低于最佳水平使用他类药物的流行率:考虑到指导方针和患者偏好
Alexander Chaitoff1,2, Jeremy B Sussman1,2, Kathryn A Martinez3
1Veterans Affairs Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, United States.
American journal of preventive cardiology
|March 2, 2026
概括
许多符合条件的成年人没有接受降脂治疗以预防心血管疾病. 患者的偏好只能解释部分使用不足,这表明需要解决其他治疗障碍.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 许多有资格接受降脂治疗的心血管疾病 (CVD) 初级预防的成年人没有接受它.
- 不充分使用可能源于不适当的治疗或基于患者对风险和益处的偏好而非适当的治疗.
研究的目的:
- 量化美国成年人因动脉样硬化心血管疾病 (ASCVD) 风险升高而得到适当治疗,不适当治疗或未得到适当治疗的数量和比例.
- 评估患者偏好对使用降脂疗法的影响.
主要方法:
- 利用来自多样化的在线样本的偏好比例.
- 将这些比例应用于2013-2020年国家健康和营养检查调查 (NHANES) 数据.
- 分析了美国人口的全国代表性样本,以估计治疗状态.
主要成果:
- 根据目前的指导方针,估计有2240万额外的患者符合降脂治疗的资格标准.
- 大约有780万符合条件的成年人可能更愿意开始降脂治疗.
- 患者的偏好只占这些治疗方法被观察到的使用不足的一小部分.
结论:
- 相当数量的适合接受降脂治疗的成年人仍未接受治疗.
- 患者的偏好是一个因素,但并不能完全解释降脂治疗在ASCVD风险降低方面的不足.
- 需要进一步的研究来识别和解决导致治疗不足的其他障碍.
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