Results might change a little bit as we clean data more but should not change too much and I assume that we our statistical significance / insignificance will remain where it is now.
For now it is in the format that we had in our manuscript, I will likely change it so the bars PRE and POST intervention are by the side with p values above them on the graph.
## [1] ASCVD-risk only very high risk ASCVD very high risk ASCVD
## [4] very high risk ASCVD ASCVD-risk only ASCVD-risk only
## [7] Clinical ASCVD ASCVD-risk only ASCVD-risk only
## [10] very high risk ASCVD ASCVD-risk only Clinical ASCVD
## [13] very high risk ASCVD Clinical ASCVD very high risk ASCVD
## [16] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [19] ASCVD-risk only very high risk ASCVD ASCVD-risk only
## [22] very high risk ASCVD ASCVD-risk only Clinical ASCVD
## [25] very high risk ASCVD ASCVD-risk only ASCVD-risk only
## [28] ASCVD-risk only Clinical ASCVD very high risk ASCVD
## [31] ASCVD-risk only Diabetic, 40-75 years ASCVD-risk only
## [34] very high risk ASCVD very high risk ASCVD Diabetic, 40-75 years
## [37] Diabetic, 40-75 years ASCVD-risk only very high risk ASCVD
## [40] Diabetic, 40-75 years ASCVD-risk only Clinical ASCVD
## [43] very high risk ASCVD very high risk ASCVD very high risk ASCVD
## [46] LDL-C >190mg/dL ASCVD-risk only Diabetic, 40-75 years
## [49] ASCVD-risk only Clinical ASCVD ASCVD-risk only
## [52] very high risk ASCVD ASCVD-risk only Diabetic, 40-75 years
## [55] very high risk ASCVD ASCVD-risk only Diabetic, 40-75 years
## [58] ASCVD-risk only very high risk ASCVD Clinical ASCVD
## [61] ASCVD-risk only Diabetic, 40-75 years Diabetic, 40-75 years
## [64] ASCVD-risk only Diabetic, 40-75 years very high risk ASCVD
## [67] very high risk ASCVD ASCVD-risk only ASCVD-risk only
## [70] Diabetic, 40-75 years very high risk ASCVD ASCVD-risk only
## [73] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [76] ASCVD-risk only Clinical ASCVD ASCVD-risk only
## [79] ASCVD-risk only very high risk ASCVD Diabetic, 40-75 years
## [82] Diabetic, 40-75 years ASCVD-risk only Diabetic, 40-75 years
## [85] very high risk ASCVD LDL-C >190mg/dL very high risk ASCVD
## [88] ASCVD-risk only ASCVD-risk only very high risk ASCVD
## [91] ASCVD-risk only Clinical ASCVD ASCVD-risk only
## [94] ASCVD-risk only very high risk ASCVD ASCVD-risk only
## [97] very high risk ASCVD Clinical ASCVD ASCVD-risk only
## [100] Diabetic, 40-75 years ASCVD-risk only very high risk ASCVD
## [103] very high risk ASCVD Diabetic, 40-75 years Diabetic, 40-75 years
## [106] ASCVD-risk only ASCVD-risk only ASCVD-risk only
## [109] very high risk ASCVD very high risk ASCVD Diabetic, 40-75 years
## [112] ASCVD-risk only very high risk ASCVD very high risk ASCVD
## [115] very high risk ASCVD ASCVD-risk only Diabetic, 40-75 years
## [118] Diabetic, 40-75 years Clinical ASCVD Diabetic, 40-75 years
## [121] very high risk ASCVD ASCVD-risk only ASCVD-risk only
## [124] Clinical ASCVD ASCVD-risk only very high risk ASCVD
## [127] Diabetic, 40-75 years ASCVD-risk only ASCVD-risk only
## [130] ASCVD-risk only Diabetic, 40-75 years Diabetic, 40-75 years
## [133] Diabetic, 40-75 years Clinical ASCVD very high risk ASCVD
## [136] ASCVD-risk only Diabetic, 40-75 years Diabetic, 40-75 years
## [139] very high risk ASCVD Diabetic, 40-75 years Diabetic, 40-75 years
## [142] ASCVD-risk only Diabetic, 40-75 years Clinical ASCVD
## [145] Diabetic, 40-75 years very high risk ASCVD ASCVD-risk only
## [148] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [151] Clinical ASCVD Diabetic, 40-75 years ASCVD-risk only
## [154] ASCVD-risk only Diabetic, 40-75 years ASCVD-risk only
## [157] ASCVD-risk only Diabetic, 40-75 years Diabetic, 40-75 years
## [160] ASCVD-risk only very high risk ASCVD ASCVD-risk only
## [163] LDL-C >190mg/dL ASCVD-risk only ASCVD-risk only
## [166] Diabetic, 40-75 years very high risk ASCVD ASCVD-risk only
## [169] Diabetic, 40-75 years Clinical ASCVD Clinical ASCVD
## [172] Diabetic, 40-75 years LDL-C >190mg/dL Diabetic, 40-75 years
## [175] ASCVD-risk only ASCVD-risk only ASCVD-risk only
## [178] Diabetic, 40-75 years ASCVD-risk only ASCVD-risk only
## [181] Diabetic, 40-75 years very high risk ASCVD ASCVD-risk only
## [184] ASCVD-risk only ASCVD-risk only ASCVD-risk only
## [187] ASCVD-risk only very high risk ASCVD ASCVD-risk only
## [190] Diabetic, 40-75 years very high risk ASCVD very high risk ASCVD
## [193] ASCVD-risk only Diabetic, 40-75 years Diabetic, 40-75 years
## [196] Diabetic, 40-75 years very high risk ASCVD Diabetic, 40-75 years
## [199] ASCVD-risk only LDL-C >190mg/dL Diabetic, 40-75 years
## [202] ASCVD-risk only very high risk ASCVD Diabetic, 40-75 years
## [205] Diabetic, 40-75 years Diabetic, 40-75 years Clinical ASCVD
## [208] ASCVD-risk only LDL-C >190mg/dL Clinical ASCVD
## [211] ASCVD-risk only Clinical ASCVD very high risk ASCVD
## [214] ASCVD-risk only very high risk ASCVD ASCVD-risk only
## [217] Diabetic, 40-75 years ASCVD-risk only Diabetic, 40-75 years
## [220] very high risk ASCVD ASCVD-risk only Diabetic, 40-75 years
## [223] Diabetic, 40-75 years very high risk ASCVD Clinical ASCVD
## [226] Diabetic, 40-75 years Diabetic, 40-75 years ASCVD-risk only
## [229] ASCVD-risk only ASCVD-risk only Diabetic, 40-75 years
## [232] ASCVD-risk only ASCVD-risk only ASCVD-risk only
## [235] very high risk ASCVD ASCVD-risk only Diabetic, 40-75 years
## [238] Diabetic, 40-75 years ASCVD-risk only ASCVD-risk only
## [241] Diabetic, 40-75 years Diabetic, 40-75 years LDL-C >190mg/dL
