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Management of Statin Therapy Among Uninsured Patients with Elevated ASCVD Risk Scores
EP27228
Poster Title: Management of Statin Therapy Among Uninsured Patients with Elevated ASCVD Risk Scores
Submitted on 09 Feb 2018
Author(s): Meghana Reddy BS, Adithya Mathews MD MBA, Robert Bubar BS, Rahul Mhaskar MD, Abu-Sayeef Mirza MD MPH
Affiliations: University of South Florida Morsani College of Medicine
This poster was presented at USF Health Research Day 2018
Poster Views: 395
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Poster Information
Abstract: Objectives: This study aims to measure the implementation and compliance of appropriate statin therapy among uninsured populations with elevated ASCVD risk scores and demonstrate the health disparity and need for better education regarding statin adherence.

Methods: The data for this study was extracted from medical charts of patients that were being managed in nine free clinics in Tampa Bay between January and December of 2016.

Results: Only 17.1% of diabetics being managed in free clinics in 2016 were being treated with the appropriate statin therapy. 63.6% of the diabetic patients were considered to be at high risk for ASCVD based on their estimated 10-year ASCVD risk scores. Only 17.1% of these high-risk patients were being treated with the appropriate guideline-recommended statin therapy.

Conclusion: Uninsured patients with high ASCVD risk scores who are being treated in free clinics have significantly low compliance rates for guideline-recommended statin therapy. Better education, community funding, higher awareness of statin guidelines may increase statin therapy compliance and lower risk of ASCVD among these patients.
Summary: Atherosclerotic cardiovascular disease (ASCVD) is correlated with high levels of LDL-C. The American College of Cardiology & the American Heart Association guidelines make statin therapy recommendations for patients at high risk of ASCVD. This study measures the compliance of appropriate statin therapy among uninsured patients with high ASCVD risk scores. Data collected from free clinics showed significantly poor compliance rates for guideline-recommended statin therapy among high-risk patients.References: 1. Heart Disease. (2017, November 28). Retrieved from https://www.cdc.gov/heartdisease/facts.htm

2. Stone, N. J, et al. (2014). 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults. Circulation, 129(25). doi:10.1161/01.cir.0000437741.48606.98

3. Ziaeian, B., & Fonarow, G. C. (2017). Statins and the Prevention of Heart Disease. JAMA Cardiology,2(4), 464. doi:10.1001/jamacardio.2016.4320
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