Is the Physician’s Behavior in Dyslipidemia Diagnosis in Accordance with Guidelines? Cross-Sectional Escarval Study
Visualitza/
Impacte
Scholar |
Altres documents de l'autoria: Palazón-Bru, Antonio; Gil-Guillén, Vicente F; Orozco Beltrán, Domingo; Pallarés-Carratalá, Vicente; Valls Roca, Francisco; Sanchis-Domenech, Carlos; Martin-Moreno, Jose M.; Redón, Josep; Navarro Pérez, Jorge; Fernández Giménez, Antonio; Pérez Navarro, Ana M.; Trillo, José L.; Usó, Ruth; Ruiz, Elías
Metadades
Mostra el registre complet de l'elementcomunitat-uji-handle:10234/9
comunitat-uji-handle2:10234/36080
comunitat-uji-handle3:10234/36082
comunitat-uji-handle4:
INVESTIGACIONMetadades
Títol
Is the Physician’s Behavior in Dyslipidemia Diagnosis in Accordance with Guidelines? Cross-Sectional Escarval StudyAutoria
Data de publicació
2014Editor
Public Library of ScienceISSN
1932-6203Cita bibliogràfica
Palazón-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.0091567Tipus de document
info:eu-repo/semantics/articleVersió de l'editorial
http://www.plosone.org/article/fetchObject.action?uri=info:doi/10.1371/journal.p ...Versió
info:eu-repo/semantics/publishedVersionResum
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. [-]
Publicat a
PLoS ONE, March 2014, Volume 9, Issue 3, e91567Drets d'accés
info:eu-repo/semantics/openAccess
Apareix a les col.leccions
- MED_Articles [632]
Els següents fitxers sobre la llicència estan associats a aquest element:
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.