PMID: 16503318Mar 1, 2006Paper

The influence of physicians' guideline compliance on patients' statin adherence: a retrospective cohort study

The American Journal of Geriatric Pharmacotherapy
Joanne R CampioneMorris Weinberger

Abstract

National cholesterol management guidelines recommend regular follow-up of patients and annual lipid evaluations to promote adherence to statin therapy. This study examined the relationship between primary care physicians' (PCPs') compliance with primary care guidelines and patients' adherence to statin therapy. A retrospective cohort study was conducted among statin users aged > or = 50 years who had an assigned PCP at a Veterans Affairs Medical Center. The dependent variable was statin adherence by patients over 24 months. Computerized pharmacy, laboratory, and medical records were used to measure PCPs' compliance with 4 recommendations in national cholesterol management guidelines: (1) lipid-lowering drug (LLD) initiation; (2) 8-week follow-up visit after an initial LLD prescription; (3) 6- or 12-month follow-up visit for established LLD users; and (4) annual lipid evaluation. Multilevel, multivariable regression models were used to estimate the effects of PCPs' guideline compliance on patients' adherence while controlling for patients' demographic characteristics, comorbid conditions, and pharmacotherapy factors. The sample included 82 PCPs caring for 4707 patients. The mean statin adherence rate was 83.9%. An increase in th...Continue Reading

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Mar 20, 2010·BMC Health Services Research·Peter FranksKevin Fiscella
Nov 26, 2010·Current Medical Research and Opinion·B Wiśniowska, A Skowron
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