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KMID : 1040120160020040140
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Evidence and Values in Healthcare
2016 Volume.2 No. 4 p.140 ~ p.143
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NECA round-table conference for a successful use of statin: consensus statement
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Cho Ae-Jung
Kang Shin-Hee
Cho Song-Hee
Kim Yun-Jung
Ko Min-Jung
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Abstract
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Objectives: ‘NECA Resonance’ of the National Evidence-based Collaborating Agency (NECA) refers to a roundtable conference to discuss overarching public health related issues with a wide range of society members and attempt to reach a consensus based on the various perspectives. Recent studies indicated that statin, well known to reduce cardiovascular disease and mortality, might be associated with an increase risk of developing diabetes. Therefore, ‘NECA Resonance’ aims to discuss current issues regarding statin applications and reach an agreement for an appropriate and safe use of statin,
Methods: ‘NECA Resonance’ for a successful use of statin arranges a panel discussion among experts from internal medicine, preventive medicine, public health administrations, academia, as well as patient representative. The panel’s recommendations and conclusions were incorporated into a consensus statement.
Results: Panels agreed that stain is highly effective to improve dyslipidemia as well as to reduce cardiovascular disease and mortality. However, study results indicating that statin might increase a risk of developing diabetes should be taken into considerations. Thus, statin needs to be prescribed with the caution.
Conclusion: In spite of potential adverse effects, the benefits of statins should not be underestimated. When clinicians prescribe statin, they need to provide detailed information such as a risk-benefit balance and cost for their patients and also consider patients’ features and preference. In addition, a follow-up monitoring for medication compliance is required.
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KEYWORD
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NECA resonance, Statins, HMG-CoA, Diabetes Mellitus, Cardiovascular disease, Round table conference, Consensus statement
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