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Estudio COFEMA - Archivo PPCT

Conductas Frente a la Utilización de Estatinas en Médicos Argentinos. Estudio COFEMA;
Approach on the Use of Statins in a Sample of Doctors from Argentina. The COFEMA Study

Creators:Rosende, Andres; Médico Coordinador de la Unidad de Cuidados Críticos Cardiovasculares. Hospital El Cruce "Néstor Carlos Kirchner"
Secretario Científico del Concejo de Cardiología Clínica y Terapéutica. Sociedad Argentina de Cardiología., Caniggia, Cristian; Médico ecocardiografista. Investigaciones Médicas.
Director del Concejo de Cardiología Clínica y Terapéutica. Sociedad Argentina de Cardiología., Casuscelli, Jorge; Médico Cardiólogo. Fundación Favaloro.
Secretario Técnico del Concejo de Cardiología Clínica y Terapéutica. Sociedad Argentina de Cardiología., Mirada, Micaela; Médica Cardióloga. Fundación Favaloro.
Vocal del Concejo de Cardiología Clínica y Terapéutica. Sociedad Argentina de Cardiología., Comtesse, Daniel; Vocal del Concejo de Cardiología Clínica y Terapéutica. Sociedad Argentina de Cardiología., Charask, Adrián; Coordinador de Unidad Coronaria. Clínica Bazterrica.
Area de Investigación. Sociedad Argentina de Cardiología., D´Imperio, Heraldo; Médico de Planta. Unidad de Cuidados Críticos Cardiovasculares. Hospital El Cruce "Néstor Carlos Kirchner"
Becario del Area de Investigación. Sociedad Argentina de Cardiología., Cámera, Luis; Sociedad Argentina de Medicina., Valdez, Pascual, Tajer, Carlos; Director Médico. Hospital El Cruce "Dr. Néstor Carlos Kirchner"
Ex Presidente. Sociedad Argentina de Cardiología.
2017-03-14

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Descripción

Antecedentes: La evidencia respalda la utilización de estatinas en diversos escenarios clínicos y sustenta la última guía AHA/ACC sobre el tratamiento del colesterol. Nuestro objetivo fue identificar las conductas de los médicos argentinos frente a la utilización de estatinas. Materiales y Métodos: Se realizó una encuesta de 16 puntos que indagó el grado de acuerdo con distintas indicaciones de estatinas y su posología habitual. Se realizó un análisis descriptivo y se efectuaron comparaciones por especialidad y grupo etario. Resultados: La mediana de edad de los 548 encuestados fue de 48 años. Uno de cada tres médicos estuvo de acuerdo con interrumpir el tratamiento una vez normalizado el nivel de colesterol. Más del 20% estuvo en desacuerdo con indicar estatinas a pacientes diabéticos con LDL normal y casi un 50% no aprobó la indicación en pacientes con LDL &gt; 190 mg/dl como único factor de riesgo. El 86% acordó administrar dosis altas en prevención secundaria, aunque su utilización global fue del 65% y solo el 34% de los médicos encuestados piensa que este tratamiento sea superior a la combinación de dosis moderadas con Ezetimibe. El 90% acordó administrar estatinas a pacientes en diálisis y el 81% las indica a pacientes con insuficiencia cardíaca con deterioro severo de la función sistólica. El monitoreo de efectos adversos en pacientes asintomáticos es una conducta frecuente. Conclusión: Muchas de las recomendaciones de la guía tuvieron escasa aceptación. El monitoreo rutinario de efectos adversos en población asintomática tratada con estatinas es frecuente y las dosis altas aún son subutilizadas pese al acuerdo general sobre su efectividad.

Background: Available information on the use of statins is very abundant and complex, and in recent years, different recommendations have been published in local and international guidelines. Since the evidence with statins has generated variations in their indication, it is interesting to know the degree of guideline acceptance and the approach of our medical community regarding their use. Objective: The aim of this study was to identify physician approach on the use of statins in Argentina. Methods: A 16-item survey was carried out to investigate the degree of agreement with different statin indications and usual dosage. A descriptive analysis was performed and comparisons by specialty and age group were carried out. Results: The median age of the 598 respondents was 48 years. Most physicians agreed to indicate high doses of statins in secondary prevention and in diabetic patients. When LDL-C &gt;190 mg/dL was the only risk criterion, 50% of respondents did not approve the indication. In primary prevention, one in three physicians agreed to discontinue treatment after normalizing cholesterol levels. In two controversial conditions, such as chronic coronary artery disease in patients on dialysis and advanced coronary heart failure, the indication of statins was high. Most respondents monitor adverse effects with hepatograms and CPK measurements in asymptomatic patients.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 84, No 6 (2016); 558-564, Argentine Journal of Cardiology; Vol 84, No 6 (2016); 558-564

Citación

Rosende, Andres; Médico Coordinador de la Unidad de Cuidados Críticos Cardiovasculares. Hospital El Cruce "Néstor Carlos Kirchner" Secretario Científico del Concejo de Cardiología Clínica y Terapéutica. Sociedad Argentina de Cardiología. et al., “Conductas Frente a la Utilización de Estatinas en Médicos Argentinos. Estudio COFEMA,” Archivo PPCT, consulta 1 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/9219.

Dublin Core

Materia

Autor

Rosende, Andres; Médico Coordinador de la Unidad de Cuidados Críticos Cardiovasculares. Hospital El Cruce "Néstor Carlos Kirchner"
Secretario Científico del Concejo de Cardiología Clínica y Terapéutica. Sociedad Argentina de Cardiología.
Caniggia, Cristian; Médico ecocardiografista. Investigaciones Médicas.
Director del Concejo de Cardiología Clínica y Terapéutica. Sociedad Argentina de Cardiología.
Casuscelli, Jorge; Médico Cardiólogo. Fundación Favaloro.
Secretario Técnico del Concejo de Cardiología Clínica y Terapéutica. Sociedad Argentina de Cardiología.
Mirada, Micaela; Médica Cardióloga. Fundación Favaloro.
Vocal del Concejo de Cardiología Clínica y Terapéutica. Sociedad Argentina de Cardiología.
Comtesse, Daniel; Vocal del Concejo de Cardiología Clínica y Terapéutica. Sociedad Argentina de Cardiología.
Charask, Adrián; Coordinador de Unidad Coronaria. Clínica Bazterrica.
Area de Investigación. Sociedad Argentina de Cardiología.
D´Imperio, Heraldo; Médico de Planta. Unidad de Cuidados Críticos Cardiovasculares. Hospital El Cruce "Néstor Carlos Kirchner"
Becario del Area de Investigación. Sociedad Argentina de Cardiología.
Cámera, Luis; Sociedad Argentina de Medicina.
Valdez, Pascual
Tajer, Carlos; Director Médico. Hospital El Cruce "Dr. Néstor Carlos Kirchner"
Ex Presidente. Sociedad Argentina de Cardiología.

Fuente

Revista Argentina de Cardiología; Vol 84, No 6 (2016); 558-564
Argentine Journal of Cardiology; Vol 84, No 6 (2016); 558-564

Editor

Sociedad Argentina de Cardiología

Fecha

2017-03-14

Colaborador

Sociedad Argentina de Cardiología

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

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Idioma

spa
eng

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info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion