Evidence map›Paper›PMID 38773394›Full record

SynthesisBMC geriatrics2024

Strategies aiming to improve statin therapy adherence in older adults: a systematic review.

Philipp Frieden, Rose Gagnon, Élodie Bénard, Benoît Cossette, Frédéric Bergeron, Denis Talbot, Jason Robert Guertin

Abstract readSystematic Review
In one paragraph

Synthesis in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Philipp FriedenAxe Santé des Populations et Pratiques Optimales en Santé, Centre de recherche du CHU de Québec - Université Laval, Hôpital du Saint-Sacrement, 1050 chemin Sainte-Foy, local J1-11, Quebec City, QC, G1S 4L8, Canada.
Rose GagnonFaculté de médecine, Université Laval, Quebec City, QC, Canada.
Élodie BénardAxe Santé des Populations et Pratiques Optimales en Santé, Centre de recherche du CHU de Québec - Université Laval, Hôpital du Saint-Sacrement, 1050 chemin Sainte-Foy, local J1-11, Quebec City, QC, G1S 4L8, Canada.
Benoît CossetteCentre de recherche sur le vieillissement du CIUSSS de l'Estrie - CHUS, Sherbrooke, QC, Canada.
Frédéric BergeronBibliothèque de l'Université Laval, Quebec City, Qc, Canada.
Denis TalbotAxe Santé des Populations et Pratiques Optimales en Santé, Centre de recherche du CHU de Québec - Université Laval, Hôpital du Saint-Sacrement, 1050 chemin Sainte-Foy, local J1-11, Quebec City, QC, G1S 4L8, Canada.
Jason Robert GuertinAxe Santé des Populations et Pratiques Optimales en Santé, Centre de recherche du CHU de Québec - Université Laval, Hôpital du Saint-Sacrement, 1050 chemin Sainte-Foy, local J1-11, Quebec City, QC, G1S 4L8, Canada. jason.guertin@fmed.ulaval.ca.ORCID http://orcid.org/0000-0003-1718-5307

Funding

CIHR 420060
6 · The paper itself

Abstract

backgroundRandomized clinical trials have shown that, under optimal conditions, statins reduce the risk of cardiovascular events in older adults. Given the prevalence and consequences of suboptimal adherence to statin among older adults, it is essential to document strategies designed to increase statin adherence in this population. The objective of this systematic review is to describe and summarize the effectiveness of interventions to improve statin adherence in older adults (≥ 65 years old).

methodsThis review followed PRISMA guidelines. Studies were identified from PubMed, PsycINFO, Embase, CINAHL and Web of Science. Study selection was conducted independently by four reviewers working in pairs. Included studies reported data on interventions designed to increase adherence to statin therapy in older adults and were original trials or observational studies. Interventions were pragmatically regrouped into 8 different categories going from patient to administrative level. Two reviewers extracted study data and assessed study quality independently. Given the heterogeneity between the included studies, a narrative critique and summary was conducted.

resultsTwelve out of the 2889 identified articles were included in the review. Our review showed that simplifying patients' drug regimen, administrative improvements and large-scale pharmacy-led automated telephone interventions show positive effects on patient adherence to statin therapy, with odds ratios between > 1.0 and 3.0, while education-based strategies and intensified patient care showed mixed results.

conclusionsCurrent evidence suggests that some interventions can increase statin adherence in older adults, which could help in the reduction of the risk of a cardiovascular event in this population.

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsMedication AdherenceAgedCardiovascular DiseasesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsAdherenceOlder adultStatinSystematic review

Identifiers

PMID38773394
PMCPMC11110402

What Socratic holds

Texttitle and abstract
LicenceCC BY
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.