A multistate transition model for statin‐induced myopathy and statin discontinuation

Autor: Yuxi Zhu, Chien‐Wei Chiang, Lei Wang, Guy Brock, M. Wesley Milks, Weidan Cao, Pengyue Zhang, Donglin Zeng, Macarius Donneyong, Lang Li
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: CPT: Pharmacometrics & Systems Pharmacology, Vol 10, Iss 10, Pp 1236-1244 (2021)
Druh dokumentu: article
ISSN: 2163-8306
DOI: 10.1002/psp4.12691
Popis: Abstract The overarching goal of this study was to simultaneously model the dynamic relationships among statin exposure, statin discontinuation, and potentially statin‐related myopathic outcomes. We extracted data from the Indiana Network of Patient Care for 134,815 patients who received statin therapy between January 4, 2004, and December 31, 2008. All individuals began statin treatment, some discontinued statin use, and some experienced myopathy and/or rhabdomyolysis while taking the drug or after discontinuation. We developed a militate model to characterize 12 transition probabilities among six different states defined by use or discontinuation of statin and its associated myopathy or rhabdomyolysis. We found that discontinuation of statin therapy was common and frequently early, with 44.4% of patients discontinuing therapy after 1 month, and discontinuation is a strong indicator for statin‐induced myopathy (risk ratio, 10.8; p
Databáze: Directory of Open Access Journals
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