Australian Family Physician
Australian Family Physician


Volume 38, Issue 9, September 2009

Statin initiation by GPs in WA A structured vignette study

Moyez Jiwa Leanne Stafford Nichola Harmer Satvinder Dhaliwal
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Statins are recommended for all patients with known coronary heart disease. This pilot study investigated statin initiation by a Western Australian general practitioner cohort and the influence of prescriber and patient characteristics on prescribing.
Prescribing practices failed to comply with current guidelines in a significant number of cases. Further research to confirm these findings is warranted.
Fifty-five GPs responded (16.0% response rate). In over 20% of cases a statin was not prescribed. Male (OR 4.71; 95% CI: 1.24–17.87) and GPs with fewer years in practice (4.50; 1.21–16.77) were more likely to prescribe appropriately. Younger patients (2.21; 1.38–3.53), and those with diabetes (1.74; 1.09–2.76) or hypercholesterolaemia (4.81; 2.88–8.03) were more likely to receive therapy.

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