## [244] Diabetic, 40-75 years Diabetic, 40-75 years Clinical ASCVD
## [247] very high risk ASCVD ASCVD-risk only very high risk ASCVD
## [250] ASCVD-risk only ASCVD-risk only ASCVD-risk only
## [253] ASCVD-risk only ASCVD-risk only very high risk ASCVD
## [256] Clinical ASCVD Diabetic, 40-75 years ASCVD-risk only
## [259] Diabetic, 40-75 years ASCVD-risk only ASCVD-risk only
## [262] Diabetic, 40-75 years very high risk ASCVD Diabetic, 40-75 years
## [265] ASCVD-risk only Diabetic, 40-75 years ASCVD-risk only
## [268] Diabetic, 40-75 years very high risk ASCVD Diabetic, 40-75 years
## [271] Diabetic, 40-75 years Clinical ASCVD ASCVD-risk only
## [274] Diabetic, 40-75 years Diabetic, 40-75 years ASCVD-risk only
## [277] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [280] LDL-C >190mg/dL Diabetic, 40-75 years ASCVD-risk only
## [283] very high risk ASCVD Clinical ASCVD ASCVD-risk only
## [286] Clinical ASCVD Diabetic, 40-75 years ASCVD-risk only
## [289] Diabetic, 40-75 years very high risk ASCVD Diabetic, 40-75 years
## [292] ASCVD-risk only Diabetic, 40-75 years Clinical ASCVD
## [295] Diabetic, 40-75 years Diabetic, 40-75 years ASCVD-risk only
## [298] Diabetic, 40-75 years Clinical ASCVD very high risk ASCVD
## [301] ASCVD-risk only Diabetic, 40-75 years Clinical ASCVD
## [304] Diabetic, 40-75 years ASCVD-risk only very high risk ASCVD
## [307] Diabetic, 40-75 years Diabetic, 40-75 years very high risk ASCVD
## [310] LDL-C >190mg/dL ASCVD-risk only ASCVD-risk only
## [313] Diabetic, 40-75 years Clinical ASCVD Diabetic, 40-75 years
## [316] ASCVD-risk only ASCVD-risk only Diabetic, 40-75 years
## [319] Diabetic, 40-75 years very high risk ASCVD ASCVD-risk only
## [322] Diabetic, 40-75 years very high risk ASCVD ASCVD-risk only
## [325] ASCVD-risk only ASCVD-risk only ASCVD-risk only
## [328] ASCVD-risk only ASCVD-risk only ASCVD-risk only
## [331] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [334] ASCVD-risk only Diabetic, 40-75 years ASCVD-risk only
## [337] ASCVD-risk only very high risk ASCVD ASCVD-risk only
## [340] ASCVD-risk only ASCVD-risk only very high risk ASCVD
## [343] Diabetic, 40-75 years Clinical ASCVD ASCVD-risk only
## [346] ASCVD-risk only Diabetic, 40-75 years Diabetic, 40-75 years
## [349] very high risk ASCVD Diabetic, 40-75 years ASCVD-risk only
## [352] Diabetic, 40-75 years very high risk ASCVD ASCVD-risk only
## [355] Diabetic, 40-75 years Diabetic, 40-75 years Clinical ASCVD
## [358] ASCVD-risk only Diabetic, 40-75 years ASCVD-risk only
## [361] ASCVD-risk only Clinical ASCVD very high risk ASCVD
## [364] Diabetic, 40-75 years ASCVD-risk only ASCVD-risk only
## [367] ASCVD-risk only ASCVD-risk only Diabetic, 40-75 years
## [370] ASCVD-risk only ASCVD-risk only Diabetic, 40-75 years
## [373] ASCVD-risk only ASCVD-risk only Clinical ASCVD
## [376] very high risk ASCVD very high risk ASCVD ASCVD-risk only
## [379] ASCVD-risk only Clinical ASCVD ASCVD-risk only
## [382] Diabetic, 40-75 years very high risk ASCVD ASCVD-risk only
## [385] ASCVD-risk only Diabetic, 40-75 years Diabetic, 40-75 years
## [388] ASCVD-risk only ASCVD-risk only ASCVD-risk only
## [391] Diabetic, 40-75 years Diabetic, 40-75 years ASCVD-risk only
## [394] ASCVD-risk only Diabetic, 40-75 years ASCVD-risk only
## [397] Diabetic, 40-75 years Diabetic, 40-75 years ASCVD-risk only
## [400] Clinical ASCVD Diabetic, 40-75 years LDL-C >190mg/dL
## [403] ASCVD-risk only ASCVD-risk only Diabetic, 40-75 years
## [406] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [409] Diabetic, 40-75 years Diabetic, 40-75 years ASCVD-risk only
## [412] ASCVD-risk only ASCVD-risk only ASCVD-risk only
## [415] ASCVD-risk only Diabetic, 40-75 years Clinical ASCVD
## [418] ASCVD-risk only ASCVD-risk only ASCVD-risk only
## [421] ASCVD-risk only very high risk ASCVD ASCVD-risk only
## [424] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [427] very high risk ASCVD Diabetic, 40-75 years Clinical ASCVD
## [430] ASCVD-risk only Clinical ASCVD ASCVD-risk only
## [433] ASCVD-risk only Diabetic, 40-75 years ASCVD-risk only
## [436] Diabetic, 40-75 years Clinical ASCVD ASCVD-risk only
## [439] ASCVD-risk only very high risk ASCVD Diabetic, 40-75 years
## [442] Diabetic, 40-75 years very high risk ASCVD ASCVD-risk only
## [445] Clinical ASCVD ASCVD-risk only ASCVD-risk only
## [448] ASCVD-risk only Clinical ASCVD ASCVD-risk only
## [451] ASCVD-risk only ASCVD-risk only Clinical ASCVD
## [454] ASCVD-risk only Diabetic, 40-75 years Clinical ASCVD
## [457] Clinical ASCVD Clinical ASCVD ASCVD-risk only
## [460] Diabetic, 40-75 years Clinical ASCVD ASCVD-risk only
## [463] Diabetic, 40-75 years ASCVD-risk only Diabetic, 40-75 years
## [466] Diabetic, 40-75 years ASCVD-risk only ASCVD-risk only
## [469] Diabetic, 40-75 years Clinical ASCVD very high risk ASCVD
## [472] ASCVD-risk only ASCVD-risk only Diabetic, 40-75 years
## [475] ASCVD-risk only Diabetic, 40-75 years very high risk ASCVD
## [478] Diabetic, 40-75 years ASCVD-risk only very high risk ASCVD
## [481] very high risk ASCVD ASCVD-risk only Diabetic, 40-75 years
## [484] Diabetic, 40-75 years Clinical ASCVD Clinical ASCVD
## [487] Diabetic, 40-75 years very high risk ASCVD ASCVD-risk only
## [490] very high risk ASCVD Diabetic, 40-75 years ASCVD-risk only
## [493] very high risk ASCVD very high risk ASCVD ASCVD-risk only
## [496] ASCVD-risk only Diabetic, 40-75 years ASCVD-risk only
## [499] Diabetic, 40-75 years Clinical ASCVD ASCVD-risk only
## [502] Diabetic, 40-75 years very high risk ASCVD Diabetic, 40-75 years
