Guideline concordance of aspirin use for primary prevention in adult outpatients
Why the study?
Recent guidelines recommend a reduced role for primary prevention aspirin due to bleeding risk, but guideline-discordant use in community care settings required characterization.
What is the prevalence and what are the predictors of guideline-discordant aspirin use for primary prevention in adult outpatients?
Population
668 adult primary care outpatients aged at least 40 years without secondary aspirin indications
Comparison
Primary prevention aspirin users vs nonusers
Design
Survey-based quality improvement cross-sectional study
Authors
Discussion
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Member takes
Implication
May signal need for prescription review in primary care; leaves open effects of deimplementation on outcomes.
Structured PICO
What is the prevalence and what are the predictors of guideline-discordant aspirin use for primary prevention in adult outpatients?
P
Population
668 adult outpatients (≥40 years old) at 1 internal medicine and 1 family medicine clinic affiliated with an academic hospital, seen in the last year, without an indication for aspirin other than primary prevention.
I
Intervention
Aspirin use for primary prevention
C
Comparator
Nonusers of aspirin
O
Outcome
Guideline-discordant aspirin use and predictors of primary prevention aspirin use
Approximately half of patients using aspirin for primary prevention in a community care setting are doing so discordantly with recent guidelines, highlighting a need for deimplementation efforts in primary care.
Cite This Study
Chipalkatti et al. (2024) studied this question.