Association Between Poverty and Appropriate Statin Prescription for the Treatment of Hyperlipidemia in the United States: An Analysis From the ACC NCDR PINNACLE Registry
Highlights
- • We sought to determine the association of appropriate lipid therapy with income level to potentially explain these poorer outcomes using the NCDR PINNACLE Registry.
- • There was a small association between appropriate statin use and income under different types of guidelines. Before November 2013 the Point-Biserial Correlation Coefficient was 0.035, and after November 2013 was 0.026.
- • Prior to November 2013, 68-73% of patients who needed lipid therapy were treated appropriately, and between November 2013-2016, after the publication of the ACC/AHA Guidelines, only 57-62% of patients were treated appropriately.
- • Further investigation into barriers preventing the use of evidence-based therapies in poorer populations is needed.
Abstract
Background
Poverty is associated with a higher risk of myocardial infarction and cardiac death, both of which are decreased by treatment of hyperlipidemia. There may be differences in the appropriate treatment of hyperlipidemia between richer and poorer Americans. In this study, we aimed to evaluate the association between income level and appropriate lipid-lowering therapy.