## [505] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [508] ASCVD-risk only Clinical ASCVD Diabetic, 40-75 years
## [511] ASCVD-risk only ASCVD-risk only ASCVD-risk only
## [514] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [517] ASCVD-risk only ASCVD-risk only very high risk ASCVD
## [520] ASCVD-risk only very high risk ASCVD Clinical ASCVD
## [523] Diabetic, 40-75 years ASCVD-risk only Diabetic, 40-75 years
## [526] LDL-C >190mg/dL ASCVD-risk only ASCVD-risk only
## [529] Diabetic, 40-75 years very high risk ASCVD very high risk ASCVD
## [532] ASCVD-risk only Diabetic, 40-75 years LDL-C >190mg/dL
## [535] Diabetic, 40-75 years ASCVD-risk only very high risk ASCVD
## [538] Diabetic, 40-75 years ASCVD-risk only ASCVD-risk only
## [541] Diabetic, 40-75 years ASCVD-risk only Diabetic, 40-75 years
## [544] Diabetic, 40-75 years Diabetic, 40-75 years ASCVD-risk only
## [547] very high risk ASCVD ASCVD-risk only very high risk ASCVD
## [550] very high risk ASCVD Diabetic, 40-75 years LDL-C >190mg/dL
## [553] Clinical ASCVD very high risk ASCVD ASCVD-risk only
## [556] ASCVD-risk only Diabetic, 40-75 years Diabetic, 40-75 years
## [559] ASCVD-risk only Clinical ASCVD Diabetic, 40-75 years
## [562] ASCVD-risk only Clinical ASCVD Clinical ASCVD
## [565] Diabetic, 40-75 years ASCVD-risk only very high risk ASCVD
## [568] Diabetic, 40-75 years Clinical ASCVD Diabetic, 40-75 years
## [571] ASCVD-risk only Diabetic, 40-75 years Clinical ASCVD
## [574] Diabetic, 40-75 years very high risk ASCVD very high risk ASCVD
## [577] ASCVD-risk only very high risk ASCVD Diabetic, 40-75 years
## [580] Clinical ASCVD Diabetic, 40-75 years very high risk ASCVD
## [583] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [586] very high risk ASCVD Diabetic, 40-75 years Diabetic, 40-75 years
## [589] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [592] Diabetic, 40-75 years very high risk ASCVD Clinical ASCVD
## [595] ASCVD-risk only ASCVD-risk only very high risk ASCVD
## [598] Clinical ASCVD ASCVD-risk only ASCVD-risk only
## [601] ASCVD-risk only Diabetic, 40-75 years very high risk ASCVD
## [604] Diabetic, 40-75 years very high risk ASCVD ASCVD-risk only
## [607] very high risk ASCVD Diabetic, 40-75 years Clinical ASCVD
## [610] Clinical ASCVD ASCVD-risk only LDL-C >190mg/dL
## [613] ASCVD-risk only Clinical ASCVD very high risk ASCVD
## [616] very high risk ASCVD Diabetic, 40-75 years Diabetic, 40-75 years
## [619] Clinical ASCVD ASCVD-risk only Diabetic, 40-75 years
## [622] Diabetic, 40-75 years ASCVD-risk only Clinical ASCVD
## [625] Diabetic, 40-75 years ASCVD-risk only Diabetic, 40-75 years
## [628] ASCVD-risk only Diabetic, 40-75 years Diabetic, 40-75 years
## [631] Diabetic, 40-75 years Clinical ASCVD ASCVD-risk only
## [634] very high risk ASCVD Diabetic, 40-75 years Diabetic, 40-75 years
## [637] ASCVD-risk only very high risk ASCVD Diabetic, 40-75 years
## [640] Diabetic, 40-75 years ASCVD-risk only Diabetic, 40-75 years
## [643] Clinical ASCVD Diabetic, 40-75 years ASCVD-risk only
## [646] ASCVD-risk only Clinical ASCVD Diabetic, 40-75 years
## [649] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [652] Diabetic, 40-75 years Diabetic, 40-75 years ASCVD-risk only
## [655] Diabetic, 40-75 years Diabetic, 40-75 years ASCVD-risk only
## [658] Diabetic, 40-75 years very high risk ASCVD Diabetic, 40-75 years
## [661] ASCVD-risk only ASCVD-risk only very high risk ASCVD
## [664] ASCVD-risk only Diabetic, 40-75 years ASCVD-risk only
## [667] Clinical ASCVD Diabetic, 40-75 years very high risk ASCVD
## [670] very high risk ASCVD Diabetic, 40-75 years Diabetic, 40-75 years
## [673] ASCVD-risk only Diabetic, 40-75 years Diabetic, 40-75 years
## [676] ASCVD-risk only LDL-C >190mg/dL ASCVD-risk only
## [679] very high risk ASCVD ASCVD-risk only Diabetic, 40-75 years
## [682] Clinical ASCVD Diabetic, 40-75 years Diabetic, 40-75 years
## [685] Diabetic, 40-75 years ASCVD-risk only very high risk ASCVD
## [688] Diabetic, 40-75 years Diabetic, 40-75 years very high risk ASCVD
## [691] Diabetic, 40-75 years Diabetic, 40-75 years Diabetic, 40-75 years
## [694] very high risk ASCVD Diabetic, 40-75 years
## 5 Levels: ASCVD-risk only Clinical ASCVD ... LDL-C >190mg/dL
name | n_pre | n_post | total_group_pre | total_group_post | percent_pre | percent_post | p.value | conf.low | conf.high |
---|---|---|---|---|---|---|---|---|---|
ASCVD-risk only | 125 | 59 | 185 | 65 | 68 | 91 | 0.00049 | -0.33989 | -0.12414 |
Clinical ASCVD | 46 | 25 | 48 | 25 | 96 | 100 | 0.77992 | -0.12861 | 0.04528 |
very high risk ASCVD | 73 | 42 | 76 | 42 | 96 | 100 | 0.48797 | -0.10173 | 0.02279 |
Diabetic, 40-75 years | 127 | 79 | 144 | 95 | 88 | 83 | 0.36126 | -0.05024 | 0.15098 |
LDL-C >190mg/dL | 10 | 5 | 10 | 5 | 100 | 100 | NaN | 0.00000 | 0.00000 |
We see a nice statistical significance in ASCVD-risk only, which is that our intervention was targeted. Of course it is only association likely not causation (likely not caused by intervention), but this is a nice result and I think it is good enough for an abstrace / QA/QI manuscript.
name | n_pre | n_post | total_group_pre | total_group_post | percent_pre | percent_post | p.value | conf.low | conf.high |
---|---|---|---|---|---|---|---|---|---|
all indications | 381 | 210 | 463 | 232 | 82 | 91 | 0.00625 | -0.13651 | -0.02722 |
This compares directly pre intervention to post intervention group so shows how well the randimization go, looks like preety well. And Giselle also mentioned something about how lipid testing was improved by intervention?
