Evidence mapPaperPMID 38858341Full record

ArticleJournal of general internal medicine2024

Atherosclerotic Cardiovascular Disease Primary and Secondary Prevention in Latino Subgroups.

Jorge Kaufmann, Miguel Marino, Jennifer A Lucas, Carlos J Rodriguez, Dave Boston, Sophia Giebultowicz, John Heintzman

Abstract readMulticenter Study
In one paragraph

Article in Journal of general internal medicine, 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. Observational
  2. Article
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.

Jorge KaufmannDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA. kaufmjor@ohsu.edu.ORCID 0000-0002-1516-4636
Miguel MarinoDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Jennifer A LucasDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Carlos J RodriguezDepartment of Medicine, Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Dave BostonOCHIN, Portland, OR, USA.
Sophia GiebultowiczOCHIN, Portland, OR, USA.
John HeintzmanDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA.

Funding

NIA NIH HHS R01 AG056337NIA NIH HHS R01AG056337NIMHD NIH HHS R01 MD014120NIMHD NIH HHS R01MD014120
6 · The paper itself

Abstract

backgroundStudies assessing equity in the prevention of atherosclerotic cardiovascular disease (ASCVD) for Latinos living in the USA collectively yield mixed results. Latino persons are diverse in many ways that may influence cardiovascular health. The intersection of Latino nativity and ASCVD prevention is understudied.

objectiveTo determine whether disparities in ASCVD screening, detection, and prescribing differ for US Latinos by country of birth.

designA retrospective cohort design utilizing 2014-2020 electronic health record data from a network of 320 community health centers across 12 states. Analyses occurred October 1, 2022, to September 30, 2023.

participantsNon-Hispanic White and Latino adults age 20-75 years, born in Cuba, Dominican Republic, El Salvador, Guatemala, Honduras, Mexico, and the USA. EXPOSURES: Ethnicity and country of birth. MAIN MEASURES: Outcome measures included prevalence of statin eligibility, of having insufficient data to establish eligibility, odds of having a documented statin prescription, and rates of statin prescriptions and refills. We used covariate-adjusted logistic and generalized estimating equations logistic and negative binomial regressions to generate absolute and relative measures. KEY

resultsAmong 108,672 adults, 23% (n = 25,422) were statin eligible for primary or secondary prevention of ASCVD using American College of Cardiology/American Heart Association guidelines. Latinos, born in and outside the USA were more likely eligible than Non-Hispanic White patients were (US-born Latino OR = 1.55 (95% CI = 1.37-1.75); non-US-born Latino OR = 1.63 (95% CI = 1.34-1.98)). The eligibility criteria that was met differed by ethnicity and nativity. Latinos overall were less likely missing data to establish eligibility and differences were again observed by specific non-US country of origin. Among those eligible, we observed no statistical difference in statin prescribing between US-born Latinos and non-Hispanic White persons; however, disparities varied by specific non-US country of origin.

conclusionEfforts to improve Latino health in the USA will require approaches for preventing and reversing cardiovascular risk factors, and statin initiation that are Latino subgroup specific.

Indexed as

AtherosclerosisHispanic or LatinoPrimary PreventionSecondary PreventionAdultAgedCardiovascular DiseasesCohort StudiesFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedRetrospective StudiesUnited StatesYoung AdultHydroxymethylglutaryl-CoA Reductase Inhibitorsatherosclerotic cardiovascular diseasedisparitiesLatinonativity

Identifiers

PMID38858341
PMCPMC11306857

What Socratic holds

Texttitle and abstract
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Registered trials

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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.