Patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus in two Malaysian tertiary hospitals

Purpose: To assess the patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus (T2DM) in two Malaysian tertiary healthcare institutions and to determine compliance with Malaysian treatment guidelines. Methods: A cross-sectional study was conducted from Sep...

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Main Authors: Elnaem, Mohamed Hassan, Nik Mohamed, Mohamad Haniki, Huri, Hasniza Zaman, Mohd Shah, Azarisman Shah
Format: Article
Language:English
English
Published: Pharmacotherapy Group, Faculty of Pharmacy, University of Benin, Benin City, 300001 Nigeria. 2017
Subjects:
Online Access:http://irep.iium.edu.my/61034/
http://irep.iium.edu.my/61034/
http://irep.iium.edu.my/61034/
http://irep.iium.edu.my/61034/1/Patterns%20of%20statin%20therapy%20in%20hospitals%20Dec%202017.pdf
http://irep.iium.edu.my/61034/7/61034_Patterns%20of%20statin%20therapy%20prescribing%20among%20hospitalized_SCOPUS.pdf
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spelling iium-610342018-07-10T09:39:26Z http://irep.iium.edu.my/61034/ Patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus in two Malaysian tertiary hospitals Elnaem, Mohamed Hassan Nik Mohamed, Mohamad Haniki Huri, Hasniza Zaman Mohd Shah, Azarisman Shah RC Internal medicine RM Therapeutics. Pharmacology RM283 Endocrinotheraphy RS Pharmacy and materia medica Purpose: To assess the patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus (T2DM) in two Malaysian tertiary healthcare institutions and to determine compliance with Malaysian treatment guidelines. Methods: A cross-sectional study was conducted from September to December 2016. The study involved hospitalized T2DM patients aged between 40 to 75 years recruited from the medical wards of two tertiary hospitals in the state of Pahang, Malaysia. Evaluation of statin prescribing was classified as appropriate (statin therapy was prescribed with no concurrent drug interactions) or inappropriate (not receiving any statins, although no contraindications), or potentially inappropriate (drug interactions detected or renal dose adjustment needed). Results: Among the 393 medical records screened, 65 % had a statin therapy prescription. The evaluation of statins prescribing showed that approximately 35 % of patients were not prescribed statins, contrary to national treatment guidelines. Twenty-six percent of the study cases were given drugs that interacted with statins. Renal dose adjustment of the given statin was needed in 5 % of patients. Finally, only one-third of the patients were prescribed appropriate statin doses. Conclusion: A significant portion of T2DM hospitalized patients did not receive their recommended statin therapy for cardiovascular disease prophylaxis. Closer monitoring and further dose adjustments are warranted to optimize statin therapy prescribing. Further interventions to improve statin prescribing should be considered. Pharmacotherapy Group, Faculty of Pharmacy, University of Benin, Benin City, 300001 Nigeria. 2017-12 Article PeerReviewed application/pdf en http://irep.iium.edu.my/61034/1/Patterns%20of%20statin%20therapy%20in%20hospitals%20Dec%202017.pdf application/pdf en http://irep.iium.edu.my/61034/7/61034_Patterns%20of%20statin%20therapy%20prescribing%20among%20hospitalized_SCOPUS.pdf Elnaem, Mohamed Hassan and Nik Mohamed, Mohamad Haniki and Huri, Hasniza Zaman and Mohd Shah, Azarisman Shah (2017) Patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus in two Malaysian tertiary hospitals. Tropical Journal of Pharmaceutical Research, 16 (12). pp. 3005-3011. ISSN 1596-5996 E-ISSN 1596-9827 https://www.tjpr.org/admin/12389900798187/2017_16_12_27.pdf 10.4314/tjpr.v16i12.27
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic RC Internal medicine
RM Therapeutics. Pharmacology
RM283 Endocrinotheraphy
RS Pharmacy and materia medica
spellingShingle RC Internal medicine
RM Therapeutics. Pharmacology
RM283 Endocrinotheraphy
RS Pharmacy and materia medica
Elnaem, Mohamed Hassan
Nik Mohamed, Mohamad Haniki
Huri, Hasniza Zaman
Mohd Shah, Azarisman Shah
Patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus in two Malaysian tertiary hospitals
description Purpose: To assess the patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus (T2DM) in two Malaysian tertiary healthcare institutions and to determine compliance with Malaysian treatment guidelines. Methods: A cross-sectional study was conducted from September to December 2016. The study involved hospitalized T2DM patients aged between 40 to 75 years recruited from the medical wards of two tertiary hospitals in the state of Pahang, Malaysia. Evaluation of statin prescribing was classified as appropriate (statin therapy was prescribed with no concurrent drug interactions) or inappropriate (not receiving any statins, although no contraindications), or potentially inappropriate (drug interactions detected or renal dose adjustment needed). Results: Among the 393 medical records screened, 65 % had a statin therapy prescription. The evaluation of statins prescribing showed that approximately 35 % of patients were not prescribed statins, contrary to national treatment guidelines. Twenty-six percent of the study cases were given drugs that interacted with statins. Renal dose adjustment of the given statin was needed in 5 % of patients. Finally, only one-third of the patients were prescribed appropriate statin doses. Conclusion: A significant portion of T2DM hospitalized patients did not receive their recommended statin therapy for cardiovascular disease prophylaxis. Closer monitoring and further dose adjustments are warranted to optimize statin therapy prescribing. Further interventions to improve statin prescribing should be considered.
format Article
author Elnaem, Mohamed Hassan
Nik Mohamed, Mohamad Haniki
Huri, Hasniza Zaman
Mohd Shah, Azarisman Shah
author_facet Elnaem, Mohamed Hassan
Nik Mohamed, Mohamad Haniki
Huri, Hasniza Zaman
Mohd Shah, Azarisman Shah
author_sort Elnaem, Mohamed Hassan
title Patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus in two Malaysian tertiary hospitals
title_short Patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus in two Malaysian tertiary hospitals
title_full Patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus in two Malaysian tertiary hospitals
title_fullStr Patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus in two Malaysian tertiary hospitals
title_full_unstemmed Patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus in two Malaysian tertiary hospitals
title_sort patterns of statin therapy prescribing among hospitalized patients with type 2 diabetes mellitus in two malaysian tertiary hospitals
publisher Pharmacotherapy Group, Faculty of Pharmacy, University of Benin, Benin City, 300001 Nigeria.
publishDate 2017
url http://irep.iium.edu.my/61034/
http://irep.iium.edu.my/61034/
http://irep.iium.edu.my/61034/
http://irep.iium.edu.my/61034/1/Patterns%20of%20statin%20therapy%20in%20hospitals%20Dec%202017.pdf
http://irep.iium.edu.my/61034/7/61034_Patterns%20of%20statin%20therapy%20prescribing%20among%20hospitalized_SCOPUS.pdf
first_indexed 2023-09-18T21:26:33Z
last_indexed 2023-09-18T21:26:33Z
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