Prescription des statines en prévention primaire chez les patients de plus de 75 ans par les médecins généralistes picards

Abstract : Introduction : to this day, there is not much specific studies about the indication and the efficiency of the statines for the primary prevention for patients more 75 years old. This work had for goal to study therapeutic attitudes of Picards generalist doctors about the Statines Prescription in Primary Prevention for patients more than 75 years old and to identify reasons to stop or no prescription. Method : it was a cross-sectional descriptive epidemiological study with general practitioners in Picardy through a questionnaire. Results : 116 generalists responded. 67% of general practitioners in Picardy initiated statin therapy with primary prevention of hypercholesterolemia for a patient over 75 years old after adjusting of cardiovascular risk factors and failure of the diet. 55% of generalist doctors who did not initiate a statin continued the initial prescription. A quarter of Picards generalist doctors had recourse to another specialist to initiate or continue this treatment. The cardiologist was the most requested specialist. Presence of side effects to treatment, cleaning the prescription for patient in bad conditions and a patient in general bad conditions were the three first stopping reasons or to do not prescribe statins. Replacement doctors initiated more easily a statin than a installed doctor (p <0.05). Male doctors continued statins more than women (p <0.05). Conclusion : Picards generalist doctors were mainly in favor of statins prescription for primary prevention for elderly patients.
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Pierre Auguet. Prescription des statines en prévention primaire chez les patients de plus de 75 ans par les médecins généralistes picards. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02117946⟩

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