Characteristic | Overall, N = 6951 | Patients pre- and post- intervention | p-value2 | |
---|---|---|---|---|
pre intervention, N = 4631 | post intervention, N = 2321 | |||
visit_provider_level | <0.001 | |||
Attending-only | 4 (0.6%) | 4 (0.9%) | 0 (0%) | |
Resident w/ preceptor - PGY-1 | 160 (25%) | 118 (25%) | 42 (24%) | |
Resident w/ preceptor - PGY-2 | 225 (35%) | 135 (29%) | 90 (51%) | |
Resident w/ preceptor - PGY-3 | 252 (39%) | 206 (44%) | 46 (26%) | |
Unknown | 54 | 0 | 54 | |
attending_preceptor | ||||
Atkin | 58 (9.3%) | 52 (12%) | 6 (3.4%) | |
Ayyala | 40 (6.4%) | 35 (7.8%) | 5 (2.9%) | |
Doshi | 81 (13%) | 55 (12%) | 26 (15%) | |
Fayngersh | 49 (7.8%) | 28 (6.2%) | 21 (12%) | |
Fede | 125 (20%) | 99 (22%) | 26 (15%) | |
Feurdean | 12 (1.9%) | 12 (2.7%) | 0 (0%) | |
Gordon | 76 (12%) | 55 (12%) | 21 (12%) | |
Matassa | 73 (12%) | 45 (10.0%) | 28 (16%) | |
Natale-Pereira | 1 (0.2%) | 1 (0.2%) | 0 (0%) | |
Pergament | 66 (11%) | 37 (8.2%) | 29 (17%) | |
Sterling-Jean | 45 (7.2%) | 32 (7.1%) | 13 (7.4%) | |
Unknown | 69 | 12 | 57 | |
Age, years | 61 (55, 68) | 61 (55, 68) | 61 (54, 69) | 0.4 |
Unknown | 1 | 0 | 1 | |
Male gender | 0.6 | |||
Female | 368 (53%) | 249 (54%) | 119 (52%) | |
Male | 326 (47%) | 214 (46%) | 112 (48%) | |
Unknown | 1 | 0 | 1 | |
race | 0.6 | |||
Asian | 16 (4.2%) | 9 (3.5%) | 7 (5.7%) | |
Black or African American | 323 (85%) | 222 (86%) | 101 (82%) | |
Native Hawaiian or Pacific Islander | 1 (0.3%) | 1 (0.4%) | 0 (0%) | |
White | 41 (11%) | 26 (10%) | 15 (12%) | |
Unknown | 314 | 205 | 109 | |
hispanic_or_latino_ethnicity | 304 (44%) | 211 (46%) | 93 (42%) | 0.3 |
Unknown | 9 | 1 | 8 | |
patient_primary_language | 0.7 | |||
English | 414 (60%) | 284 (61%) | 130 (56%) | |
French-Creole | 7 (1.0%) | 4 (0.9%) | 3 (1.3%) | |
Other | 24 (3.5%) | 15 (3.2%) | 9 (3.9%) | |
Portuguese | 48 (6.9%) | 31 (6.7%) | 17 (7.4%) | |
Spanish | 201 (29%) | 129 (28%) | 72 (31%) | |
Unknown | 1 | 0 | 1 | |
translator_service_used_or_physician_native_speaker | 219 (79%) | 126 (71%) | 93 (92%) | <0.001 |
Unknown | 417 | 286 | 131 | |
charity_care_or_uninsured_patient | 356 (51%) | 253 (55%) | 103 (45%) | 0.013 |
Unknown | 1 | 0 | 1 | |
weight_kg | 80 (70, 92) | 80 (70, 91) | 79 (69, 92) | 0.8 |
Unknown | 4 | 2 | 2 | |
height_cent_imeters | 165 (158, 173) | 165 (158, 173) | 165 (160, 173) | 0.7 |
Unknown | 8 | 3 | 5 | |
bmi_kg_m_m | 29 (26, 33) | 29 (26, 33) | 29 (26, 32) | 0.5 |
Unknown | 8 | 3 | 5 | |
hypertension | 564 (81%) | 375 (81%) | 189 (82%) | 0.8 |
Unknown | 1 | 0 | 1 | |
diabetes_mellitus | 335 (48%) | 208 (45%) | 127 (55%) | 0.015 |
most_recent_hemoglobin_a1c_percent | 7.30 (6.50, 9.30) | 7.20 (6.50, 8.95) | 7.45 (6.57, 9.62) | 0.3 |
Unknown | 376 | 268 | 108 | |
chronic_kidney_disease | 110 (16%) | 71 (15%) | 39 (17%) | 0.6 |
dialysis | 12 (1.7%) | 10 (2.2%) | 2 (0.9%) | 0.4 |
coronary_artery_disease | 114 (16%) | 67 (14%) | 47 (21%) | 0.043 |
Unknown | 3 | 0 | 3 | |
history_of_mi | 51 (7.3%) | 32 (6.9%) | 19 (8.2%) | 0.5 |
Unknown | 1 | 1 | 0 | |
history_of_pci | 57 (8.2%) | 30 (6.5%) | 27 (12%) | 0.019 |
history_of_cabg | 25 (3.6%) | 15 (3.2%) | 10 (4.3%) | 0.5 |
history_of_cvd | 100 (14%) | 68 (15%) | 32 (14%) | 0.8 |
history_of_pad | 22 (3.2%) | 13 (2.8%) | 9 (3.9%) | 0.4 |
chronic_lung_disease | 33 (4.8%) | 20 (4.3%) | 13 (5.7%) | 0.4 |
Unknown | 3 | 1 | 2 | |
smoking | 0.006 | |||
Current smoker OR quit <1 year | 108 (16%) | 83 (18%) | 25 (11%) | |
Former smoker (quit > 1 year) | 164 (24%) | 117 (25%) | 47 (20%) | |
Never-smoker | 422 (61%) | 263 (57%) | 159 (69%) | |
Unknown | 1 | 0 | 1 | |
chf | 87 (13%) | 60 (13%) | 27 (12%) | 0.6 |
seen_by_cardiologist_within_12_months_of_encounter | 210 (30%) | 141 (31%) | 69 (30%) | 0.8 |
Unknown | 1 | 1 | 0 | |
clinical_ascvd | 194 (28%) | 124 (27%) | 70 (30%) | 0.3 |
type_of_ascvd_choice_acs | 0.13 | |||
Checked | 8 (1.2%) | 3 (0.6%) | 5 (2.2%) | |
Unchecked | 687 (99%) | 460 (99%) | 227 (98%) | |
type_of_ascvd_choice_history_of_mi | 0.6 | |||
Checked | 49 (7.1%) | 31 (6.7%) | 18 (7.8%) | |
Unchecked | 646 (93%) | 432 (93%) | 214 (92%) | |
ascvd hx unstable angina | 0.2 | |||
Checked | 16 (2.3%) | 13 (2.8%) | 3 (1.3%) | |
Unchecked | 679 (98%) | 450 (97%) | 229 (99%) | |
ascvd hx cad | 0.049 | |||
Checked | 76 (11%) | 43 (9.3%) | 33 (14%) | |
Unchecked | 619 (89%) | 420 (91%) | 199 (86%) | |
type_of_ascvd_choice_history_of_stroke_tia | 0.5 | |||
Checked | 101 (15%) | 70 (15%) | 31 (13%) | |
Unchecked | 594 (85%) | 393 (85%) | 201 (87%) | |
type_of_ascvd_choice_history_of_pad | 0.9 | |||
Checked | 22 (3.2%) | 15 (3.2%) | 7 (3.0%) | |
Unchecked | 673 (97%) | 448 (97%) | 225 (97%) | |
systolic_blood_pressure_in_index_visit | 137 (124, 150) | 137 (123, 150) | 136 (126, 148) | 0.7 |
Unknown | 10 | 1 | 9 | |
diastolic_blood_pressure_in_index_visit | 72 (65, 81) | 72 (65, 80) | 73 (65, 82) | 0.7 |
Unknown | 10 | 1 | 9 | |
treatment_for_hypertension | 554 (80%) | 371 (80%) | 183 (79%) | 0.7 |
Unknown | 1 | 1 | 0 | |
does_the_patient_have_an_indication_for_lipid_profile | 684 (99%) | 457 (99%) | 227 (99%) | 0.7 |
Unknown | 3 | 1 | 2 | |
lipid_profile_indication | <0.001 | |||
Diagnostic/treatment monitoring | 405 (58%) | 226 (49%) | 179 (77%) | |
Screening | 289 (42%) | 237 (51%) | 52 (23%) | |
