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Comparison of Adherence to Guideline-Based Cholesterol Treatment Goals in Men Versus Women by Martin W. Schoen; Rachel G. Tabak; Joanne Salas; Jeffrey F. Scherrer; Fred R. Buckhold is a Medicine article available to read on EtoBox.

What is Comparison of Adherence to Guideline-Based Cholesterol Treatment Goals in Men Versus Women about?

Studies show women do not receive aggressive cardiovascular interventions and may not be given guideline-based treatment to reduce cardiac events. We describe cholesterol treatment in an academic practice of family and internal medicine physicians to understand factors associated with achievement of guideline-based treatment goals in women compared with men. Primary care patients aged 40 to 75 years were included if they were prescribed a statin, had a Framingham risk score of ≥ 10%, had diabetes, or had atherosclerotic cardiovascular disease. Patients were classified into Adult Treatment Panel III categories and assessed to whether they were in compliance with Adult Treatment Panel III guidelines. Odds ratios of goal adherence between women and men were calculated, and a multivariate model for goal achievement was created. In 2,747 patients, women were less likely to achieve cholesterol goals (odds ratio [OR] 0.82; 95% confidence interval [CI] 0.70 to 0.95) despite having more prescriptions for statins (48% vs 39%, p <0.001). More women than men failed to reach low-density lipoprotein goals because they were not prescribed a statin (OR 0.69; 95% CI 0.56 to 0.85) and women on high-

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Author

Martin W. Schoen; Rachel G. Tabak; Joanne Salas; Jeffrey F. Scherrer; Fred R. Buckhold

Published

2015

Language

EN

Field

Medicine (Health Sciences)