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RSS FeedsVariations in statin prescribing for primary cardiovascular disease prevention: cross-sectional analysis (BMC Health Services Research)

 
 

20 september 2014 22:36:30

 
Variations in statin prescribing for primary cardiovascular disease prevention: cross-sectional analysis (BMC Health Services Research)
 


Background: Statins are an important intervention for primary and secondary cardiovascular disease (CVD) prevention. We aimed to establish the variation in primary preventive treatment for CVD with statins in the English population. Methods: Cross sectional analyses of 6155 English primary care practices with 40,017,963 patients in 2006/7. Linear regression was used to model prescribing rates of statins for primary CVD prevention as a function of IMD(index of multiple deprivation) quintile, proportion of population from an ethnic minority, and age over 65 years. Defined Daily Doses (DDD) were used to calculate the numbers of patients receiving a statin. Statin prescriptions were allocated to primary and secondary prevention based on the prevalence of CVD and stroke. Results: We estimated that 10.5% (s.d.3.7%) of the registered population were dispensed a statin for any indication and that 6.3% (s.d. 3.0%) received a statin for primary CVD prevention. The regression model explained 21.2% of the variation in estimates of prescribing for primary prevention. Practices with higher prevalence of hypertension (beta co-efficient 0.299 p


 
161 viewsCategory: Medicine
 
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