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Association of primary care providers’ beliefs of statins for primary prevention and statin prescription

Journal of the American Heart Association Jan 31, 2019

Clough JD, et al. - Researchers assessed how statin prescriptions may be influenced by primary care provider (PCP) beliefs of statins for primary prevention. The investigators surveyed 164 PCPs from a community-based North Carolina network in 2017. They also assessed statin initiation among the PCPs’ statin-eligible patients between 2014 and 2015 without a previous prescription. The survey was completed by 72 PCPs (43.9%). Statins were perceived as the cause of diabetes mellitus by a minority of providers (27.8%), and only 16.7% reported always/very often discussing this with patients. As perceived by most of the PCPs (97.2%), statins induced myopathy, which was discussed always/very often with the patients by 72.3% PCPs. Always or very often using the 10-year atherosclerotic cardiovascular disease risk calculator was reported by most (77.7%) PCPs; however, many reported that, in most cases, other risk factors or patient preferences affected prescribing (59.8% and 43.1%, respectively). Overall, community PCPs had varied beliefs and approaches to statin discussions. New prescription rates were low and minimally related to those beliefs.

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