Pharmacist-Led Programs to Increase Statin Prescribing: A Narrative Review of the Literature

Statins are lipid-lowing medications shown to reduce cardiovascular events and are recommended for specific patient populations at elevated risk of atherosclerotic cardiovascular disease (ASCVD). Despite the demonstrated efficacy of statins for reducing ASCVD risk, and guidance on which populations...

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Main Authors: Mary Elkomos, Raha Jahromi, Michael S. Kelly
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Pharmacy
Subjects:
Online Access:https://www.mdpi.com/2226-4787/10/1/13
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author Mary Elkomos
Raha Jahromi
Michael S. Kelly
author_facet Mary Elkomos
Raha Jahromi
Michael S. Kelly
author_sort Mary Elkomos
collection DOAJ
description Statins are lipid-lowing medications shown to reduce cardiovascular events and are recommended for specific patient populations at elevated risk of atherosclerotic cardiovascular disease (ASCVD). Despite the demonstrated efficacy of statins for reducing ASCVD risk, and guidance on which populations should receive statin therapy, a substantial portion of eligible patients are not prescribed statin therapy. Pharmacists have attempted to increase the number of eligible patients receiving appropriate statin therapy through a variety of interventions and across several clinical settings. In this article, we highlight multiple studies evaluating the effectiveness of pharmacist-led interventions to improve statin use. A total of seven studies were selected for this narrative review, demonstrating the effectiveness and barriers of different statin-initiation programs delivered by pharmacists to increase statin use in eligible patients. Among the interventions assessed, a combination of provider communicating and statin prescribing through collaborative drug therapy management (CDTM) appear to the be the most useful at increasing statin use. Pharmacists can significantly improve statin use rates among eligible patients through multiple intervention types and across different clinical settings. Further studies should evaluate continued statin adherence and clinical outcomes among patients served by pharmacists.
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spelling doaj.art-f0c736ae362440a88cdcc118c88763352023-11-23T21:40:02ZengMDPI AGPharmacy2226-47872022-01-011011310.3390/pharmacy10010013Pharmacist-Led Programs to Increase Statin Prescribing: A Narrative Review of the LiteratureMary Elkomos0Raha Jahromi1Michael S. Kelly2Chapman University School of Pharmacy, Irvine, CA 92618, USAChapman University School of Pharmacy, Irvine, CA 92618, USADepartment of Pharmacy Practice, Chapman University School of Pharmacy, Irvine, CA 92618, USAStatins are lipid-lowing medications shown to reduce cardiovascular events and are recommended for specific patient populations at elevated risk of atherosclerotic cardiovascular disease (ASCVD). Despite the demonstrated efficacy of statins for reducing ASCVD risk, and guidance on which populations should receive statin therapy, a substantial portion of eligible patients are not prescribed statin therapy. Pharmacists have attempted to increase the number of eligible patients receiving appropriate statin therapy through a variety of interventions and across several clinical settings. In this article, we highlight multiple studies evaluating the effectiveness of pharmacist-led interventions to improve statin use. A total of seven studies were selected for this narrative review, demonstrating the effectiveness and barriers of different statin-initiation programs delivered by pharmacists to increase statin use in eligible patients. Among the interventions assessed, a combination of provider communicating and statin prescribing through collaborative drug therapy management (CDTM) appear to the be the most useful at increasing statin use. Pharmacists can significantly improve statin use rates among eligible patients through multiple intervention types and across different clinical settings. Further studies should evaluate continued statin adherence and clinical outcomes among patients served by pharmacists.https://www.mdpi.com/2226-4787/10/1/13pharmacist providerstatinsstatin-use measuresvalue-based outcomespopulation health
spellingShingle Mary Elkomos
Raha Jahromi
Michael S. Kelly
Pharmacist-Led Programs to Increase Statin Prescribing: A Narrative Review of the Literature
Pharmacy
pharmacist provider
statins
statin-use measures
value-based outcomes
population health
title Pharmacist-Led Programs to Increase Statin Prescribing: A Narrative Review of the Literature
title_full Pharmacist-Led Programs to Increase Statin Prescribing: A Narrative Review of the Literature
title_fullStr Pharmacist-Led Programs to Increase Statin Prescribing: A Narrative Review of the Literature
title_full_unstemmed Pharmacist-Led Programs to Increase Statin Prescribing: A Narrative Review of the Literature
title_short Pharmacist-Led Programs to Increase Statin Prescribing: A Narrative Review of the Literature
title_sort pharmacist led programs to increase statin prescribing a narrative review of the literature
topic pharmacist provider
statins
statin-use measures
value-based outcomes
population health
url https://www.mdpi.com/2226-4787/10/1/13
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AT rahajahromi pharmacistledprogramstoincreasestatinprescribinganarrativereviewoftheliterature
AT michaelskelly pharmacistledprogramstoincreasestatinprescribinganarrativereviewoftheliterature