Table 4 Excerpts from clinical notes demonstrating the reasons for statin nonuse identified in this study.

From: Using deep learning-based natural language processing to identify reasons for statin nonuse in patients with atherosclerotic cardiovascular disease

Category

Note excerpt

Muscle-based side-effects

“intolerant of low dose statins (started with high CK)”

Other side-effects

“has been intolerant to 3 different statin drugs... they cause diarrhea and nausea”

Perceived lipid control

“Will also check lipid panel. If LDL < 100, no indication for statin at this time”; “… LDL is well controlled”

Patient Preference

“Declines statins”

Nonspecific

“OK for no statin at this time”; “discuss statin next visit”

  1. ASCVD atherosclerotic cardiovascular disease, CK creatinine kinase, LDL low-density lipoprotein cholesterol, NLP natural language processing.
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