Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
Adherence to Current Dyslipidemia Guideline in Patients Utilizing Statins According to Risk Groups and Gender Differences: The AIZANOI Study
Anatolian Journal of Cardiology · Haziran 2024
YÖKSİS Kayıtları
Adherence to Current Dyslipidemia Guideline in Patients Utilizing Statins According to Risk Groups and Gender Differences: The AIZANOI Study
The Anatolian Journal of Cardiology · 2024 SCI-Expanded
PROFESÖR ABDULLAH TUNÇEZ →
Makale Bilgileri
DergiAnatolian Journal of Cardiology
Yayın TarihiHaziran 2024
Cilt / Sayfa28 · 273-282
Scopus ID2-s2.0-85195000437
Erişim🔓 Açık Erişim
Özet
Background: The aim of this study was to assess the adherence to the current European Society of Cardiology dyslipidemia guidelines, the ratio of reaching target values according to risk groups, and the reasons for not reaching LDL-cholesterol (LDL-C) goals in patients on already statin therapy in a cardiology outpatient population. Methods: The AIZANOI study is a multi-center, cross-sectional observational study including conducted in 9 cardiology centers between August 1, 2021, and November 1, 2021. Results: A total of 1225 patients (mean age 62 ± 11 years, 366 female) who were already on statin therapy for at least 3 months were included. More than half (58.2%) of the patients were using high-intensity statin regimens. Only 26.2% of patients had target LDL-C level according to their risk score. Despite 58.4% of very high-risk patients and 44.4% of high-risk patients have been using a high-intensity statin regimen, only 24.5% of very-high-risk patients and only 34.9% of high-risk patients have reached guideline-recommended LDL-C levels. Most prevalent reason for not using target dose statin was physician preference (physician inertia) (40.3%). Conclusion: The AIZANOI study showed that we achieved a target LDL-C level in only 26.2% of patients using statin therapy. Although 58.4% of patients with a very high SCORE risk and 44.4% of patients with a high SCORE risk were using a target dose statin regimen, we were only able to achieve guideline-recommended LDL-C levels in 24.5% and 34.9% of them, respectively, in cardiology outpatients clinics. Physician inertia is one of the major factors in non-adherence to guidelines. These findings highlight that combination therapy is needed in most of the patients.
Yazarlar (15)
1
Taner Şen
ORCID: 0000-0002-7736-6292
2
Lale Dinç Asarcıklı
ORCID: 0000-0002-7828-9487
3
Saadet Güven
ORCID: 0000-0001-6741-7714
4
Umut Kocabaş
ORCID: 0000-0001-6424-9399
5
Mehmet Özgeyik
ORCID: 0000-0002-8510-3505
6
Mevlüt Demir
ORCID: 0000-0002-7484-9969
7
Tülay Oskay
ORCID: 0000-0003-2801-7819
8
Halil İbrahim Durmuş
ORCID: 0000-0003-2499-9464
9
Belma Kalaycı
ORCID: 0000-0002-9823-2592
10
Muhammet Cihat Çelik
ORCID: 0000-0002-6496-7849
11
Fatih Kahraman
12
Ökkeş Utku
ORCID: 0000-0002-4392-7522
13
Mehmet Ali Astarcıoğlu
ORCID: 0000-0001-8577-9890
14
Sabiye Yılmaz
ORCID: 0000-0003-3626-9098
15
Abdullah Tunçez
Anahtar Kelimeler
Low-density lipoprotein cholesterol
SCORE risk
statins
Kurumlar
Başkent Üniversitesi
Ankara Turkey
Bülent Ecevit University
Zonguldak Turkey
Burdur Bucak State Hospital
Burdur Turkey
Corum Training and Research Hospital
Corum Turkey
Eskisehir City Hospital
Eskisehir Türkiye
Kütahya Sağlık Bilimleri Üniversitesi
Kutahya Turkey
Selçuk Üniversitesi
Selçuklu Turkey
Siyami Ersek Thoracic and Cardiovascular Surgery Center
Istanbul Turkey
T.C. Ministry of Health Kütahya Health Sciences University Evliya Çelebi Education and Research Hospital
Kutahya Turkey
T. C. Sağlık Bakanlığı, Taksim Eğitim ve Araştirma Hastanesi
Istanbul Turkey
Metrikler
4
Atıf
15
Yazar
3
Anahtar Kelime