Impact of adherence, patient perception, and knowledge to statin therapy – A cross-sectional study

Background and Objective: Cardiovascular diseases and its risk factors, such as diabetes and hyperlipidemia, are common in Indian population. Statin utilization is high across the country and it is important to assess the adherence because it plays an important role in treatment outcome. Statin adhe...

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Autores principales: Siddhi Umarje, Neha M James, Priti Dave, Asawari Raut, Neha Pandey
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Lenguaje:EN
Publicado: Wolters Kluwer Medknow Publications 2021
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Acceso en línea:https://doaj.org/article/1f2691d63f4e497ab8e46536e00e0a6d
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spelling oai:doaj.org-article:1f2691d63f4e497ab8e46536e00e0a6d2021-11-12T10:10:55ZImpact of adherence, patient perception, and knowledge to statin therapy – A cross-sectional study2230-821010.4103/ijem.ijem_120_21https://doaj.org/article/1f2691d63f4e497ab8e46536e00e0a6d2021-01-01T00:00:00Zhttp://www.ijem.in/article.asp?issn=2230-8210;year=2021;volume=25;issue=3;spage=206;epage=210;aulast=Umarjehttps://doaj.org/toc/2230-8210Background and Objective: Cardiovascular diseases and its risk factors, such as diabetes and hyperlipidemia, are common in Indian population. Statin utilization is high across the country and it is important to assess the adherence because it plays an important role in treatment outcome. Statin adherence is not studied well in India. This study aims at measuring the adherence, perception, and knowledge of individuals on statin therapy. Study Design: Cross-sectional observational study on 130 consented individuals visiting a tertiary care teaching hospital. Study was conducted for a duration of 9 months. Methods and Materials: After obtaining approval from the institutional ethics committee the study subjects were assessed for knowledge, perception, and adherence to statin therapy using a systematically developed interview questionnaire. Results: Good adherence was seen in 42.30% patients. Higher proportions of females were reported to have good adherence. Good adherence was observed in patients with a history of coronary heart disease and atorvastatin as monotherapy (P = 0.0029) and fixed dose combination (P = 0.0012), whereas lipid reduction was found directly related to type of adherence. Lack of knowledge, cost, re-fill issues, and adverse effects were some of the barriers identified. Interpretation and Conclusion: Knowledge and patient perception plays a very important role in determining the adherence to statin therapy. A history of coronary heart disease, choice of statin, and cost of therapy are the contributing factors to adherence. Patient counselling and improving the cost-effectiveness of statin therapy can be considered as interventional strategies to overcome adherence issues.Siddhi UmarjeNeha M JamesPriti DaveAsawari RautNeha PandeyWolters Kluwer Medknow Publicationsarticleadherenceknowledgelipid reductionpatient perceptionstatinDiseases of the endocrine glands. Clinical endocrinologyRC648-665Diseases of the digestive system. GastroenterologyRC799-869ENIndian Journal of Endocrinology and Metabolism, Vol 25, Iss 3, Pp 206-210 (2021)
institution DOAJ
collection DOAJ
language EN
topic adherence
knowledge
lipid reduction
patient perception
statin
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Diseases of the digestive system. Gastroenterology
RC799-869
spellingShingle adherence
knowledge
lipid reduction
patient perception
statin
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Diseases of the digestive system. Gastroenterology
RC799-869
Siddhi Umarje
Neha M James
Priti Dave
Asawari Raut
Neha Pandey
Impact of adherence, patient perception, and knowledge to statin therapy – A cross-sectional study
description Background and Objective: Cardiovascular diseases and its risk factors, such as diabetes and hyperlipidemia, are common in Indian population. Statin utilization is high across the country and it is important to assess the adherence because it plays an important role in treatment outcome. Statin adherence is not studied well in India. This study aims at measuring the adherence, perception, and knowledge of individuals on statin therapy. Study Design: Cross-sectional observational study on 130 consented individuals visiting a tertiary care teaching hospital. Study was conducted for a duration of 9 months. Methods and Materials: After obtaining approval from the institutional ethics committee the study subjects were assessed for knowledge, perception, and adherence to statin therapy using a systematically developed interview questionnaire. Results: Good adherence was seen in 42.30% patients. Higher proportions of females were reported to have good adherence. Good adherence was observed in patients with a history of coronary heart disease and atorvastatin as monotherapy (P = 0.0029) and fixed dose combination (P = 0.0012), whereas lipid reduction was found directly related to type of adherence. Lack of knowledge, cost, re-fill issues, and adverse effects were some of the barriers identified. Interpretation and Conclusion: Knowledge and patient perception plays a very important role in determining the adherence to statin therapy. A history of coronary heart disease, choice of statin, and cost of therapy are the contributing factors to adherence. Patient counselling and improving the cost-effectiveness of statin therapy can be considered as interventional strategies to overcome adherence issues.
format article
author Siddhi Umarje
Neha M James
Priti Dave
Asawari Raut
Neha Pandey
author_facet Siddhi Umarje
Neha M James
Priti Dave
Asawari Raut
Neha Pandey
author_sort Siddhi Umarje
title Impact of adherence, patient perception, and knowledge to statin therapy – A cross-sectional study
title_short Impact of adherence, patient perception, and knowledge to statin therapy – A cross-sectional study
title_full Impact of adherence, patient perception, and knowledge to statin therapy – A cross-sectional study
title_fullStr Impact of adherence, patient perception, and knowledge to statin therapy – A cross-sectional study
title_full_unstemmed Impact of adherence, patient perception, and knowledge to statin therapy – A cross-sectional study
title_sort impact of adherence, patient perception, and knowledge to statin therapy – a cross-sectional study
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/1f2691d63f4e497ab8e46536e00e0a6d
work_keys_str_mv AT siddhiumarje impactofadherencepatientperceptionandknowledgetostatintherapyacrosssectionalstudy
AT nehamjames impactofadherencepatientperceptionandknowledgetostatintherapyacrosssectionalstudy
AT pritidave impactofadherencepatientperceptionandknowledgetostatintherapyacrosssectionalstudy
AT asawariraut impactofadherencepatientperceptionandknowledgetostatintherapyacrosssectionalstudy
AT nehapandey impactofadherencepatientperceptionandknowledgetostatintherapyacrosssectionalstudy
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