Unknown | 1 | 0 | 1 | |
lipid_profile_available_ordered | 673 (97%) | 451 (97%) | 222 (97%) | 0.5 |
Unknown | 2 | 0 | 2 | |
10 yr ascvd calculated or known b4 | 272 (55%) | 184 (55%) | 88 (55%) | 0.9 |
Unknown | 199 | 126 | 73 | |
can_10_year_ascvd_risk_be_calculated | 445 (91%) | 316 (95%) | 129 (83%) | <0.001 |
Unknown | 207 | 131 | 76 | |
x10_year_ascvd_risk_percent | 12 (8, 20) | 12 (8, 20) | 12 (7, 22) | >0.9 |
Unknown | 243 | 146 | 97 | |
cholesterol_total_mg_d_l | 163 (132, 196) | 162 (135, 196) | 163 (129, 196) | 0.6 |
Unknown | 41 | 27 | 14 | |
cholesterol_ldl_mg_d_l | 85 (62, 120) | 87 (64, 120) | 81 (57, 116) | 0.14 |
Unknown | 24 | 10 | 14 | |
cholesterol_hdl_mg_d_l | 49 (41, 59) | 50 (41, 59) | 48 (41, 57) | 0.4 |
Unknown | 23 | 9 | 14 | |
triglycerides_mg_d_l | 106 (80, 153) | 103 (78, 149) | 112 (81, 170) | 0.061 |
Unknown | 23 | 10 | 13 | |
lipid profile and ascvd performed while pt on statun | 457 (69%) | 304 (68%) | 153 (71%) | 0.4 |
Unknown | 29 | 13 | 16 | |
primary_statin_indication | 0.013 | |||
ASCVD-risk only | 250 (36%) | 185 (40%) | 65 (28%) | |
Clinical ASCVD | 191 (27%) | 124 (27%) | 67 (29%) | |
Diabetic, 40-75 years | 239 (34%) | 144 (31%) | 95 (41%) | |
LDL-C >190mg/dL | 15 (2.2%) | 10 (2.2%) | 5 (2.2%) | |
is_a_high_intensity_statin_indicated | 482 (70%) | 323 (70%) | 159 (71%) | 0.8 |
Unknown | 11 | 3 | 8 | |
active_statin_treatment_at_end_of_visit | 0.015 | |||
No | 104 (15%) | 82 (18%) | 22 (9.5%) | |
Yes - prescribed during index visit | 85 (12%) | 53 (11%) | 32 (14%) | |
Yes - prescribed during prior visit | 506 (73%) | 328 (71%) | 178 (77%) | |
if_no_active_statin_treatment_despite_indication_provider_justification | >0.9 | |||
History of statin-associated muscle symptoms | 2 (2.2%) | 2 (2.5%) | 0 (0%) | |
Other | 91 (98%) | 77 (97%) | 14 (100%) | |
Unknown | 602 | 384 | 218 | |
is_the_statin_prescribed_of_adequate_indicated_intensity | 519 (89%) | 330 (87%) | 189 (92%) | 0.060 |
Unknown | 111 | 84 | 27 | |
if_incorrect_intensity_provider_justification | 0.4 | |||
Maximally tolerated dose | 3 (4.8%) | 2 (4.1%) | 1 (7.7%) | |
Other | 56 (90%) | 45 (92%) | 11 (85%) | |
Patient preference | 3 (4.8%) | 2 (4.1%) | 1 (7.7%) | |
Unknown | 633 | 414 | 219 | |
repeat lipid profile ordered to monitor statin adher | 258 (44%) | 126 (33%) | 132 (64%) | <0.001 |
Unknown | 111 | 85 | 26 | |
if_available_repeat_ldl_c_mg_d_l_after_statin_initiation | 81 (60, 96) | 80 (58, 99) | 83 (66, 94) | 0.7 |
Unknown | 576 | 388 | 188 | |
very_high_risk_ascvd | 0.10 | |||
0 | 1 (0.1%) | 0 (0%) | 1 (0.4%) | |
No | 567 (82%) | 385 (83%) | 182 (78%) | |
Yes | 127 (18%) | 78 (17%) | 49 (21%) | |
major_ascvd_events_choice_recent_acs_within_the_past_12_mo | 0.6 | |||
Checked | 4 (0.6%) | 2 (0.4%) | 2 (0.9%) | |
Unchecked | 691 (99%) | 461 (100%) | 230 (99%) | |
major ascvd hx mi | 0.4 | |||
Checked | 49 (7.1%) | 30 (6.5%) | 19 (8.2%) | |
Unchecked | 646 (93%) | 433 (94%) | 213 (92%) | |
major_ascvd_events_choice_history_of_ischemic_stroke | 0.2 | |||
Checked | 97 (14%) | 70 (15%) | 27 (12%) | |
Unchecked | 598 (86%) | 393 (85%) | 205 (88%) | |
major_ascvd_events_choice_symptomatic_peripheral_arterial_disease | 0.9 | |||
Checked | 20 (2.9%) | 13 (2.8%) | 7 (3.0%) | |
Unchecked | 675 (97%) | 450 (97%) | 225 (97%) | |
high_risk_conditions_choice_age_65_y | 0.12 | |||
Checked | 222 (32%) | 139 (30%) | 83 (36%) | |
Unchecked | 473 (68%) | 324 (70%) | 149 (64%) | |
high_risk_conditions_choice_heterozygous_familial_hypercholesterolemia | >0.9 | |||
Checked | 4 (0.6%) | 3 (0.6%) | 1 (0.4%) | |
Unchecked | 691 (99%) | 460 (99%) | 231 (100%) | |
high_risk_conditions_choice_diabetes_mellitus | <0.001 | |||
Checked | 343 (49%) | 208 (45%) | 135 (58%) | |
Unchecked | 352 (51%) | 255 (55%) | 97 (42%) | |
high_risk_conditions_choice_hypertension | >0.9 | |||
Checked | 570 (82%) | 380 (82%) | 190 (82%) | |
Unchecked | 125 (18%) | 83 (18%) | 42 (18%) | |
high_risk_conditions_choice_ckd | 0.8 | |||
Checked | 109 (16%) | 74 (16%) | 35 (15%) | |
Unchecked | 586 (84%) | 389 (84%) | 197 (85%) | |
high_risk_conditions_choice_current_smoking | 0.2 | |||
Checked | 80 (12%) | 59 (13%) | 21 (9.1%) | |
Unchecked | 615 (88%) | 404 (87%) | 211 (91%) | |
high_risk_conditions_choice_persistently_elevated_ldl_c | 0.004 | |||
Checked | 14 (2.0%) | 4 (0.9%) | 10 (4.3%) | |
Unchecked | 681 (98%) | 459 (99%) | 222 (96%) | |
high_risk_conditions_choice_history_of_congestive_hf | 0.11 | |||
Checked | 72 (10%) | 54 (12%) | 18 (7.8%) | |
Unchecked | 623 (90%) | 409 (88%) | 214 (92%) | |
ezetimibe_indicated | <0.001 | |||
No | 583 (84%) | 392 (85%) | 191 (83%) | |
Unable to assert | 46 (6.7%) | 18 (3.9%) | 28 (12%) | |
Yes | 61 (8.8%) | 51 (11%) | 10 (4.4%) | |
Unknown | 5 | 2 | 3 | |
pcsk9_inhibitor_indicated | <0.001 | |||
No | 646 (93%) | 442 (95%) | 204 (89%) | |
Unable to assert | 35 (5.1%) | 10 (2.2%) | 25 (11%) | |
Yes | 11 (1.6%) | 11 (2.4%) | 0 (0%) | |
Unknown | 3 | 0 | 3 | |
coronary_artery_calcium_scoring_ordered | 4 (0.6%) | 4 (0.9%) | 0 (0%) | 0.3 |
Unknown | 7 | 1 | 6 | |
other_non_statin_therapies_choice_bile_acid_sequestrants | ||||
Unchecked | 695 (100%) | 463 (100%) | 232 (100%) | |
other_non_statin_therapies_choice_niacin | ||||
Unchecked | 695 (100%) | 463 (100%) | 232 (100%) | |
