Adherence, Medication, Compliance, Medication, Hydroxymethylglutaryl-coa Reductase Inhibitors, Percutaneous Coronary Intervention, Persistence, Medication, Platelet Aggregation Inhibitors
Conditions
Keywords
DAPT, Statin, Compliance, Persistence, Adherence, PCI
Brief summary
A nationwide retrospective cohort study. To investigate the real world medication compliance and the relation with clinical outcomes. The persistence and compliance to dual anti-platelet therapy(DAPT) and dyslipidemia agents are important for the patients undergoing percutaneous coronary intervention. But, the discontinuation and compliance rate are unknown in the real world setting.
Detailed description
A nationwide retrospective cohort study. The persistence and compliance to dual anti-platelet therapy(DAPT) and dyslipidemia agents are important for the patients undergoing percutaneous coronary intervention. The discontinuation and uncompliance may increase a risk. But, the discontinuation and compliance rate are not well known in the real world patients undergoing bare metal stents(BMS) and drug eluting stents(DES) insertion. To investigate the real world medication compliance and the relation with clinical outcomes, administrative claim data was extracted from the Korean National Healthcare Insurance(KNHI) database. All Korean patient date undergoing PCI from January 1, 2011 to December 2011 is extracted. 5 year clinical outcomes are investigated. Primary outcomes are the MACE including all-cause death, revascularization, critically ill status, and stroke) classified by the medication compliance. Medication complinace is measured by proportion of days covered(PDC) Secondary outcomes are the patterns of medication persistence and its outcomes to understand critical points.
Interventions
DRUGDAPT, Statin
Compliance of DATP, Compliance of Statin, Drug Eluting Stent, Bare Metal Stent
Sponsors
Samsung Medical Center
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Inclusion criteria
1\. All claim of percutaneous coronary intervention using stent in the National Healthcare Insurance Service of Korea between January 1st 2011 and December 31st, 2011
Exclusion criteria
1. No use of stents 2. Stent not classified into DES or BMS 3. Use of DES and BMS together at the same initial day
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence density of MACE | 5 years | 5 year incidence densities of a major adverse clinical events(MACEs) consisting of all-cause death, revascularization, critically ill status and stroke. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Compliance defined as a proportion of days covered (%) | 6 month | PDC (Proportion of days covered) |
Countries
South Korea
Outcome results
None listed