Frequency of Statin Prescription Among Individuals with Coronary Artery Calcifications Detected Through Lung Cancer Screening.
Publication/Presentation Date
9-1-2022
Abstract
Individuals eligible for lung cancer screening (LCS) are at risk for atherosclerotic cardiovascular disease (ASCVD) due to smoking history. Coronary artery calcifications (CAC), a common incidental finding on low-dose CT (LDCT) for LCS, is a predictor of cardiovascular events. Despite findings of high ASCVD risk and CAC, a substantial proportion of LCS patients are not prescribed primary preventive statin therapy for ASCVD. We assessed the frequency of statin prescription in LCS patients with moderate levels of CAC. Among 259 individuals with moderate CAC, 95% had ASCVD risk ≥ 7.5%. Despite this, 27% of patients were statin-free prior to LDCT and 21.2% remained statin-free after LDCT showing moderate CAC. Illustratively, while a substantial proportion of LCS patients are statin-eligible, many lack a statin prescription, even after findings of CAC burden. CAC reporting should be standardized, and interdisciplinary communication should be optimized to ensure that LCS patients are placed on appropriate preventive therapy.
Volume
37
Issue
5
First Page
388
Last Page
395
ISSN
1555-824X
Published In/Presented At
Majeed, A., Ruane, B., Shusted, C. S., Austin, M., Mirzozoda, K., Pimpinelli, M., Vojnika, J., Ward, L., Sundaram, B., Lakhani, P., Kane, G., Lev, Y., & Barta, J. A. (2022). Frequency of Statin Prescription Among Individuals with Coronary Artery Calcifications Detected Through Lung Cancer Screening. American journal of medical quality : the official journal of the American College of Medical Quality, 37(5), 388–395. https://doi.org/10.1097/JMQ.0000000000000053
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
35302536
Department(s)
Administration and Leadership
Document Type
Article