Evaluation of Real-World Treatment Outcomes Among Women 50 Years of Age and Older Who Were Treated With Statin + Ezetimibe or Statin Monotherapy in Italy and Belgium
Speaker(s)
Chu P1, Zhao A2, Li J3, Goodall G4
1Organon, Lucerne , Switzerland, 2Organon, Jersey City, NJ, USA, 3Organon, Mason, OH, USA, 4Organon, Lucerne, Switzerland
Presentation Documents
OBJECTIVES: Reductions in low-density lipoprotein cholesterol (LDL-C) with statins and adjunct therapy (e.g. ezetimibe) are known to improve cardiovascular outcomes. However, real-world evidence (RWE) of add-on therapy remains scarce, especially among older women. We assessed goal attainment (based on 2021 European Society for Cardiology Guidelines) and change in LDL-C among women ≥50 years receiving combination therapy versus monotherapy in Italy and Belgium.
METHODS: In this retrospective analysis, electronic medical records data were obtained from The Health Intervention Network (THIN) database. The study populations were women ≥50 years receiving statin monotherapy or combination therapy from 2017 to 2020. The baseline period was 12-months before initial treatment with a follow-up of 12 months and at least 4 weeks of continuous treatment. Propensity score matching (PSM) was performed and relevant covariates were adjusted for in a multivariate regression analyses. Analyses were performed separately by country.
RESULTS: 104 (Italy) and 84 (Belgium) patients were analyzed following PSM. Those receiving combination therapy versus monotherapy were more likely to achieve goals [Italy:28.9% vs 13.5% respectively; odds ratio (OR):2.97, 95%CI:1.05-8.41; Belgium: 35.7% vs 16.7% respectively; OR: 2.92, 95%CI:1.02-8.34]. Age, CVD risk, statin intensity, and baseline LDL-C were not significantly associated with goal attainment. Patients receiving combination therapy had greater numerical LDL-C reductions in Italy (39.1% vs 30.5%, p=0.12) and Belgium (18.8% vs 9.1%; p=0.08) compared with monotherapy.
CONCLUSIONS: This RWE study revealed women ≥50 years of age were more likely to attain LDL-C goals with combination versus statin monotherapy, highlighting the need for proactive lipid management to achieve known CV benefits, given low overall goal attainment.
Code
CO56
Topic
Clinical Outcomes, Study Approaches
Topic Subcategory
Comparative Effectiveness or Efficacy, Electronic Medical & Health Records
Disease
Cardiovascular Disorders (including MI, Stroke, Circulatory)