other_non_statin_therapies_choice_fibrates | >0.9 | |||
Checked | 2 (0.3%) | 1 (0.2%) | 1 (0.4%) | |
Unchecked | 693 (100%) | 462 (100%) | 231 (100%) | |
family_history_of_premature_ascvd | 1 (0.1%) | 1 (0.2%) | 0 (0%) | >0.9 |
Unknown | 4 | 0 | 4 | |
chronic_inflammatory_conditions | 30 (4.3%) | 12 (2.6%) | 18 (7.8%) | 0.002 |
Unknown | 2 | 1 | 1 | |
south_asian_ancestry | 7 (1.0%) | 3 (0.6%) | 4 (1.7%) | 0.2 |
other_elevated_ascvd_associated_lipids_biomarkers | 7 (1.0%) | 2 (0.4%) | 5 (2.2%) | 0.044 |
Unknown | 1 | 0 | 1 | |
persistent_hypertriglyceridemia | 27 (3.9%) | 15 (3.2%) | 12 (5.3%) | 0.2 |
Unknown | 5 | 1 | 4 | |
on_statin | 0.004 | |||
0 | 104 (15%) | 82 (18%) | 22 (9.5%) | |
1 | 591 (85%) | 381 (82%) | 210 (91%) | |
indication_modified | 0.029 | |||
ASCVD-risk only | 250 (36%) | 185 (40%) | 65 (28%) | |
Clinical ASCVD | 73 (11%) | 48 (10%) | 25 (11%) | |
very high risk ASCVD | 118 (17%) | 76 (16%) | 42 (18%) | |
Diabetic, 40-75 years | 239 (34%) | 144 (31%) | 95 (41%) | |
LDL-C >190mg/dL | 15 (2.2%) | 10 (2.2%) | 5 (2.2%) | |
real_race | ||||
Hispanic | 304 (100%) | 211 (100%) | 93 (100%) | |
Unknown | 391 | 252 | 139 | |
race_true | 0.6 | |||
Asian | 16 (2.3%) | 9 (1.9%) | 7 (3.0%) | |
Black or African American | 338 (49%) | 219 (47%) | 119 (51%) | |
Hispanic | 304 (44%) | 211 (46%) | 93 (40%) | |
Native Hawaiian or Pacific Islander | 1 (0.1%) | 1 (0.2%) | 0 (0%) | |
White | 36 (5.2%) | 23 (5.0%) | 13 (5.6%) | |
race_white | 36 (5.2%) | 23 (5.0%) | 13 (5.6%) | 0.7 |
Black | 0.3 | |||
0 | 357 (51%) | 244 (53%) | 113 (49%) | |
1 | 338 (49%) | 219 (47%) | 119 (51%) | |
race_hispanic | 304 (44%) | 211 (46%) | 93 (40%) | 0.2 |
indication_ldl | 15 (2.2%) | 10 (2.2%) | 5 (2.2%) | >0.9 |
ASCVD risk > 7.5% only | 0.002 | |||
0 | 445 (64%) | 278 (60%) | 167 (72%) | |
1 | 250 (36%) | 185 (40%) | 65 (28%) | |
indication_clinical_ascvd | 191 (27%) | 124 (27%) | 67 (29%) | 0.6 |
indication_diabetes | 239 (34%) | 144 (31%) | 95 (41%) | 0.010 |
translator_service_na_replaced | <0.001 | |||
0 | 417 (60%) | 286 (62%) | 131 (56%) | |
No | 59 (8.5%) | 51 (11%) | 8 (3.4%) | |
Yes | 219 (32%) | 126 (27%) | 93 (40%) | |
uninsured | 356 (51%) | 253 (55%) | 103 (45%) | 0.013 |
Unknown | 1 | 0 | 1 | |
ckd | 110 (16%) | 71 (15%) | 39 (17%) | 0.6 |
agecategor | 0.5 | |||
(18,40] | 19 (2.7%) | 15 (3.2%) | 4 (1.7%) | |
(40,55] | 172 (25%) | 113 (24%) | 59 (26%) | |
(55,90] | 503 (72%) | 335 (72%) | 168 (73%) | |
Unknown | 1 | 0 | 1 | |
1
n (%); Median (IQR)
2
Fisher's exact test; Wilcoxon rank sum test; Pearson's Chi-squared test
|
Characteristic | Overall, N = 2501 | Patients pre- and post- intervention | p-value2 | |
---|---|---|---|---|
pre intervention, N = 1851 | post intervention, N = 651 | |||
visit_provider_level | 0.001 | |||
Attending-only | 2 (0.8%) | 2 (1.1%) | 0 (0%) | |
Resident w/ preceptor - PGY-1 | 66 (28%) | 50 (27%) | 16 (29%) | |
Resident w/ preceptor - PGY-2 | 87 (36%) | 57 (31%) | 30 (55%) | |
Resident w/ preceptor - PGY-3 | 85 (35%) | 76 (41%) | 9 (16%) | |
Unknown | 10 | 0 | 10 | |
attending_preceptor | ||||
Atkin | 12 (5.2%) | 11 (6.2%) | 1 (1.8%) | |
Ayyala | 21 (9.0%) | 19 (11%) | 2 (3.6%) | |
Doshi | 36 (15%) | 25 (14%) | 11 (20%) | |
Fayngersh | 20 (8.6%) | 12 (6.7%) | 8 (15%) | |
Fede | 47 (20%) | 41 (23%) | 6 (11%) | |
Feurdean | 9 (3.9%) | 9 (5.1%) | 0 (0%) | |
Gordon | 24 (10%) | 18 (10%) | 6 (11%) | |
Matassa | 25 (11%) | 16 (9.0%) | 9 (16%) | |
Natale-Pereira | 1 (0.4%) | 1 (0.6%) | 0 (0%) | |
Pergament | 29 (12%) | 19 (11%) | 10 (18%) | |
Sterling-Jean | 9 (3.9%) | 7 (3.9%) | 2 (3.6%) | |
Unknown | 17 | 7 | 10 | |
Age, years | 64 (58, 69) | 63 (58, 69) | 64 (60, 70) | 0.3 |
Unknown | 1 | 0 | 1 | |
Male gender | 0.5 | |||
Female | 126 (50%) | 91 (49%) | 35 (54%) | |
Male | 124 (50%) | 94 (51%) | 30 (46%) | |
race | >0.9 | |||
Asian | 3 (2.1%) | 2 (1.9%) | 1 (2.7%) | |
Black or African American | 127 (88%) | 94 (88%) | 33 (89%) | |
Native Hawaiian or Pacific Islander | 1 (0.7%) | 1 (0.9%) | 0 (0%) | |
White | 13 (9.0%) | 10 (9.3%) | 3 (8.1%) | |
Unknown | 106 | 78 | 28 | |
hispanic_or_latino_ethnicity | 100 (40%) | 79 (43%) | 21 (33%) | 0.2 |
Unknown | 2 | 0 | 2 | |
patient_primary_language | 0.6 | |||
English | 151 (60%) | 113 (61%) | 38 (58%) | |
French-Creole | 3 (1.2%) | 2 (1.1%) | 1 (1.5%) | |
Other | 11 (4.4%) | 7 (3.8%) | 4 (6.2%) | |
Portuguese | 16 (6.4%) | 10 (5.4%) | 6 (9.2%) | |
Spanish | 69 (28%) | 53 (29%) | 16 (25%) | |
translator_service_used_or_physician_native_speaker | 77 (78%) | 52 (72%) | 25 (93%) | 0.030 |
Unknown | 151 | 113 | 38 | |
charity_care_or_uninsured_patient | 135 (54%) | 107 (58%) | 28 (43%) | 0.040 |
weight_kg | 79 (70, 92) | 78 (70, 91) | 79 (68, 99) | 0.7 |
height_cent_imeters | 165 (160, 173) | 165 (160, 173) | 165 (160, 173) | 0.7 |
bmi_kg_m_m | 29 (25, 33) | 29 (25, 33) | 29 (25, 32) | >0.9 |
hypertension | 201 (80%) | 144 (78%) | 57 (88%) | 0.085 |
diabetes_mellitus | 18 (7.2%) | 15 (8.1%) | 3 (4.6%) | 0.4 |
most_recent_hemoglobin_a1c_percent | 6.95 (5.90, 10.30) | 7.70 (6.00, 11.50) | 6.30 (5.95, 6.75) | 0.4 |
Unknown | 232 | 170 | 62 | |
chronic_kidney_disease | 26 (10%) | 21 (11%) | 5 (7.7%) | 0.4 |
dialysis | 2 (0.8%) | 1 (0.5%) | 1 (1.5%) | 0.5 |
