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August 01, 2022 - Statin Use for the Primary Prevention of Cardiovascular Disease in Adults
The USPSTF recognizes … Clinician Summary of USPSTF Recommendation
Statin Use for the Primary Prevention of Cardiovascular … smoking) and an estimated 10-year cardiovascular disease (CVD) risk of
10% or greater: Initiate a statin … is smaller, so clinicians should selectively offer a statin, taking patient values
and preferences … • To achieve the full benefits of statin use, it is essential to equitably improve statin use in
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adults-preventive-medication
August 23, 2022 - To achieve the full benefits of statin use, it is essential to equitably improve statin use in both women … Treatment and Statin Intensity
There are limited data directly comparing the effects of different statin … or by titration of statin therapy to a target LDL-C level vs use of a fixed statin dose. … therapy or based on statin intensity. … and mortality
Harms of statin use
Convincing evidence that the harms of statin use in
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May 01, 2021 - Treatment and Statin Intensity
There are limited data directly comparing the effects of different statin … Summary of USPSTF Rationale
Rationale Assessment
Benefits of statin use • Convincing evidence that statin … Harms of statin use • Convincing evidence that the harms of statin use in adults aged 40 to 75 years … , or by titration of statin
therapy to a target LDL-C level vs use of a fixed statin dose. … therapy or based on statin intensity.
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www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/statin-use-in-adults-preventive-medication
August 23, 2022 - Treatment and Statin Intensity
There are limited data directly comparing the effects of different statin … statin use 15 compared with White adults. … or by titration of statin therapy to a target LDL-C level vs use of a fixed statin dose. … therapy or based on statin intensity. … and mortality
Harms of statin use
Convincing evidence that the harms of statin use in
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February 18, 2020 - statin use in adults aged 40 to 75 years are small. … The majority (>80%) use a statin alone.29 The
Table. … Statin Regimens Used in Available Trials
Statin
Dose, mga
Low Moderate High
Atorvastatin 10-20 40- … There are limited data on different
statin dosing strategies; trials that directly compare titrated statin … Harms of Statin Use
In randomized trials of statin use for the primary prevention of
CVD, statin therapy
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/statin-use-in-adults-preventive-medication
August 23, 2022 - Study Selection: Randomized clinical trials on statins vs placebo or no statin and statin intensity … Randomized clinical trials of statin therapy vs placebo or no statin, statin dosing strategies to target … statin dose. … Statin therapy, vs placebo or no statin, was not significantly associated with increased risk of study … therapy and higher- vs lower-intensity statin therapy; to more definitively determine whether statin
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/statin-use-in-adults-preventive-medication
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Final Research Plan
Statin … Do the benefits of statin treatment vary in subgroups defined by demographic, clinical, or socioeconomic … What are the harms of statin treatment? b. … Do the harms of statin treatment vary in subgroups defined by demographic, clinical, or socioeconomic … How do the benefits and harms of statin treatment vary according to its intensity?
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adults-preventive-medication-november-2016
November 13, 2016 - statin use in adults aged 40 to 75 years are small. … There are limited data on different statin dosing strategies; trials that directly compare titrated statin … Harms of Statin Use
In randomized trials of statin use for the primary prevention of CVD, statin therapy … adults 76 years and older who are not already taking a statin. … to "which population should be prescribed statin therapy?"
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-statins/statin-use-in-adults-preventive-medication-november-2016
November 13, 2016 - We included randomized trials of statin therapy vs placebo or no statin and assessed all-cause mortality … Benefits of Statin Treatment
Key Question 1a. … What are the harms of statin treatment? … How do benefits and harms vary according to statin treatment potency? … statin therapy is associated with increased diabetes or cataract risk; and to determine how statin intensity
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November 13, 2022 - STUDY SELECTION Randomized clinical trials on statins vs placebo or no statin and statin
intensity in … Randomized
clinical trials of statin therapy vs placebo or no statin, statin dosing
strategies to target … statin dose. … based on trials of statins vs placebo or no statin
stratified according to statin intensity showed no … therapy and higher- vs lower-
intensity statin therapy; to more definitively determine whether
statin
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/yBxQssfCeRcD6BBeP2QjdQ
Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Clinical Summary
Figure. … Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Clinical Summary
Population … Considerations for
Implementation
The likelihood that a patient will benefit from statin use depends … discuss with patients
the potential risk of having a CVD event and the expected benefits and harms of statin … concludes that the evidence
is insufficient to determine the balance of
benefits and harms of initiating statin
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January 01, 2024 - We included randomized trials of statin therapy vs pla-
cebo or no statin and assessed all-cause mortality … Benefits of Statin Treatment
Key Question 1a. … What are the harms of statin treatment? … 2
How do benefits and harms vary according to statin treatment potency? … What are the harms of statin treatment?
