Factors Associated with Statin Discontinuation Following Metabolic and Bariatric Surgery: A Retrospective Analysis of 2012-2021 Electronic Medical Records Network Data.

Autor: Alsuhibani AA; Department of Pharmacy Practice, College of Pharmacy, Qassim University, Qassim, Buraidah, 51452, Saudi Arabia. aa.alsuhibani@qu.edu.sa.; James L. Winkle College of Pharmacy, University of Cincinnati Academic Health Center, Cincinnati, OH, 45267, USA. aa.alsuhibani@qu.edu.sa., Al-Obeed OA; Department of surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Wigle PR; James L. Winkle College of Pharmacy, University of Cincinnati Academic Health Center, Cincinnati, OH, 45267, USA., Alsultan MM; Department of Pharmacy Practice, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam, 34212, Saudi Arabia., Guo JJ; James L. Winkle College of Pharmacy, University of Cincinnati Academic Health Center, Cincinnati, OH, 45267, USA., Lin AC; James L. Winkle College of Pharmacy, University of Cincinnati Academic Health Center, Cincinnati, OH, 45267, USA., Rao MB; Department of Environmental and Public Health Sciences, University of Cincinnati College of Medicine, Cincinnati, OH, USA., Hincapie AL; James L. Winkle College of Pharmacy, University of Cincinnati Academic Health Center, Cincinnati, OH, 45267, USA.
Jazyk: angličtina
Zdroj: Obesity surgery [Obes Surg] 2024 Apr; Vol. 34 (4), pp. 1267-1278. Date of Electronic Publication: 2024 Feb 22.
DOI: 10.1007/s11695-024-07110-x
Abstrakt: Background: Bariatric surgery has been shown to improve hyperlipidemia, decreasing the need for statin medications. Although maintaining statin therapy post-surgery for those with a history of atherosclerotic cardiovascular disease (ASCVD) is advised, it is uncertain if discontinuation risks differ between those with and without ASCVD history.
Aim: The study aims to analyze the rate and reasons for statin cessation post-bariatric surgery in the US using real-world data.
Methods: Using the TriNetX electronic medical records network from 2012 to 2021, the study involved patients aged 18 or older on statins at the time of bariatric surgery. They were categorized into primary and secondary prevention groups based on prior ASCVD. Statin discontinuation was defined as a 90-day gap post the last statin dosage. The Cox model assessed factors influencing statin cessation.
Results: Seven hundred and thirty-three statin users undergoing bariatric surgery were identified, with 564 (77%) in primary prevention. Six months post-surgery, 48% of primary prevention patients and 34.5% of secondary ones stopped statins. Primary prevention patients had a 30% higher likelihood of cessation compared to secondary prevention (hazard ratio, 1.30; 95% CI, 1.06-1.60) as shown by multivariable analysis.
Conclusions: Post-bariatric surgery, primary prevention patients are more likely to discontinue statins than secondary prevention patients.
(© 2024. The Author(s).)
Databáze: MEDLINE
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