To the best of our knowledge, however, statin use in the oldest old has not been compared to the use in the younger elderly.Therefore, we do not know to what extent the limited evidence base and other complexities attached to the oldest olds are associated with statin treatment practice.
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A population-based cohort, including data from four registers, encompassing inhabitants in Region Västra Götaland, Sweden, was used.
Statin users were defined as those filling statin prescriptions ≥ 75% of the year 2010.
As the oldest old, nursing home residents, and those with multi-dose drug-dispensing were statin users to a lesser extent, physicians may often refrain from treatment in those with lower life expectancy, either due to age or to severely reduced health status.
In both age groups, our results however also indicate some over- as well as undertreatment.
As Swedish regulations stipulate that drugs for a maximum of 3-month use can be purchased at a time, our definition of a statin user required ≥ 3 filled statin prescriptions a year.