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan98/statin-use-in-adults-preventive-medication-november-2016
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archived
Final Research Plan
Statin … The arrows for statin treatment also address how benefits and harms vary according to the potency of … statin treatment (Key Question 3). … How do benefits and harms vary according to potency of statin treatment? … KQ 2: Placebo
KQ 3: Higher vs. lower-potency statin therapy
Outcomes
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/lipid-disorders-in-children-screening
July 18, 2023 - Observational studies suggest that statin treatment for FH starting in childhood or adolescence reduces … Most of the evidence for statin harms is from small, short-term studies. … Statin treatment in children with familial hypercholesterolemia: the younger, the better. … Statin use and the risk of type 2 diabetes mellitus in children and adolescents. … Early initiation of statin treatment in children with familial hypercholesterolaemia.
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July 18, 2023 - 1
What is the optimal timing of statin treatment initiation in FH? … Most of the evidence for statin harms is from small, short-
term studies. … Statin treatment in children with familial
hypercholesterolemia: the younger, the better. … Statin use and the risk of type 2
diabetes mellitus in children and adolescents. … Early
initiation of statin treatment in children with familial
hypercholesterolaemia.
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-screening-for-familial-hypercholesterolemia/lipid-disorders-in-children-screening-july-2016
August 09, 2016 - Eight placebo trials of statin drugs (n = 1071; 6–104 weeks) found low-density lipoprotein cholesterol … Mean DHEAS levels were 8.4 (SD, 3.0) μmol/L among statin-treated males and 5.6 (SD, 3.2) μmol/L among … statin-treated females, compared with 12.9 (SD, 4.9) μmol/L among unaffected male siblings and 6.8 ( … Optimal age of statin initiation in children with FH is a matter of expert debate. … Statin treatment in children with familial hypercholesterolemia: the younger, the better.
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August 09, 2016 - Eight placebo trials of statin drugs (n = 1071, 6-104 weeks)
found low-density lipoprotein cholesterol … Statins
Three of 8 statin trials were longer than 6 months: 2 were of 48
weeks’ duration,25,26 and 1 … Optimal age of statin initiation in children with FH is a matter
of expert debate. … Statin treatment in children with familial
hypercholesterolemia: the younger, the better. … Early statin therapy
restores endothelial function in children with
familial hypercholesterolemia.
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October 01, 2016 - Therefore, the USPSTF commissioned a separate
evidence review on the use of statin therapy for cardio … ds=1&s=statin. … ds=1&s=statin
http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryDraft/statin-use-in-adults-preventive-medication1 … ds=1&s=statin
http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryDraft/statin-use-in-adults-preventive-medication1 … ds=1&s=statin
mailto:chour@ohsu.edu
http://www.annals.org
References
1.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/lipid-disorders-in-children-screening
July 18, 2023 - Abnormal liver and musculoskeletal laboratory values were reported with statin use; however, most trials … No more than 60% of participants in the statin group achieved goal in 4 trials reporting this metric. … The largest trial (n = 214), with 2-year follow-up, reported no cases in the statin group and only 2 … There were no significant differences in Tanner staging or hormonal adverse events between statin and … Children with confirmed FH who started statins in youth (mean statin initiation age, 14.0 [SD, 3.1] years
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annual-report-to-congress-2017%20(2).pdf
January 01, 2017 - Statin Use for the Primary Prevention of Cardiovascular Disease in Adults Age 76 Years and Older
1. … Younger Than Age 3 Years ......................................................................13
Statin … Statin Use for the Prevention of Cardiovascular Disease in Adults: A
Systematic Review for the U.S. … (Grade B)
Statin Use for the
Primary Prevention of
Cardiovascular Disease
in Adults: Preventive … Clinicians may choose to offer a low- to moderate-dose statin to certain
adults without a history of