Current Cardiology Reports

, 13:553

Predictors of Statin Adherence

Lipid Abnormalities and Cardiovascular Prevention (Michael H. Davidson, Section Editor)

DOI: 10.1007/s11886-011-0221-2

Cite this article as:
Mauskop, A. & Borden, W.B. Curr Cardiol Rep (2011) 13: 553. doi:10.1007/s11886-011-0221-2

Abstract

Statin therapy plays a central role in decreasing the morbidity and mortality associated with cardiovascular disease. However, prescribed statins are only effective if they are taken by patients on a regular basis, known as medication adherence. The factors that influence patient adherence to statin therapy can be categorized into patient factors, physician factors, and health system factors, often with interactions between the categories. Patient factors include demographics, socioeconomic status, comorbidities, and side effects. Physician factors include the physician’s own adherence to applying guideline recommendations, office visits, and their interactions with patients. Health system factors include issues such as cost and access to care. Physicians should be aware of the various elements that may influence a patient’s likelihood to take statin medications to improve adherence and provide the best possible patient outcomes.

Keywords

Statin Adherence Cardiovascular disease Coronary artery disease Patient factors Physician factors Health system factors Socioeconomic 

Clinical Trial Acronyms

IDEAL

Incremental Decrease in End Points Through Aggressive Lipid Lowering

MIRACL

Myocardial Ischemia Reduction with Aggressive Cholesterol Lowering

NCEP ATP III

National Cholesterol Education Program Adult Treatment Panel III

NHANES

National Health and Nutrition Examination Survey

PREMIER

Prospective Registry Evaluating Outcomes After Myocardial Infarction: Events and Recovery

PROVE-IT-TIMI 22

Pravastatin or Atorvastatin Evaluation and Infection Therapy—Thrombolysis in Myocardial Infarction 22

TNT

Treating to New Targets

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Division of CardiologyNew York Presbyterian Hospital–Weill Cornell Medical CenterNew YorkUSA
  2. 2.Division of CardiologyNew York Presbyterian Hospital–Weill Cornell Medical CenterNew YorkUSA