Evaluating the efficacy of the National Cholesterol Education Program adult treatment guidelines: cholesterol lowering intervention program.
Evaluating the efficacy of the National Cholesterol Education Program adult treatment guidelines: cholesterol lowering intervention program.
复制标题
评估国家胆固醇教育计划成人治疗指南的功效：胆固醇降低干预计划。
DOI：
10.1006/pmed.1995.1077
复制
发表时间：
1995
影响因子：
5.1
通讯作者：
Orchard,TJ
中科院分区：
文献类型：
--
作者：
Caggiula,AW;Watson,JE;Milas,NC;Olson,MB;Kuller,LH;Orchard,TJ
BackgroundA横断面分析进行了测试的可行性国家胆固醇教育计划成人治疗小组I指南（ATPI）在医生办公室practices. MethodsTwenty-two医生的做法，从宾夕法尼亚州西部和西弗吉尼亚州的社区被招募。使用患者跟踪系统，9,171例患者进行了评估，他们的医生根据ATPI guidelines.ResultsCholesterol筛查和治疗订购1,698例患者或19%的人口访问医生办公室。未筛选的原因包括患者已在接受治疗（2，371），在过去5年内接受筛选（1，714），或在访视时患有急性疾病（1，691）。患者拒绝筛选的频率较低（444），然而，大多数患者诊断基于单次血脂测量，仅817例或56%接受评价的患者在治疗前获得了脂蛋白测量结果。后续测量不进行根据ATPI时间表，和胆固醇反应的幅度呈负相关的时间到第一个后续measurement.ConclusionsMany患者在这些医生的做法有初步的胆固醇筛查。然而，没有常规进行初始评价推荐的重复测量，也没有在推荐的S个月时间段内对大多数患者进行随访。由于胆固醇反应的程度与首次随访测量的时间相关，因此缺乏随访不利于有效的长期患者管理。
BackgroundA cross-sectional analysis was conducted to test the feasibility of the National Cholesterol Education Program Adult Treatment Panel I Guidelines (ATPI) in physician office practices.MethodsTwenty-two physician practices in communities from western Pennsylvania and West Virginia were recruited. Using a patient tracking system, 9,171 patients were assessed for cholesterol screening and treatment by their physicians according to the ATPI guidelines.ResultsCholesterol screening was ordered for 1,698 patients or 19% of the population visiting the physician offices. The reasons for not screening included the patient was already under therapy (2,371), screened within the past 5 years (1,714), or acutely ill at the time of the visit (1,691). The frequency of patient refusal for screening was low (444), However, the majority of patient diagnoses were based on a single lipid measurement, and only 817 or 56% of patients evaluated had lipoprotein measures obtained prior to treatment. Follow-up measurement was not performed according to the ATPI schedule, and the magnitude of cholesterol response was inversely related to time to first follow-up measurement.ConclusionsMany patients in these physician practices had initial cholesterol screening. However, repeat measurements as recommended for initial evaluation were not performed routinely, nor were most patients followed within the recommended S-month time period, This lack of follow-up is detrimental to effective, long-term patient management since the magnitude of the cholesterol response is related to time of the first follow-up measurement.