Cookie policy: This site uses cookies (small files stored on your computer) to simplify and improve your experience of this website. Cookies are small text files stored on the device you are using to access this website. For more information please take a look at our terms and conditions. Some parts of the site may not work properly if you choose not to accept cookies.

Join

Subscribe or Register

Existing user? Login

Statins

Overall statin prescription rates fall, but increase in the 'intermediate risk' population

New prescriptions for statins have halved since 2006, with a particularly steep drop in prescriptions to patients at high risk of cardiovascular disease (CVD), a study has found.

But while overall statin initiation rates are falling, there has been a rise in statin prescriptions to patients at low-to-intermediate risk of CVD, the study published in the British Journal of General Practice says.  

The study looked at 1.4 million patients across 248 GP practices in England and Wales who were followed for five years. In that time, 15.31% patients were started on a new course of statins.

The National Institute for Health and Care Excellence (NICE) recommends that GPs use the QRISK2 algorithm to calculate a patient’s risk of developing CVD in the next ten years. In 2014, the “risk threshold” — the data point above which statins are advised — was reduced from a 20% risk over ten years to 10%.

Despite this lowering of the threshold, statin prescriptions have continued to fall among those patients who stand to benefit the most, the report’s authors found.

Highlighting other concerns arising from their findings, the authors noted that most patients who began statin treatment since 2012 had never had their QRISK2 score calculated. Of those who had, one in six were identified as “low risk” and therefore should not have been prescribed the medication. This “significant overtreatment” among the low-risk group contrasts sharply with the decline of statin initiation among high-risk patients.

The report’s authors, from the University of Birmingham, suggest that this apparently contradictory behaviour could be partly due to “a dramatic reduction in the cost of prescribing when simvastatin came off patent in 2003”. Cheaper statins could have led to a saturation of prescriptions among the population who were, pre-2014, eligible. Since the threshold was lowered to 10%, the authors argue, “patients who could potentially be prescribed statins would be the newly-eligible” — the lower-risk group.

The authors also speculate that in recent years, reports of side effects may have influenced GPs’ decisions to prescribe statins, and patients’ decisions to accept the treatment.

Citation: The Pharmaceutical Journal DOI: 10.1211/PJ.2017.20203799

Have your say

For commenting, please login or register as a user and agree to our Community Guidelines. You will be re-directed back to this page where you will have the ability to comment.

Recommended from Pharmaceutical Press

Search an extensive range of the world’s most trusted resources

Powered by MedicinesComplete
  • Print
  • Share
  • Comment
  • Save
  • Print Friendly Version of this pagePrint Get a PDF version of this webpagePDF

Supplementary images

  • statins blister pack

Jobs you might like

Newsletter Sign-up

Want to keep up with the latest news, comment and CPD articles in pharmacy and science? Subscribe to our free alerts.