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Lipid Control and Medical Costs Among Patients With and Without Established Atherosclerotic Cardiovascular Disease Followed in a Brazilian Private Healthcare System Cover

Lipid Control and Medical Costs Among Patients With and Without Established Atherosclerotic Cardiovascular Disease Followed in a Brazilian Private Healthcare System

Open Access
|Aug 2024

Figures & Tables

Figure 1

Study flowchart.

Table 1

Baseline characteristics.

PRIMARY PREVENTION (n = 12,226)SECONDARY PREVENTION (n = 5,208)TOTAL (n = 17,434)P-VALUE
Age54.4 (±15.9)68.9 (±12.3)58.8 (±16.3)<0.01
Female Sex69.4%52.2%64.2%<0.01
Hypertension52.2%79.6%60.4%<0.01
Diabetes Mellitus33.7%56.2%40.4%<0.01
Dyslipidemia32.2%43.6%35.6%<0.01
CKD4.6%18.2%8.7%<0.01
LDL-cholesterol114.3 (±35.1)119.6 (±36.9)115.9 (±36.2)<0.01
HDL-cholesterol48.2 (±16.2)42.7 (±12.5)46.6 (±15.4)<0.01
Triglycerides133.3 (±74.9)144.6 (±170.5)136.7 (±140.4)<0.01
HbA1C6.7 (±3.7)6.6 (±3.6)6.6 (±3.6)0.10

[i] The values are presented as mean (and standard deviation) and percentages.

CKD means chronic kidney disease.

Table 2

Distribution of LDL cholesterol values in the population with and without ASCVD.

LDL-CHOLESTEROLPRIMARY PREVENTION (n = 12.226)SECONDARY PREVENTION (n = 5.208)TOTAL (n = 17.434)
< 50 mg/dL1.7%#4.1%#2.4%
50 - 69 mg/dL6.8%#15.0%*9.2%
70 – 99 mg/dL26.2%#31.7%27.8%
100 – 129 mg/dL33.4%*26.9%31.4%
130 – 159 mg/dL20.4%14.4%18.6%
160 – 189 mg/dL8.2%5.0%7.3%
≥ 190 mg/dL3.5%2.8%3.3%

[i] On-target#

Boderline*

Out of the target

Suspicion of Familial Hypercholesterolemia

Table 3

Total cost per patient per year in primary and secondary prevention (outpatient and inpatient).

METRICw/o ASCVDw/ ASCVDTOTAL
Total cost per patient per year$3,591$8,210$4,971
Outpatient cost per patient per year$2,118$3,575$2,554
          ED cost per patient per year$171$241$192
          OP Exam/Procedure/Therapy cost per patient per year$1,378$2,451$1,698
          Elective office visit cost per patient per year$570$883$663
          OP Non-invasive imaging tests cost per patient per year*$591$1314$807
Inpatient cost per patient per year$1,473$4,635$2,417
          Medical (non-surgical) IP cost per patient per year$618$2,921$1,306
          Cardiovascular surgical cost per patient per year*$165$2,331$812

[i] ED means emergency department; OP means outpatient; High complexity includes non-invasive imaging tests.

Figure 2

Average costs in primary and secondary prevention (outpatient and inpatient).

DOI: https://doi.org/10.5334/gh.1345 | Journal eISSN: 2211-8179
Language: English
Submitted on: Mar 11, 2024
Accepted on: Jul 24, 2024
Published on: Aug 14, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Pedro Gabriel Melo de Barros e Silva, Henry Szneider, Diego Ribeiro Garcia, Valter Furlan, Renato Delascio Lopes, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.