Statin Therapy for Patients With Cardiovascular Disease and Diabetes (SPC/SPD)

Statin Therapy for Patients with Cardiovascular Disease: Assesses males 21–75 years of age and females 40–75 years of age who have clinical atherosclerotic cardiovascular disease (ASCVD) and who received and adhered to statin therapy.

Statin Therapy for Patients with Diabetes: Assesses adults 40-75 years of age who have diabetes and who do not have clinical ASCVD, who received and adhered to statin therapy.

Why it Matters

Cardiovascular disease is the leading cause of death in the United States. It is estimated that 92.1 million American adults have one or more types of cardiovascular disease (Benjamin et al., 2017). People with diabetes also have elevated cardiovascular risk, thought to be due in part to elevations in unhealthy cholesterol levels. Having unhealthy cholesterol levels places people at significant risk for developing ASCVD.

Statins are a class of drugs that lower blood cholesterol. American College of Cardiology and American Heart Association (ACC/AHA) guidelines state that statins of moderate or high intensity are recommended for adults with established clinical ASCVD. The American Diabetes Association and ACC/AHA guidelines also recommend statins for primary prevention of cardiovascular disease in patients with diabetes, based on age and other risk factors. Guidelines also state that adherence to statins will aid in ASCVD risk reduction in both populations.

Results

STATIN THERAPY FOR PATIENTS WITH DIABETES—RECEIVED STATIN THERAPY
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201761.560.161.472.369.6
201660.258.960.270.767.8
STATIN THERAPY FOR PATIENTS WITH DIABETES—STATIN ADHERENCE 80%
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201766.567.759.074.075.2
201666.567.559.375.377.6
STATIN THERAPY FOR PATIENTS WITH CARDIOVASCULAR DISEASE—RECEIVED STATIN THERAPY
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201780.480.976.179.079.1
201679.279.974.777.376.8
STATIN THERAPY FOR PATIENTS WITH CARDIOVASCULAR DISEASE—STATIN ADHERENCE 80%
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201773.575.363.076.377.8
201669.872.060.975.576.7

References

  1. Benjamin, E.J., et al. 2017. “Heart disease and stroke statistics-2017 update: a report from the American Heart Association.” Circulation 135(10): e146–e603. doi:10.1161/CIR.0000000000000485.

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