.75, 95% CI 0.74-0.76). A previous myocardial infarction was associated with increased statin treatment (OR 4.51; 95% CI 4.31 - 4.71), while low income was associated with lower use of statins (OR 0.68; 95%CI 0.66-0.72). Between 75-85 % of the patients who initiated statins treatment were persistent to treatment by 2007. CONCLUSIONS: In spite of increasing use of statins in diabetes patients over time, many patients remain untreated. Early initiation of statin treatment in diabetic patients and focus on patients with low socioeconomic status is needed to give long-term benefits.

Original language	English
Journal	Open Cardiovascular Medicine Journal
Volume	3
Pages (from-to)	152-9
Number of pages	7
ISSN	1874-1924
DOIs	https://doi.org/10.2174/1874192400903010152 https://doi.org/10.2174/1874192400903010152
Publication status	Published - 2009

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Dominguez, H., Schramm, T. K., Norgaard, M. L., Abildstrøm, S. Z., Køber, L. V., Jørgensen, C., Guterbaum, T. J., Poulsen, H. E., Torp-Pedersen, C., Gislason, G. H., Dominguez, H., Schramm, T. K., Norgaard, M. L., Abildstrøm, S. Z., Kober, L., Jørgensen, C., Guterbaum, T. J., Poulsen, H. E., Torp-Pedersen, C., & Gislason, G. H. (2009). Initiation and persistence to statin treatment in patients with diabetes receiving glucose-lowering medications 1997- 2006. Open Cardiovascular Medicine Journal, 3, 152-9. https://doi.org/10.2174/1874192400903010152, https://doi.org/10.2174/1874192400903010152

Dominguez, H, Schramm, TK, Norgaard, ML, Abildstrøm, SZ, Køber, LV, Jørgensen, C, Guterbaum, TJ, Poulsen, HE, Torp-Pedersen, C , Gislason, GH, Dominguez, H, Schramm, TK, Norgaard, ML, Abildstrøm, SZ, Kober, L, Jørgensen, C, Guterbaum, TJ, Poulsen, HE, Torp-Pedersen, C & Gislason, GH 2009, 'Initiation and persistence to statin treatment in patients with diabetes receiving glucose-lowering medications 1997- 2006', Open Cardiovascular Medicine Journal, vol. 3, pp. 152-9. https://doi.org/10.2174/1874192400903010152, https://doi.org/10.2174/1874192400903010152

@article{6eaf40f0119611df803f000ea68e967b,

title = "Initiation and persistence to statin treatment in patients with diabetes receiving glucose-lowering medications 1997- 2006",

abstract = "AIMS: Since 2001 guidelines recommend statin treatment in most patients with diabetes. We investigated secular changes in initiation and persistence to statin treatment during a 10-year period in a nationwide cohort of patients initiating glucose-lowering medication (GLM). METHODS: All Danish citizens 30 years and older who claimed prescriptions of GLM between 1997 and 2006 were identified from nationwide registers of drug dispensing from pharmacies and hospitalizations, and followed until 2006. Statin treatment was registered if a prescription was claimed during the period. By logistic regression we analyzed factors related to initiation and persistence to statin treatment. RESULTS: In total 128,106 patients were included. In 1997 only 7% of the patients receiving GLM claimed statins within the first year after GLM initiation. Despite increasing statin prescriptions the following years, only 62% were using statins at the end of follow up. The chance of ever receiving statins was lowest if not initiated within 180-days following the first purchase of GLM (OR 0.75, 95% CI 0.74-0.76). A previous myocardial infarction was associated with increased statin treatment (OR 4.51; 95% CI 4.31 - 4.71), while low income was associated with lower use of statins (OR 0.68; 95%CI 0.66-0.72). Between 75-85 % of the patients who initiated statins treatment were persistent to treatment by 2007. CONCLUSIONS: In spite of increasing use of statins in diabetes patients over time, many patients remain untreated. Early initiation of statin treatment in diabetic patients and focus on patients with low socioeconomic status is needed to give long-term benefits.",

author = "H Dominguez and Schramm, {T K} and Norgaard, {M L} and Abildstr{\o}m, {S Z} and K{\o}ber, {Lars Valeur} and C J{\o}rgensen and Guterbaum, {T J} and Poulsen, {H E} and C Torp-Pedersen and Gislason, {G H} and H Dominguez and Schramm, {T K} and Norgaard, {M L} and Abildstr{\o}m, {S Z} and L Kober and C J{\o}rgensen and Guterbaum, {T J} and Poulsen, {H E} and C Torp-Pedersen and Gislason, {G H}",

year = "2009",

doi = "10.2174/1874192400903010152",

language = "English",

volume = "3",

pages = "152--9",

journal = "Open Cardiovascular Medicine Journal",

issn = "1874-1924",

publisher = "Bentham Open",

}

TY - JOUR

T1 - Initiation and persistence to statin treatment in patients with diabetes receiving glucose-lowering medications 1997- 2006

