Author + information
- Christopher Latanich,
- Shermeen Memon and
- Sara Sirna
Background: Diabetic patients are at particular high risk of developing ischemic heart disease and treatment with statins have shown significant benefit in reducing ischemic events within this population. Unfortunately, racial and gender inequities in the provision of medical care remain a considerable problem. We specifically studied the provision of primary prevention statins to diabetic patients with particular attention to gender and ethnic differences. In addition, we examined the underlying differences in patterns of statin administration to these patients among various physician specialties.
Methods: This was a one year retrospective study of 4334 adults with diabetes mellitus but no known ischemic heart disease, managed in the ambulatory setting at Loyola University Medical Center by a primary care physician or cardiologist during 2014. From this initial cohort, 4195 patients were included in the final univariate and multivariate logistic regression analyses. All data was obtained via electronic medical record review and approved by the Institutional Review Board.
Results: Ultimately 70% of the patients included in this study were prescribed a statin with men and women receiving similarly intensive statin treatment. We found, however, significant differences in treatment based upon patients’ ethnicity with nonwhite patients receiving significantly less intensive treatment (p<0.0001) and patients treated by cardiologists received significantly more intensive treatment when compared to primary care physicians (p<0.0001).
Conclusions: Among a large cohort of diabetic patients without coronary artery disease, we found highly significant differences in the intensiveness of statin therapy based upon patient ethnicity and the specialty of the treating physician. Despite widely published guidelines, continued education is necessary to ensure statin prescribing patterns are similar across all physicians specialties. In addition treatment among all races deserves special emphasis.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Current Issues in Cardiovascular Epidemiology, Disparities, and Safety
Abstract Category: 32. Prevention: Clinical
Presentation Number: 1148-060
- 2017 American College of Cardiology Foundation