Prevalence and determinants of adherence to statin therapy: a systematic review and meta-analysis - Takeaways - MDSpire

Prevalence and determinants of adherence to statin therapy: a systematic review and meta-analysis

  • By

  • Athanasios Basios

  • Georgios Markozannes

  • Evangelia E Ntzani

  • Konstantinos Christopoulos

  • Christina A Chatzi

  • Evangelos Liberopoulos

  • Konstantinos K Tsilidis

  • Maria Pappa

  • Evangelos C Rizos

  • December 16, 2025

  • 0 min

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  • 1

    The pooled prevalence of good adherence to statin therapy was 62.4%, with lower rates in primary prevention compared to secondary prevention.

  • 2

    Demographic factors such as female sex, Black race, smoking, and depression were associated with lower adherence to statin therapy.

  • 3

    Higher adherence was observed among older adults and those with a history of myocardial infarction, hypertension, or multiple comorbidities.

  • 4

    Polypharmacy was linked to greater adherence, possibly due to increased medical supervision or perceived cardiovascular risk.

  • 5

    Targeted interventions are necessary to improve statin adherence, especially among high-risk groups to reduce cardiovascular morbidity and mortality.

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