AU - Dominguez, H

AU - Schramm, T K

AU - Norgaard, M L

AU - Abildstrøm, S Z

AU - Køber, Lars Valeur

AU - Jørgensen, C

AU - Guterbaum, T J

AU - Poulsen, H E

AU - Torp-Pedersen, C

AU - Gislason, G H

AU - Dominguez, H

AU - Schramm, T K

AU - Norgaard, M L

AU - Abildstrøm, S Z

AU - Kober, L

AU - Jørgensen, C

AU - Guterbaum, T J

AU - Poulsen, H E

AU - Torp-Pedersen, C

AU - Gislason, G H

PY - 2009

Y1 - 2009

N2 - AIMS: Since 2001 guidelines recommend statin treatment in most patients with diabetes. We investigated secular changes in initiation and persistence to statin treatment during a 10-year period in a nationwide cohort of patients initiating glucose-lowering medication (GLM). METHODS: All Danish citizens 30 years and older who claimed prescriptions of GLM between 1997 and 2006 were identified from nationwide registers of drug dispensing from pharmacies and hospitalizations, and followed until 2006. Statin treatment was registered if a prescription was claimed during the period. By logistic regression we analyzed factors related to initiation and persistence to statin treatment. RESULTS: In total 128,106 patients were included. In 1997 only 7% of the patients receiving GLM claimed statins within the first year after GLM initiation. Despite increasing statin prescriptions the following years, only 62% were using statins at the end of follow up. The chance of ever receiving statins was lowest if not initiated within 180-days following the first purchase of GLM (OR 0.75, 95% CI 0.74-0.76). A previous myocardial infarction was associated with increased statin treatment (OR 4.51; 95% CI 4.31 - 4.71), while low income was associated with lower use of statins (OR 0.68; 95%CI 0.66-0.72). Between 75-85 % of the patients who initiated statins treatment were persistent to treatment by 2007. CONCLUSIONS: In spite of increasing use of statins in diabetes patients over time, many patients remain untreated. Early initiation of statin treatment in diabetic patients and focus on patients with low socioeconomic status is needed to give long-term benefits.

AB - AIMS: Since 2001 guidelines recommend statin treatment in most patients with diabetes. We investigated secular changes in initiation and persistence to statin treatment during a 10-year period in a nationwide cohort of patients initiating glucose-lowering medication (GLM). METHODS: All Danish citizens 30 years and older who claimed prescriptions of GLM between 1997 and 2006 were identified from nationwide registers of drug dispensing from pharmacies and hospitalizations, and followed until 2006. Statin treatment was registered if a prescription was claimed during the period. By logistic regression we analyzed factors related to initiation and persistence to statin treatment. RESULTS: In total 128,106 patients were included. In 1997 only 7% of the patients receiving GLM claimed statins within the first year after GLM initiation. Despite increasing statin prescriptions the following years, only 62% were using statins at the end of follow up. The chance of ever receiving statins was lowest if not initiated within 180-days following the first purchase of GLM (OR 0.75, 95% CI 0.74-0.76). A previous myocardial infarction was associated with increased statin treatment (OR 4.51; 95% CI 4.31 - 4.71), while low income was associated with lower use of statins (OR 0.68; 95%CI 0.66-0.72). Between 75-85 % of the patients who initiated statins treatment were persistent to treatment by 2007. CONCLUSIONS: In spite of increasing use of statins in diabetes patients over time, many patients remain untreated. Early initiation of statin treatment in diabetic patients and focus on patients with low socioeconomic status is needed to give long-term benefits.

U2 - 10.2174/1874192400903010152

DO - 10.2174/1874192400903010152

M3 - Journal article

C2 - 20016749

SN - 1874-1924

VL - 3

SP - 152

EP - 159

JO - Open Cardiovascular Medicine Journal

JF - Open Cardiovascular Medicine Journal

ER -

Initiation and persistence to statin treatment in patients with diabetes receiving glucose-lowering medications 1997- 2006

Abstract

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