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Practical solutions for implementation of blood cholesterol guidelines in clinical practice.
- Source :
-
Trends in cardiovascular medicine [Trends Cardiovasc Med] 2024 Aug; Vol. 34 (6), pp. 371-378. Date of Electronic Publication: 2023 Aug 25. - Publication Year :
- 2024
-
Abstract
- Underutilization of lipid-lowering therapy (LLT) and failure to attain guideline-recommended low-density lipoprotein cholesterol (LDL-C) goals are important quality gaps in cardiovascular risk optimization, especially among patients with atherosclerotic cardiovascular disease (ASCVD). Large database analyses demonstrate an unmet need for improved LDL-C measurement, and that nearly 75% of patients with ASCVD have an LDL-C level above guideline-recommended levels, and greater than 50% are not treated with statins or ezetimibe. Proposed solutions for overcoming these obstacles to optimal lipid management include provider- and patient-facing educational interventions, health information technology strategies, implementation of incentive-based care, advocacy efforts, and systems-based process innovations. While individual interventions may not be enough to overcome the totality of barriers to optimal LLT, comprehensive multifaceted approaches that address barriers at the provider, patient, and healthcare delivery level are likely to offer the greatest likelihood of success and improved patient outcomes.<br /> (Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Humans
Treatment Outcome
Dyslipidemias blood
Dyslipidemias diagnosis
Dyslipidemias drug therapy
Dyslipidemias epidemiology
Anticholesteremic Agents therapeutic use
Anticholesteremic Agents adverse effects
Risk Assessment
Hydroxymethylglutaryl-CoA Reductase Inhibitors therapeutic use
Cardiovascular Diseases blood
Cardiovascular Diseases diagnosis
Cardiovascular Diseases prevention & control
Practice Patterns, Physicians' standards
Practice Guidelines as Topic
Cholesterol, LDL blood
Guideline Adherence
Biomarkers blood
Subjects
Details
- Language :
- English
- ISSN :
- 1873-2615
- Volume :
- 34
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Trends in cardiovascular medicine
- Publication Type :
- Academic Journal
- Accession number :
- 37634754
- Full Text :
- https://doi.org/10.1016/j.tcm.2023.08.001