Systematic review of the predictors of statin adherence for the primary prevention of cardiovascular disease

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Systematic review of the predictors of statin adherence for the primary prevention of cardiovascular disease. / Hope, Holly F; Binkley, George M; Fenton, Sally; Kitas, George D; Verstappen, Suzanne M M; Symmons, Deborah P M.

In: PLoS ONE, Vol. 14, No. 1, e0201196, 17.01.2019.

Research output: Contribution to journalArticlepeer-review

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Hope, H. F., Binkley, G. M., Fenton, S., Kitas, G. D., Verstappen, S. M. M., & Symmons, D. P. M. (2019). Systematic review of the predictors of statin adherence for the primary prevention of cardiovascular disease. PLoS ONE, 14(1), [e0201196]. https://doi.org/10.1371/journal.pone.0201196

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Hope, Holly F ; Binkley, George M ; Fenton, Sally ; Kitas, George D ; Verstappen, Suzanne M M ; Symmons, Deborah P M. / Systematic review of the predictors of statin adherence for the primary prevention of cardiovascular disease. In: PLoS ONE. 2019 ; Vol. 14, No. 1.

Bibtex

@article{1527668996b440b592ead39f5e35e27c,
title = "Systematic review of the predictors of statin adherence for the primary prevention of cardiovascular disease",
abstract = "INTRODUCTION: Previous research has shown that statin adherence for the primary prevention of CVD is lower compared to secondary prevention populations. Therefore the aim of this systematic review was to review predictors of statin adherence for the primary prevention of CVD.METHODS: A systematic search of papers published between Jan 1984 and May 2017 was conducted in PubMed, PsycINFO, EMbase and CINAHL databases. A study was eligible for inclusion if; 1) it was a study of the general population or of patients with familial hypercholesterolemia, hypertension, diabetes or arthritis; 2) statins were prescribed; 3) adherence was defined and measured as the extent to which patients followed their statin regimen during the period of prescription, and 4) it was an original trial or observational study (excluding case reports). A study was subsequently excluded if 1) results were not presented separately for primary prevention; 2) it was a trial of an intervention (for example patient education). Papers were reviewed by two researchers and consensus agreed with a third. A quality assessment (QA) tool was used to formally assess each included article. To evaluate the effect of predictors, data were quantitatively and qualitatively synthesised.RESULTS: In total 19 studies met the inclusion criteria and nine were evaluated as high quality using the QA tool. The proportion of patients classed as {"}adherent{"} ranged from 17.8% to 79.2%. Potential predictors of statin adherence included traditional risk factors for CVD such as age, being male, diabetes and hypertension. Income associated with adherence more strongly in men than women, and highly educated men were more likely and highly educated women less likely to be adherent. Alcohol misuse and high BMI associated with non-adherence. There was no association between polypharmacy and statin adherence. The evidence base for the effect of other lifestyle factors and health beliefs on statin adherence was limited.CONCLUSION: Current evidence suggests that patients with more traditional risk factors for CVD are more likely to be adherent to statins. The implications for future research are discussed.",
author = "Hope, {Holly F} and Binkley, {George M} and Sally Fenton and Kitas, {George D} and Verstappen, {Suzanne M M} and Symmons, {Deborah P M}",
year = "2019",
month = jan,
day = "17",
doi = "10.1371/journal.pone.0201196",
language = "English",
volume = "14",
journal = "PLoSONE",
issn = "1932-6203",
publisher = "Public Library of Science (PLOS)",
number = "1",

}

RIS

TY - JOUR

T1 - Systematic review of the predictors of statin adherence for the primary prevention of cardiovascular disease

AU - Hope, Holly F

AU - Binkley, George M

AU - Fenton, Sally

AU - Kitas, George D

AU - Verstappen, Suzanne M M

AU - Symmons, Deborah P M

PY - 2019/1/17

Y1 - 2019/1/17

N2 - INTRODUCTION: Previous research has shown that statin adherence for the primary prevention of CVD is lower compared to secondary prevention populations. Therefore the aim of this systematic review was to review predictors of statin adherence for the primary prevention of CVD.METHODS: A systematic search of papers published between Jan 1984 and May 2017 was conducted in PubMed, PsycINFO, EMbase and CINAHL databases. A study was eligible for inclusion if; 1) it was a study of the general population or of patients with familial hypercholesterolemia, hypertension, diabetes or arthritis; 2) statins were prescribed; 3) adherence was defined and measured as the extent to which patients followed their statin regimen during the period of prescription, and 4) it was an original trial or observational study (excluding case reports). A study was subsequently excluded if 1) results were not presented separately for primary prevention; 2) it was a trial of an intervention (for example patient education). Papers were reviewed by two researchers and consensus agreed with a third. A quality assessment (QA) tool was used to formally assess each included article. To evaluate the effect of predictors, data were quantitatively and qualitatively synthesised.RESULTS: In total 19 studies met the inclusion criteria and nine were evaluated as high quality using the QA tool. The proportion of patients classed as "adherent" ranged from 17.8% to 79.2%. Potential predictors of statin adherence included traditional risk factors for CVD such as age, being male, diabetes and hypertension. Income associated with adherence more strongly in men than women, and highly educated men were more likely and highly educated women less likely to be adherent. Alcohol misuse and high BMI associated with non-adherence. There was no association between polypharmacy and statin adherence. The evidence base for the effect of other lifestyle factors and health beliefs on statin adherence was limited.CONCLUSION: Current evidence suggests that patients with more traditional risk factors for CVD are more likely to be adherent to statins. The implications for future research are discussed.

AB - INTRODUCTION: Previous research has shown that statin adherence for the primary prevention of CVD is lower compared to secondary prevention populations. Therefore the aim of this systematic review was to review predictors of statin adherence for the primary prevention of CVD.METHODS: A systematic search of papers published between Jan 1984 and May 2017 was conducted in PubMed, PsycINFO, EMbase and CINAHL databases. A study was eligible for inclusion if; 1) it was a study of the general population or of patients with familial hypercholesterolemia, hypertension, diabetes or arthritis; 2) statins were prescribed; 3) adherence was defined and measured as the extent to which patients followed their statin regimen during the period of prescription, and 4) it was an original trial or observational study (excluding case reports). A study was subsequently excluded if 1) results were not presented separately for primary prevention; 2) it was a trial of an intervention (for example patient education). Papers were reviewed by two researchers and consensus agreed with a third. A quality assessment (QA) tool was used to formally assess each included article. To evaluate the effect of predictors, data were quantitatively and qualitatively synthesised.RESULTS: In total 19 studies met the inclusion criteria and nine were evaluated as high quality using the QA tool. The proportion of patients classed as "adherent" ranged from 17.8% to 79.2%. Potential predictors of statin adherence included traditional risk factors for CVD such as age, being male, diabetes and hypertension. Income associated with adherence more strongly in men than women, and highly educated men were more likely and highly educated women less likely to be adherent. Alcohol misuse and high BMI associated with non-adherence. There was no association between polypharmacy and statin adherence. The evidence base for the effect of other lifestyle factors and health beliefs on statin adherence was limited.CONCLUSION: Current evidence suggests that patients with more traditional risk factors for CVD are more likely to be adherent to statins. The implications for future research are discussed.

UR - http://www.scopus.com/inward/record.url?scp=85060127766&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0201196

DO - 10.1371/journal.pone.0201196

M3 - Article

C2 - 30653535

VL - 14

JO - PLoSONE

JF - PLoSONE

SN - 1932-6203

IS - 1

M1 - e0201196

ER -