coronary_artery_disease | 6 (2.4%) | 5 (2.7%) | 1 (1.6%) | >0.9 |
Unknown | 1 | 0 | 1 | |
history_of_mi | ||||
No | 250 (100%) | 185 (100%) | 65 (100%) | |
history_of_pci | ||||
No | 250 (100%) | 185 (100%) | 65 (100%) | |
history_of_cabg | ||||
No | 250 (100%) | 185 (100%) | 65 (100%) | |
history_of_cvd | 1 (0.4%) | 1 (0.5%) | 0 (0%) | >0.9 |
history_of_pad | ||||
No | 250 (100%) | 185 (100%) | 65 (100%) | |
chronic_lung_disease | 10 (4.0%) | 7 (3.8%) | 3 (4.6%) | 0.7 |
Unknown | 1 | 1 | 0 | |
smoking | 0.031 | |||
Current smoker OR quit <1 year | 41 (16%) | 37 (20%) | 4 (6.2%) | |
Former smoker (quit > 1 year) | 62 (25%) | 46 (25%) | 16 (25%) | |
Never-smoker | 146 (59%) | 102 (55%) | 44 (69%) | |
Unknown | 1 | 0 | 1 | |
chf | 28 (11%) | 21 (11%) | 7 (11%) | 0.9 |
seen_by_cardiologist_within_12_months_of_encounter | 52 (21%) | 43 (23%) | 9 (14%) | 0.11 |
clinical_ascvd | ||||
No | 250 (100%) | 185 (100%) | 65 (100%) | |
type_of_ascvd_choice_acs | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
type_of_ascvd_choice_history_of_mi | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
ascvd hx unstable angina | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
ascvd hx cad | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
type_of_ascvd_choice_history_of_stroke_tia | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
type_of_ascvd_choice_history_of_pad | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
systolic_blood_pressure_in_index_visit | 138 (128, 151) | 138 (128, 150) | 138 (130, 152) | 0.6 |
Unknown | 1 | 0 | 1 | |
diastolic_blood_pressure_in_index_visit | 74 (67, 82) | 74 (67, 82) | 74 (67, 83) | >0.9 |
Unknown | 1 | 0 | 1 | |
treatment_for_hypertension | 194 (78%) | 142 (77%) | 52 (80%) | 0.6 |
does_the_patient_have_an_indication_for_lipid_profile | 246 (99%) | 182 (98%) | 64 (100%) | 0.6 |
Unknown | 1 | 0 | 1 | |
lipid_profile_indication | <0.001 | |||
Diagnostic/treatment monitoring | 108 (43%) | 66 (36%) | 42 (66%) | |
Screening | 141 (57%) | 119 (64%) | 22 (34%) | |
Unknown | 1 | 0 | 1 | |
lipid_profile_available_ordered | 243 (98%) | 180 (97%) | 63 (100%) | 0.3 |
Unknown | 2 | 0 | 2 | |
10 yr ascvd calculated or known b4 | 154 (62%) | 107 (58%) | 47 (72%) | 0.039 |
can_10_year_ascvd_risk_be_calculated | 241 (99%) | 181 (100%) | 60 (95%) | 0.017 |
Unknown | 6 | 4 | 2 | |
x10_year_ascvd_risk_percent | 13 (9, 20) | 12 (9, 20) | 13 (8, 22) | 0.8 |
Unknown | 6 | 3 | 3 | |
cholesterol_total_mg_d_l | 177 (150, 209) | 177 (150, 214) | 174 (155, 199) | >0.9 |
cholesterol_ldl_mg_d_l | 96 (73, 125) | 96 (72, 128) | 94 (74, 122) | 0.8 |
Unknown | 1 | 1 | 0 | |
cholesterol_hdl_mg_d_l | 51 (42, 62) | 52 (43, 63) | 51 (42, 58) | 0.7 |
triglycerides_mg_d_l | 103 (77, 152) | 101 (78, 149) | 104 (73, 173) | 0.9 |
Unknown | 1 | 1 | 0 | |
lipid profile and ascvd performed while pt on statun | 130 (52%) | 90 (49%) | 40 (62%) | 0.087 |
Unknown | 2 | 2 | 0 | |
primary_statin_indication | ||||
ASCVD-risk only | 250 (100%) | 185 (100%) | 65 (100%) | |
is_a_high_intensity_statin_indicated | 110 (45%) | 77 (42%) | 33 (54%) | 0.089 |
Unknown | 4 | 0 | 4 | |
active_statin_treatment_at_end_of_visit | <0.001 | |||
No | 66 (26%) | 60 (32%) | 6 (9.2%) | |
Yes - prescribed during index visit | 42 (17%) | 25 (14%) | 17 (26%) | |
Yes - prescribed during prior visit | 142 (57%) | 100 (54%) | 42 (65%) | |
if_no_active_statin_treatment_despite_indication_provider_justification | ||||
Other | 61 (100%) | 58 (100%) | 3 (100%) | |
Unknown | 189 | 127 | 62 | |
is_the_statin_prescribed_of_adequate_indicated_intensity | 164 (90%) | 113 (90%) | 51 (88%) | 0.6 |
Unknown | 67 | 60 | 7 | |
if_incorrect_intensity_provider_justification | >0.9 | |||
Other | 18 (95%) | 11 (92%) | 7 (100%) | |
Patient preference | 1 (5.3%) | 1 (8.3%) | 0 (0%) | |
Unknown | 231 | 173 | 58 | |
repeat lipid profile ordered to monitor statin adher | 74 (40%) | 40 (32%) | 34 (59%) | <0.001 |
Unknown | 67 | 60 | 7 | |
if_available_repeat_ldl_c_mg_d_l_after_statin_initiation | 83 (66, 96) | 85 (65, 98) | 82 (70, 88) | 0.7 |
Unknown | 215 | 160 | 55 | |
very_high_risk_ascvd | 1 (0.4%) | 0 (0%) | 1 (1.5%) | 0.3 |
major_ascvd_events_choice_recent_acs_within_the_past_12_mo | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
major ascvd hx mi | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
major_ascvd_events_choice_history_of_ischemic_stroke | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
major_ascvd_events_choice_symptomatic_peripheral_arterial_disease | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
high_risk_conditions_choice_age_65_y | 0.069 | |||
Checked | 92 (37%) | 62 (34%) | 30 (46%) | |
Unchecked | 158 (63%) | 123 (66%) | 35 (54%) | |
high_risk_conditions_choice_heterozygous_familial_hypercholesterolemia | >0.9 | |||
Checked | 1 (0.4%) | 1 (0.5%) | 0 (0%) | |
Unchecked | 249 (100%) | 184 (99%) | 65 (100%) | |
high_risk_conditions_choice_diabetes_mellitus | 0.5 | |||
Checked | 20 (8.0%) | 16 (8.6%) | 4 (6.2%) | |
Unchecked | 230 (92%) | 169 (91%) | 61 (94%) | |
high_risk_conditions_choice_hypertension | 0.045 | |||
Checked | 202 (81%) | 144 (78%) | 58 (89%) | |
Unchecked | 48 (19%) | 41 (22%) | 7 (11%) | |
high_risk_conditions_choice_ckd | 0.050 | |||
Checked | 28 (11%) | 25 (14%) | 3 (4.6%) | |
