TABLE 2.
Aggregate Lipid-Lowering Treatment Rates Before and 1 Year After 2013 Cholesterol Guideline
ASCVD (n = 301,440) | DM (n = 309,095) | ||||||||
Preguideline | Postguideline | Std. Diff. (%)a | Preguideline | Postguideline | Std. Diff. (%)a | ||||
Cholesterol-lowering agents | |||||||||
Any statin | 144,754 (48.0) | 142,517 (47.3) | 1.4 | 155,338 (50.3) | 159,195 (51.5) | 2.4 | |||
Low intensity | 29,489 (20.4) | 27,392 (19.2) | - | 34,112 (22.0) | 32,687 (20.5) | - | |||
Moderate intensity | 93,022 (64.3) | 89,808 (63.0) | - | 102,047 (65.7) | 102,576 (64.4) | - | |||
High intensity | 22,243 (15.4) | 25,317 (17.8) | - | 19,179 (12.3) | 23,932 (15.0) | - | |||
Bile acid binding resins | 2,426 (0.8) | 2,238 (0.7) | 1.2 | 2,833 (0.9) | 2,599 (0.8) | 1.1 | |||
Ezetimibe | 6,851 (2.3) | 6,074 (2.0) | 2.1 | 6,712 (2.2) | 6,010 (1.9) | 2.1 | |||
Fibrates | 11,606 (3.9) | 10,812 (3.6) | 1.6 | 19,928 (6.4) | 18,892 (6.1) | 1.2 | |||
Niacin | 3,082 (1.0) | 1,887 (0.6) | 4.5 | 3,127 (1.0) | 2,062 (0.7) | 3.3 | |||
No lipid treatment | 149,086 (49.5) | 152,010 (50.4) | 1.8 | 142,251 (46.0) | 139,730 (45.2) | 1.6 | |||
Treatment regimens | |||||||||
Statin | 128,561 (42.6) | 128,379 (42.6) | 0.1 | 134,561 (43.5) | 139,791 (45.2) | 3.4 | |||
Nonstatin | 7,600 (2.5) | 6,913 (2.3) | 1.3 | 11,506 (3.7) | 10,170 (3.3) | 2.2 | |||
Statin and nonstatin | 16,193 (5.4) | 14,138 (4.7) | 3.2 | 20,777 (6.7) | 19,404 (6.3) | 1.6 | |||
No lipid treatment | 149,086 (49.5) | 152,010 (50.4) | 1.8 | 142,251 (46.0) | 139,730 (45.2) | 1.6 |
Note: Values are represented as number (%) unless noted otherwise.
a A standardized difference of >10% was considered a significant imbalance between proportions.
ASCVD = atherosclerotic cardiovascular disease; DM = diabetes mellitus; Std. Diff. = standardized difference.