Is the Physician’s Behavior in Dyslipidemia Diagnosis in Accordance with Guidelines? Cross-Sectional Escarval Study
Scholar | Other documents of the author: Palazón-Bru, Antonio; Gil Guillén, Vicente F.; Orozco Beltrán, Domingo; Pallarés-Carratalá, Vicente; Valls Roca, Francisco; Sanchis-Domenech, Carlos; Martín Moreno, José M.; Redón, Josep; Navarro Pérez, Jorge; Fernández Giménez, Antonio; Pérez Navarro, Ana M.; Trillo, José L.; Usó, Ruth; Ruiz, Elías
MetadataShow full item record
TitleIs the Physician’s Behavior in Dyslipidemia Diagnosis in Accordance with Guidelines? Cross-Sectional Escarval Study
Publisher versionhttp://www.plosone.org/article/fetchObject.action?uri=info:doi/10.1371/journal.p ...
PublisherPublic Library of Science
Background: Clinical inertia has been defined as mistakes by the physician in starting or intensifying treatment when indicated. Inertia, therefore, can affect other stages in the healthcare process, like diagnosis. ... [+]
Background: Clinical inertia has been defined as mistakes by the physician in starting or intensifying treatment when indicated. Inertia, therefore, can affect other stages in the healthcare process, like diagnosis. The diagnosis of dyslipidemia requires $ 2 high lipid values, but inappropriate behavior in the diagnosis of dyslipidemia has only previously been analyzed using just total cholesterol (TC). Objectives: To determine clinical inertia in the dyslipidemia diagnosis using both TC and high-density lipoprotein cholesterol (HDL-c) and its associated factors. Design: Cross-sectional. Setting: All health center visits in the second half of 2010 in the Valencian Community (Spain). Patients: 11,386 nondyslipidemic individuals aged $ 20 years with $ 2 lipid determinations. Measurement Variables: Gender, atrial fibrillation, hypertension, diabetes, cardiovascular disease, age, and ESCARVAL training course. Lipid groups: normal (TC , 5.17 mmol/L and normal HDL-c [ $ 1.03 mmol/L in men and $ 1.29 mmol/L in women], TC inertia (TC $ 5.17 mmol/L and normal HDL-c), HDL-c inertia (TC , 5.17 mmol/L and low HDL-c), and combined inertia (TC $ 5.17 mmol/L and low HDL-c). Results: TC inertia: 38.0% (95% CI: 37.2–38.9%); HDL-c inertia: 17.7% (95% CI: 17.0–18.4%); and combined inertia: 9.6% (95% CI: 9.1–10.2%). The profile associated with TC inertia was: female, no cardiovascular risk factors, no cardiovascular disease, middle or advanced age; for HDL-c inertia: female, cardiovascular risk factors and cardiovascular disease; and for combined inertia: female, hypertension and middle age. Limitations: Cross-sectional study, under-reporting, no analysis of some cardiovascular risk factors or other lipid parameters. Conclusions: A more proactive attitude should be adopted, focusing on the full diagnosis of dyslipidemia in clinical practice. Special emphasis should be placed on patients with low HDL-c levels and an increased cardiovascular risk. [-]
Bibliographic citationPalazón-Bru A, Gil-Guillén VF, Orozco-Beltrán D, Pallarés-Carratalá V, Valls-Roca F, Sanchís-Domenech C, et al. (2014) Is the Physician’s Behavior in Dyslipidemia Diagnosis in Accordance with Guidelines? Cross-Sectional Escarval Study. PLoS ONE 9(3): e91567. doi:10.1371/journal.pone.0091567
This item appears in the folowing collection(s)
- MED_Articles 
The following license files are associated with this item:
Except where otherwise noted, this item's license is described as © 2014 Palazón-Bru et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.