title: Retrospective Evaluation of ASCVD Risk and Statin Therapy Need in Nondiabetic Patients Based on the 2013 ACC/AHA Cholesterol Guidelines.
abstract: OBJECTIVE
  Study goal was to assess the impact of the 2013 American College of Cardiology and the American Heart Association (ACC/AHA) Cholesterol Guidelines on patients in the fourth statin benefit group which included patients aged 40 to 75 years, without diabetes or clinical atherosclerotic cardiovascular disease (ASCVD), and have an ASCVD score ≥7.5%. These patients could benefit from treatment interventions by a pharmacist.
  
  
  METHODS
  Patients were identified from electronic health records. A sample of 3503 patients was ascertained from having a lipid panel performed within the 12 months before November 1, 2013. Patients were excluded if we were unable to calculate 10-year ASCVD risk.
  
  
  RESULTS
  A total of 3203 patients were included, with 2008 not on statin therapy. Of those, 1507 (75%) had a 10-year ASCVD risk score <7.5% and 501 (25%) had a score > 7.5%. Patient characteristics leading to an increase in risk included advanced age, smoker, male, and hypertension treatment. Of 2008 nonstatin patients, there were 466 (23.2%) who fit criteria for initiation of moderate- or high-intensity statin.
  
  
  CONCLUSIONS
  Widespread adoption of the 2013 ACC/AHA Cholesterol Guidelines will expand prescribing rates of statins. Implementing screening strategies may help identify patients who require treatment in this fourth statin benefit group. A pharmacist can be vital in screening patients, educating patients regarding the need for medication therapy, and monitoring for adherence in these new regimens.
authors.affiliation: 1 Department of Clinical Sciences, Drake University College of Pharmacy and Health Sciences, Des Moines, IA, USA.
authors.forename: Carrie
authors.initials: C
authors.lastname: Koenigsfeld
authors.affiliation: 2 Department of Pharmacy Practice and Science, University of Iowa College of Pharmacy, Iowa City, IA, USA.|3 Iowa Lutheran Hospital Family Medicine Residency Program, Des Moines, IA, USA.
authors.forename: Morgan
authors.initials: M
authors.lastname: Sayler
authors.affiliation: 4 UnityPoint Health-Des Moines, Des Moines, IA, USA.|5 University of Iowa Carver College of Medicine, Iowa City, IA, USA.
authors.forename: Hayden L
authors.initials: HL
authors.lastname: Smith
authors.affiliation: 1 Department of Clinical Sciences, Drake University College of Pharmacy and Health Sciences, Des Moines, IA, USA.
authors.forename: Kristin
authors.initials: K
authors.lastname: Meyer
authors.affiliation: 1 Department of Clinical Sciences, Drake University College of Pharmacy and Health Sciences, Des Moines, IA, USA.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Lehman
authors.affiliation: 6 UnityPoint Clinic Family Medicine and Urgent Care at Urbandale, Urbandale, IA, USA.
authors.forename: Craig
authors.initials: C
authors.lastname: Logemann
authors.affiliation: 1 Department of Clinical Sciences, Drake University College of Pharmacy and Health Sciences, Des Moines, IA, USA.
authors.forename: Michelle
authors.initials: M
authors.lastname: Bottenberg
authors.affiliation: 1 Department of Clinical Sciences, Drake University College of Pharmacy and Health Sciences, Des Moines, IA, USA.
authors.forename: Ginelle
authors.initials: G
authors.lastname: Bryant
authors.affiliation: 1 Department of Clinical Sciences, Drake University College of Pharmacy and Health Sciences, Des Moines, IA, USA.
authors.forename: Molly
authors.initials: M
authors.lastname: Obermark
mesh_terms: D000328:Adult; D000368:Aged; D000572:American Heart Association; D002309:Cardiology / Q000592:standards; D002784:Cholesterol / Q000097:blood*; D003324:Coronary Artery Disease / Q000097:blood* / Q000188:drug therapy* / Q000453:epidemiology; D003920:Diabetes Mellitus; D005260:Female; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic / Q000592:standards*; D012189:Retrospective Studies; D012307:Risk Factors; D012955:Societies, Medical / Q000592:standards; D014481:United States / Q000453:epidemiology
chemical_list: D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D002784:Cholesterol
keywords: ambulatory care; cardiology