Table 3.
Effect of the Release of the NCEP ATP III Guidelines and Results from PROSPER Study in 2002 on Cholesterol-Lowering Medications Usea
Drug Class | Level Changes | Trend Changes | ||||
---|---|---|---|---|---|---|
| ||||||
Observed vs. Predicted (using pre-guideline trend) Difference in Use in year 2003 (Adjusted OR, 95% CI) a | P-value | Pre-Guideline Trend per year (Adjusted OR and 95% CI) a | Post-Guideline Trend per year (Adjusted OR and 95% CI) a | Post-vs. Pre-Guideline Difference in Trends Over Time per year (Adjusted ROR, 95% CI) a | p-value | |
Any Cholesterol Lowering Medication Use | 0.95 (0.89, 1.02) | 0.18 | 1.18 (1.15, 1.20) | 1.09 (1.02, 1.15) | 0.92 (0.89, 0.95) | <0.0001 |
Any Statin Use | 0.95 (0.88, 1.01) | 0.12 | 1.19 (1.16, 1.22) | 1.07 (1.01, 1.13) | 0.90 (0.87, 0.93) | <0.0001 |
Any Fibrate/Other Use | 1.04 (0.83, 1.30) | 0.74 | 1.02 (0.93, 1.08) | 1.24 (1.01, 1.46) | 1.22 (1.10, 1.35) | 0.0003 |
Multivariate generalized estimating equations models adjusted for sociodemographics (race, age, sex, site, education, living status), health behavior (alcohol use), and health status (pulmonary disease, body mass index, polypharmacy, and prescription medications coverage). Polypharmacy and prescription coverage are time-varying variables.
Abbreviation: CI: confidence interval; OR: odds ratio; ROR: ratio of odds ratio