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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cholesterol-narrative.pdf
December 31, 2018 - Statin Therapy Measure Narative
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease … diabetes with a fasting or direct LDL-C level of 70-189
mg/dL; who were prescribed or are already on statin … Numerator
The number of patients with a statin medication (Statin RXNORM Value Set) current on the … medication
list or prescribed a statin medication during the measurement period. … Denominator Exceptions
• Patients with adverse effect, allergy or intolerance to statin medication
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cholesterol-flowchart.pdf
June 02, 2025 - Statin Therapy Measure Flow Chart
Statin Therapy for the
Prevention and Treatment of
Cardiovascular … Disease
Yes
*Contraindications and Exceptions to Statin Use
· Patients with adverse effect, allergy … or
intolerance to statin medication therapy
· Patients who are pregnant or breastfeeding
· Patients … e
Yes
PATIENT
INCLUDED IN
DENOMINATOR
1
Was the patient
prescribed or on a statin
at any … No
PATIENT NOT
INCLUDED IN
NUMERATOR 3
11_18_2015 Statin Therapy Measure Flow Chart 3 Denom v3.
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-template-cholesterol.xlsx
November 18, 2015 - Cholestrol Control with Statin Therapy
CHOL
PCP Demographics
Demographics DOB 40-75 (DM),
≥ 21 … Statin Med
No statin then check LDL, if yes in Num. … Statin Med
No statin then check LDL, if yes in Num. <70
If < 70 exempt,
≥70 statin required and failed … Fluvastatin Lescol XL or Lescol Statin
Lovastatin (Mevinolin) Mevacor or Altoprev Statin
Pitavastatin … Livalo N/A
Pravastatin Sodium Pravachol Statin
Rosuvastatin Calcium Crestor Statin
Simvastatin Zocor
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/strategies-to-better-manage-lipids.pptx
November 01, 2016 - Strategies to Better Manage Lipids – Statin Pearls
Strategies to Better Manage Lipids – Statin Pearls … Measures – Cholesterol
Percentage of “high-risk” adult patients who were prescribed or are taking a statin … (CVD) (i.e., symptomatic coronary artery disease or thrombotic stroke)
use a low- to moderate-dose statin … Clinicians may choose to offer a low- to moderate dose statin to certain adults without a history of … Other side effects – try a 6 week break and then restarting
Add Co-enzyme Q10
Stop statin and focus
-
www.ahrq.gov/data/infographics/statin-use.html
August 01, 2018 - Statin Use in U.S. Adults Doubles
Statin Use in U.S. … Adults Doubles (PDF, 263 KB)
Source: Statistical Brief #458: Trends in Statin Therapy among Adults … (Age ≥ 18), United States, 2000 to 2011 ; Statistical Brief #459: Changes in Statin Therapy among Adults
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/statin-use.pdf
June 03, 2015 - Statin Use in U.S. … Adults Doubles in 10 Years
Source: MEPS Statistical Brief #458: Trends in Statin Therapy among Adults … Branded Statin
2010-
2011
2008-
2009
2006-
2007
2004-
2005
2002-
2003
2000-
2001
Average Annual … In the 10-year period
ending in 2011, statin use roughly doubled among all adult age groups. … Statin Use in U.S. Adults Doubles in 10 Years
Publication Date: June 3, 2015
-
www.ahrq.gov/sites/default/files/2024-01/strom-report.pdf
January 01, 2024 - The I*R represents the relative effect of each statin type (statin 3A4 substrate vs. statin non-3A4 … for each CYP3A4 inhibitor evaluated by statin
type (statin 3A4 substrate and statin non-3A4 substrate … Baseline characteristics Statin 3A4
substrate
Statin non-
3A4 substrate
Statin 3A4
substrate
Statin … non-
3A4 substrate
Statin 3A4
substrate
Statin non-
3A4 substrate
# of statin initiators 325,460 … )
0.90
(0.53-1.52)
statin 3A4 substrate 2358 657,276 3.59
statin non-3A4 substrate + CYP3A4X
statin
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-4-statins.pdf
October 01, 2024 - Statin Use by Region
Among those hospitalized for IS/TIA, overall statin use was lower inside the stroke … Variability in Statin Use in Medicare 4
Figure 2. … Use in Medicare 5
Statin Use by State
Figures 4-6 display overall and state-level statin use rates … statin
prescription fills during the 3 months after hospital discharge (“any statin use”) from a
cardiovascular … Use
Statin Use by Region
Statin Use by State
Data Source
Definitions
Use of Statins
Statin Prescription
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www.ahrq.gov/sites/default/files/wysiwyg/data/data-innovations-statbrief-statins-commercial-insurance.pdf
October 02, 2024 - Statin use was lower inside the stroke
belt for both sex and age categories. … Variability in Statin Use in Commercially Insured Beneficiaries 3
Figure 2. … Variability in Statin Use in Commercially Insured Beneficiaries 6
Figure5. … Statin Prescription Fills
We examine the percentage of adults ages 45-64 with any outpatient statin … Variability in Statin Use in Commercially Insured Beneficiaries 9
Table 1.
