Patient Characteristics and General Practitioners’ Advice to Stop Statins in Oldest-Old Patients: a Survey Study Across 30 Countries
- van der Ploeg, Milly A.
- Streit, Sven
- Achterberg, Wilco P.
- Beers, Erna
- Bohnen, Arthur M.
- Burman, Robert A.
- Collins, Claire
- Franco, Fabio G.
- Gerasimovska-Kitanovska, Biljana
- Gintere, Sandra
- Gomez Bravo, Raquel
- Hoffmann, Kathryn
- Iftode, Claudia
- Peštić, Sanda Kreitmayer
- Koskela, Tuomas H.
- Kurpas, Donata
- Maisonneuve, Hubert
- Mallen, Christan D.
- Merlo, Christoph
- Mueller, Yolanda
- Muth, Christiane
- Petrazzuoli, Ferdinando
- Rodondi, Nicolas
- Rosemann, Thomas
- Sattler, Martin
- Schermer, Tjard
- Šter, Marija Petek
- Švadlenková, Zuzana
- Tatsioni, Athina
- Thulesius, Hans
- Tkachenko, Victoria
- Torzsa, P. ter
- Tsopra, Rosy
- Tuz, Canan
- Vaes, Bert
- Viegas, Rita P. A.
- Vinker, Shlomo
- Wallis, Katharine A.
- Zeller, Andreas
- Gussekloo, Jacobijn
- Poortvliet, Rosalinde K. E.
DOIAbstract
Background: Statins are widely used to prevent cardiovascular disease (CVD). With advancing age, the risks of statins might outweigh the potential benefits. It is unclear which factors influence general practitioners’ (GPs) advice to stop statins in oldest-old patients. Objective: To investigate the influence of a history of CVD, statin-related side effects, frailty and short life expectancy, on GPs’ advice to stop statins in oldest-old patients. Design: We invited GPs to participate in this case-based survey. GPs were presented with 8 case vignettes describing patients > 80 years using a statin, and asked whether they would advise stopping statin treatment. Main Measures: Cases varied in history of CVD, statin-related side effects and frai...
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