27 Aug Cardiovascular Events Decreased Most Among Adults At Highest Risk
MedicalResearch.com Interview with:
Jay R. Desai, PhD, MPH
HealthPartners Institute for Education and Research
Minneapolis, MN 55425
Medical Research: What is the background for this study? What are the main findings?
Dr. Desai: SUPREME-DM is a consortium of 11 integrated health systems throughout the United States that serve a culturally and economically diverse population of 16 million members. This study monitors changes in cardiovascular outcomes from 2005 through 2011 among the 1.2 million members identified with diabetes and a matched sample of 1.2 million members without diabetes.
We found very encouraging and sustained declines in the rates of myocardial infarction/acute coronary syndrome (MI), stroke, heart failure (HF), and all-cause mortality among adults with and without diabetes. Declines were greatest among the 15% adults who were already at high risk for cardiovascular events (such as people with diabetes or a prior history of heart disease). There was less improvement in cardiovascular event rates and mortality among the other 85% of members with low to moderate cardiovascular risk.
Medical Research: What should clinicians and patients take away from your report?
Dr. Desai: We have been making good progress in reducing rates of MI, stroke, HF, and all-cause mortality among patients already at high CV risk. We need to extend those efforts to target lower-risk patients, and also to racial and ethnic groups that continue to have higher rates of stroke and heart failure, such as non-Hispanic blacks with diabetes.
Medical Research: What recommendations do you have for future research as a result of this study?
Dr. Desai: It will be important to continue monitoring cardiovascular event rates and mortality within U.S. health systems so that we can track improvements and identify subgroups where more tailored clinical and public health approaches may be required. Utilizing such large, real-world, electronic databases for research will provide further insight into what underlying patient, provider, and system characteristics and care practices are driving cardiovascular disease outcomes and what potential interventions can continue to improve these outcomes. Better management of blood pressure, lipids, smoking, and other major risk factors will be needed to sustain these improvement trends.
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MedicalResearch.com Interview with:, & Jay R. Desai, PhD, MPH (2015). Cardiovascular Events Decreased Most Among Adults At Highest Risk
Last Updated on August 27, 2015 by Marie Benz MD FAAD