-
www.ahrq.gov/evidencenow/projects/heart-health/evidence/cholesterol.html
March 01, 2021 - Substantial evidence shows that taking a statin medication each day to manage blood cholesterol can reduce … People who have already had a heart attack or stroke have also been shown to benefit from statin use … Recommendation: The USPSTF recommended starting statin use for primary prevention of cardiovascular … The USPSTF recommended discussing statin use in similar patients with more moderate risk of a CVD event … All patients at high risk should receive a high- or moderate-intensity statin unless contraindicated
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/persell_cvd_disparities.pdf
June 02, 2025 - Statin drugs decrease CVD illness and
mortality in people at high risk. … in statin
use among people of different race, ethnicity, and socioeconomic status. … Will patients who receive outreach from care managers seek out and
obtain statin treatment to lower … Barriers to at risk patients starting a statin regiment include:
– Primary care clinicians focus … , as was done in this study) may more effectively increase appropriate statin use and lower
CVD risk
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
June 02, 2025 - And, finally, to examine effective techniques for encouraging adherence to statin
therapy.
4 Mr … Would you recommend a statin for CVD risk reduction in this patient? How would you decide? … As such,
we recommend that you initiate a moderate dose generic statin for primary prevention. … It assumes a relative risk reduction of 25% with statin therapy. … their statin medication within six months.
-
www.ahrq.gov/evidencenow/heart-health/cholesterol/statins.html
September 01, 2018 - Strategies to Better Manage Lipids—Statin Pearls
Resource title: Strategies to Better Manage … Lipids—Statin Pearls
Resource description: This slide deck and transcript of a 20-minute video with
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-tracking.docx
June 02, 2025 - alert staff for lipid panel in general population for low risk patients
CDS reminder to order statin … in ASCVD, IVD, CVD
CDS reminder to order statin in DM
CDS reminder to order statin in patients … with low-density lipoprotein (LDL) >=190
CDS reminder to order statin in general population with … Outreach list for DM not on statin
Outreach list for LDL>=190 not on a statin
Outreach … list for increased CVD risk not on statin
Outreach list for smokers
Agreement with community
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/intervention-tracking-worksheet-mw.pdf
May 19, 2016 - mellitus
Alert for a lipid panel in general population (low risk patients)
Reminder to order a statin … in ASCVD (or IVD, or CVD)
Reminder to order statin in diabetic patients
Alert to order a statin … in pts with LDL ≥190
Alert to order statin in general population with increased risk (based on a … patients with uncontrolled hypertension
Outreach to patients who need cholesterol measurement or statin … Outreach to tobacco users or smokers
Outreach to patients with increased CVD risk who are not on a statin
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-academic-detailing-guide.pdf
July 07, 2015 - Statin benefits for patients with coronary artery disease1,2
i16%
Reduction in
absolute risk of … statin
Diabetes
LDL-C 70-189mg/dl,
Age 40-75 y
> 7.5% -
Estimated 10-y
ASCVD risk
< 7.5% … Effectiveness of statin therapy in adults with coronary heart disease. Arch Intern Med. … The effects of lowering LDL cholesterol with statin therapy in people at low risk
of vascular disease … Ezetimibe Added to Statin Therapy after Acute Coronary Syndromes.
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/chart-abstraction-template-cholesterol.html
March 01, 2021 - Cholesterol
Oklahoma Cooperative
Resource: Chart Abstraction Template—Cholesterol Control with Statin … template was used by an EvidenceNOW Cooperative to conduct chart abstractions for cholesterol control with statin
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/cholesterol-flowchart.html
March 01, 2021 - EvidenceNOW: Cholesterol Measure Flow Chart, National Evaluator
Minnesota Cooperative
Resource: Statin … Measure Flow Chart (PDF, 248.7 KB, 1 page)
This document provides a process flow diagram for the Statin
-
www.ahrq.gov/evidencenow/heart-health/cholesterol/uspstf.html
September 01, 2018 - Clinical Recommendation: Statins in Primary Prevention of CVD
Resource title: Statin Use for
-
www.ahrq.gov/evidencenow/heart-health/cholesterol/primary-prevention.html
September 01, 2018 - using assessment results and patient preferences to guide decisionmaking and improving adherence to statin