Factors associated with statin treatment for the primary prevention of cardiovascular disease in people within 2 years following diagnosis of diabetes in Scotland, 2006–2008. Issue 6 (24th March 2014)

• Record Type: Journal Article
• Authors: Jones, N. R. V.; Fischbacher, C. M.; Guthrie, B.; Leese, G.; Lindsay, R. S.; McKnight, J. A.; Pearson, D.; Philip, S.; Sattar, N.; Wild, S. H.; the Scottish Diabetes Research Network Epidemiology Group
• Is Part Of: Diabetic medicine. Volume 31:Issue 6(2014:Jun.)
• Page Start: 640
• Page End: 646
• Publication Date: 2014-03-24
• Subjects: Diabetes -- Periodicals; 616.462
• DOI: 10.1111/dme.12409
• Languages: English
• ISSNs: 0742-3071

Abstract

<abstract abstract-type="main" id="dme12409-abs-0001"> <title>Abstract</title> <sec id="dme12409-sec-0001" sec-type="section"> <title>Aim</title> <p>To describe characteristics associated with statin prescribing for the primary prevention of cardiovascular disease in people with newly diagnosed diabetes.</p> </sec> <sec id="dme12409-sec-0002" sec-type="section"> <title>Methods</title> <p>Data from the Scottish Care Information—Diabetes Collaboration data set for 2006–2008 were used. This data set contains socio‐demographic and prescribing data for over 99% of people with diagnosed diabetes in Scotland. Analyses were conducted on people aged over 40 years diagnosed with Type 1 or Type 2 diabetes between 2006 and 2008 with complete data and no previous history of cardiovascular or statin prescription. Logistic regression was used to calculate odds ratios for statin prescription in the 2 years following diagnosis of diabetes.</p> </sec> <sec id="dme12409-sec-0003" sec-type="section"> <title>Results</title> <p>There were 7157 men and 5601 women who met the inclusion criteria, 68% of whom had a statin prescription recorded in the 2 years following diagnosis of diabetes. The proportions receiving statins were lower above 65 years of age in men and 75 years of age in women. People with Type 1 diabetes had lower odds of receiving statins than people with Type 2 diabetes [odds ratio (95% CI) 0.42 (0.29–0.61) for men and 0.48 (0.28–0.81) for women, after adjustment for age, BMI, smoking status, cholesterol level and deprivation]. Higher total cholesterol, BMI and being a current smoker were associated with greater odds of statin prescription.</p> </sec> <sec id="dme12409-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Approximately one third of the study population had no record of statin prescription during the 2 years after diagnosis of diabetes. Cardiovascular disease risk reduction opportunities may be missed in some of these people.</p> </sec> </abstract>