Evidence map›Paper›PMID 28974502›Full record

ArticleJournal of the American Heart Association2017

Contemporary Primary Prevention Aspirin Use by Cardiovascular Disease Risk: Impact of US Preventive Services Task Force Recommendations, 2007-2015: A Serial, Cross-sectional Study.

Jeremy R Van't Hof, Sue Duval, Adrienne Walts, Stephen L Kopecky, Russell V Luepker, Alan T Hirsch

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Aspirin Use among Saudi Adults: The Prevalence and Users' Characteristics.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Aspirin for Primary Prevention of Cardiovascular Disease.Journal of lipid and atherosclerosis · 2019
    Review
  13. Article
  14. Article
  15. 10-Year Resource Utilization and Costs for Cardiovascular Care.Journal of the American College of Cardiology · 2018
    Article
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jeremy R Van't HofCardiovascular Division and Lillehei Heart Institute University of Minnesota Medical School, Minneapolis, MN vanth008@umn.edu.
Sue DuvalCardiovascular Division and Lillehei Heart Institute University of Minnesota Medical School, Minneapolis, MN.
Adrienne WaltsCardiovascular Division and Lillehei Heart Institute University of Minnesota Medical School, Minneapolis, MN.
Stephen L KopeckyDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
Russell V LuepkerDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN.
Alan T HirschCardiovascular Division and Lillehei Heart Institute University of Minnesota Medical School, Minneapolis, MN.

Funding

Testing a Community Intervention to Increase Aspirin Use for Primary Prevention of Cardiovascular DiseaseR01HL126041 · NHLBI · UNIVERSITY OF MINNESOTA · PI LUEPKER, RUSSELL V · 2015 to 2019
$3.5M
NHLBI NIH HHS R01 HL126041
6 · The paper itself

Abstract

backgroundNo previous study has evaluated the impact of past US Preventive Services Task Force statements on primary prevention (PP) aspirin use in a primary care setting. The aim of this study was to evaluate temporal changes in PP aspirin use in a primary care population, stratifying patients by their 10-year global cardiovascular disease risk, in response to the 2009 statement. METHODS AND

resultsThis study estimated biannual aspirin use prevalence using electronic health record data from primary care clinics within the Fairview Health System (Minnesota) from 2007 to 2015. A total of 94 270 patient encounters had complete data to estimate a 10-year cardiovascular disease risk score using the 2013 American College of Cardiology/American Heart Association global risk estimator. Patients were stratified into low- (<10%), intermediate- (10-20%), and high- (≥20%) risk groups. Over the 9-year period, PP aspirin use averaged 43%. When stratified by low, intermediate and high risk, average PP aspirin use was 41%, 63%, and 73%, respectively. Average PP aspirin use decreased after the publication of the 2009 US Preventive Services Task Force recommendation statement: from 45% to 40% in the low-risk group; from 66% to 62% in the intermediate-risk group; and from 76% to 73% in the high-risk group, before and after the guideline.

conclusionsPublication of the 2009 US Preventive Services Task Force recommendation was not associated with an increase in aspirin use. High risk PP patients utilized aspirin at high rates. Patients at intermediate risk were less intensively treated, and patients at low risk used aspirin at relatively high rates. These data may inform future aspirin guideline dissemination.

Indexed as

AgedAspirinCardiovascular AgentsCardiovascular DiseasesClinical Decision-MakingCross-Sectional StudiesFemaleGuideline AdherenceHumansMaleMiddle AgedMinnesotaPractice Guidelines as TopicPractice Patterns, Physicians'PrevalencePrimary Health CareAspirinCardiovascular Agentsaspirincardiovascular diseasepreventionrisk scoreUS Preventive Services Task Force

Identifiers

PMID28974502
PMCPMC5721844

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.