Initiation of lipid-lowering therapy as primary prevention of cardiovascular disease in the elderly
Resumen: Aims
This study aimed to analyse the initiation adherence phase to lipid-lowering therapy for primary prevention of cardiovascular disease in a Spanish population aged 70 years or older. The secondary objective was to identify the determinants of initiation and early discontinuation.

Methods
This was an observational study conducted in the CArdiovascular Risk factors for HEalth Service research (CARhES) cohort. People aged 70 and older with a first prescription of a lipid-lowering drug and without a previous major adverse cardiovascular event (MACE) were selected (2018–2021). Data on sociodemographics, clinical conditions, drugs and use of health services were collected from clinical and administrative electronic databases. The study population was classified into: non-initiation, early discontinuation (i.e., discontinuation after the first dispensing) and initiation with more than one dispensing. Their characteristics were compared. Determinants of initiation and early discontinuation were explored.

Results
Among the 15 019 people studied, 80.2% initiated the medication, 11.2% showed an early discontinuation and 8.6% were non-initiators. An older age or conditions such as dementia, diabetes or depression reduced the likelihood of initiation, while obesity and a high pharmacological burden increased it. People over 90 years of age or those prescribed a statin in combination were more likely to have an early discontinuation.

Conclusions
Non-initiation and early discontinuation are common among older people prescribed lipid-lowering drugs as primary prevention of cardiovascular disease for the first time. The presence of chronic pathologies other than cardiovascular ones should be considered when assessing whether or not to prescribe these drugs in the elderly.

Idioma: Inglés
DOI: 10.1111/bcp.16157
Año: 2024
Publicado en: BRITISH JOURNAL OF CLINICAL PHARMACOLOGY 90, 10 (2024), 2663-2672
ISSN: 0306-5251

Financiación: info:eu-repo/grantAgreement/ES/DGA-GRISSA/B09-23R
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/PI22-01193
Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Área Medic.Prevent.Salud Públ. (Dpto. Microb.Ped.Radio.Sal.Pú.)

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Exportado de SIDERAL (2024-12-20-12:05:35)


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Artículos > Artículos por área > Medicina Preventiva y Salud Pública



 Registro creado el 2024-07-11, última modificación el 2024-12-20


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