Unchecked | 222 (89%) | 160 (86%) | 62 (95%) | |
high_risk_conditions_choice_current_smoking | 0.11 | |||
Checked | 29 (12%) | 25 (14%) | 4 (6.2%) | |
Unchecked | 221 (88%) | 160 (86%) | 61 (94%) | |
high_risk_conditions_choice_persistently_elevated_ldl_c | 0.041 | |||
Checked | 6 (2.4%) | 2 (1.1%) | 4 (6.2%) | |
Unchecked | 244 (98%) | 183 (99%) | 61 (94%) | |
high_risk_conditions_choice_history_of_congestive_hf | >0.9 | |||
Checked | 24 (9.6%) | 18 (9.7%) | 6 (9.2%) | |
Unchecked | 226 (90%) | 167 (90%) | 59 (91%) | |
ezetimibe_indicated | <0.001 | |||
No | 229 (92%) | 174 (95%) | 55 (85%) | |
Unable to assert | 14 (5.6%) | 4 (2.2%) | 10 (15%) | |
Yes | 6 (2.4%) | 6 (3.3%) | 0 (0%) | |
Unknown | 1 | 1 | 0 | |
pcsk9_inhibitor_indicated | 0.034 | |||
No | 239 (96%) | 180 (97%) | 59 (91%) | |
Unable to assert | 10 (4.0%) | 4 (2.2%) | 6 (9.2%) | |
Yes | 1 (0.4%) | 1 (0.5%) | 0 (0%) | |
coronary_artery_calcium_scoring_ordered | 1 (0.4%) | 1 (0.5%) | 0 (0%) | >0.9 |
Unknown | 2 | 1 | 1 | |
other_non_statin_therapies_choice_bile_acid_sequestrants | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
other_non_statin_therapies_choice_niacin | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
other_non_statin_therapies_choice_fibrates | ||||
Unchecked | 250 (100%) | 185 (100%) | 65 (100%) | |
family_history_of_premature_ascvd | ||||
No | 247 (100%) | 185 (100%) | 62 (100%) | |
Unknown | 3 | 0 | 3 | |
chronic_inflammatory_conditions | 11 (4.4%) | 6 (3.2%) | 5 (7.7%) | 0.2 |
south_asian_ancestry | 1 (0.4%) | 0 (0%) | 1 (1.5%) | 0.3 |
other_elevated_ascvd_associated_lipids_biomarkers | 1 (0.4%) | 0 (0%) | 1 (1.6%) | 0.3 |
Unknown | 1 | 0 | 1 | |
persistent_hypertriglyceridemia | 10 (4.0%) | 7 (3.8%) | 3 (4.7%) | 0.7 |
Unknown | 2 | 1 | 1 | |
on_statin | <0.001 | |||
0 | 66 (26%) | 60 (32%) | 6 (9.2%) | |
1 | 184 (74%) | 125 (68%) | 59 (91%) | |
indication_modified | >0.9 | |||
ASCVD-risk only | 250 (100%) | 185 (100%) | 65 (100%) | |
Clinical ASCVD | 0 (0%) | 0 (0%) | 0 (0%) | |
very high risk ASCVD | 0 (0%) | 0 (0%) | 0 (0%) | |
Diabetic, 40-75 years | 0 (0%) | 0 (0%) | 0 (0%) | |
LDL-C >190mg/dL | 0 (0%) | 0 (0%) | 0 (0%) | |
real_race | ||||
Hispanic | 100 (100%) | 79 (100%) | 21 (100%) | |
Unknown | 150 | 106 | 44 | |
race_true | 0.5 | |||
Asian | 3 (1.2%) | 2 (1.1%) | 1 (1.5%) | |
Black or African American | 133 (53%) | 93 (50%) | 40 (62%) | |
Hispanic | 100 (40%) | 79 (43%) | 21 (32%) | |
Native Hawaiian or Pacific Islander | 1 (0.4%) | 1 (0.5%) | 0 (0%) | |
White | 13 (5.2%) | 10 (5.4%) | 3 (4.6%) | |
race_white | 13 (5.2%) | 10 (5.4%) | 3 (4.6%) | >0.9 |
Black | 0.12 | |||
0 | 117 (47%) | 92 (50%) | 25 (38%) | |
1 | 133 (53%) | 93 (50%) | 40 (62%) | |
race_hispanic | 100 (40%) | 79 (43%) | 21 (32%) | 0.14 |
indication_ldl | 0 (0%) | 0 (0%) | 0 (0%) | |
ASCVD risk > 7.5% only | >0.9 | |||
0 | 0 (0%) | 0 (0%) | 0 (0%) | |
1 | 250 (100%) | 185 (100%) | 65 (100%) | |
indication_clinical_ascvd | 0 (0%) | 0 (0%) | 0 (0%) | |
indication_diabetes | 0 (0%) | 0 (0%) | 0 (0%) | |
translator_service_na_replaced | 0.082 | |||
0 | 151 (60%) | 113 (61%) | 38 (58%) | |
No | 22 (8.8%) | 20 (11%) | 2 (3.1%) | |
Yes | 77 (31%) | 52 (28%) | 25 (38%) | |
uninsured | 135 (54%) | 107 (58%) | 28 (43%) | 0.040 |
ckd | 26 (10%) | 21 (11%) | 5 (7.7%) | 0.4 |
agecategor | 0.5 | |||
(18,40] | 1 (0.4%) | 1 (0.5%) | 0 (0%) | |
(40,55] | 38 (15%) | 31 (17%) | 7 (11%) | |
(55,90] | 210 (84%) | 153 (83%) | 57 (89%) | |
Unknown | 1 | 0 | 1 | |
1
n (%); Median (IQR)
2
Fisher's exact test; Wilcoxon rank sum test; Pearson's Chi-squared test
|
There are tiny differences between this and the manuscript result, I believe that the reason is that in manuscript he had 464 and here I am getting 463 patients pre-intervension, I would just ignore it.
I had to remove CKD because or model gets wild secondary to relatively smaller n than before. As expected we have much wider confidence intervals 2/2 smaller n.
To fix
These are not yet excluded:
Already excluded (from manuscript times + 3 current suggested by Sana):
## [1] "Active liver disease"
## [2] "History of statin-associated myopathy/rhabdomyolysis"
## [3] "History of statin-associated persistent transaminitis"
## [4] "Patient preference"
## [1] "Allergic to statins - tried multiple"
## [2] "Age"
## [3] "age"
## [4] "Awaiting LFTs to start statin"
## [5] "Awaiting new lipid panel"
## [6] "awaiting new lipid profile"
## [7] "Awaiting new lipid profile"
## [8] "following up results"
## [9] "getting another lipid profile"
## [10] "Lifestyles changes first"
## [11] "Repeat lipid profile"
## [12] "Awaiting diet modifications to improve lipids"
## [13] "hives associated with pravastatin"
## [14] "waiting until patient is 40 yo"
## [15] "unclear why not one it. perhaps young and teratogenic"
For quality control
Right mouse click + open in new tab to get out of RPubs environment.
Our healthcare manuscript https://www.mdpi.com/2227-9032/8/4/361
Statin tables https://docs.google.com/spreadsheets/d/1wa6rS7PFVFu2nPJWBZX1c9pSGkXbB8kuIJbtockV0N8/edit#gid=936905237
Abstract https://docs.google.com/document/d/1CpLyKgxG-b3yWY8iyiuYyxP2GILsXjVtADruj-fekH4/edit
Manuscript https://docs.google.com/document/d/1V01kcsv5e7rck8B4hl4-dmj2wyJ-yrqD1RypakcWFvM/edit