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    Survey of physician's attitudes and practices toward lipid-lowering management strategies

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    Authors
    Goldberg, Robert J.
    Rosen, Jonathan
    Roselli, Anthony
    Lewis, Barbara
    UMass Chan Affiliations
    Department of Medicine, Division of Cardiovascular Medicine
    Document Type
    Journal Article
    Publication Date
    2007-02-01
    Keywords
    *Attitude of Health Personnel
    Coronary Disease
    Family Practice
    Female
    Humans
    Hyperlipidemias
    Internal Medicine
    Male
    Middle Aged
    Physicians
    Primary Health Care
    Questionnaires
    Bioinformatics
    Biostatistics
    Epidemiology
    Health Services Research
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    Link to Full Text
    http://dx.doi.org/10.1159/000099066
    Abstract
    BACKGROUND: The purpose of the present study was to examine physician's attitudes and practices toward the use of different lipid-lowering management strategies in patients at increased risk for coronary heart disease (CHD). AIMS/METHODS: An internet-based questionnaire was completed by 78 general internists and family practitioners (mean age = 49 years; 80% male) affiliated with a large primary care health delivery system in Connecticut. Questions were asked about physician knowledge and use of current national guidelines for lipid-lowering therapy and their treatment practices for patients at varying risk for CHD. RESULTS: Most physicians reported they were very knowledgeable about different interventions to lower serum lipids. Most (92%) indicated that they were aware of and followed national guidelines for the treatment of patients with hyperlipidemia the majority of the time. Physicians were likely to initiate lipid-lowering therapy at lower levels of serum LDL cholesterol in patients at high, as compared to those at moderate, risk for coronary disease. Targeted treatment levels were also reported to be considerably lower for patients at higher risk, than for those at moderate risk, for the development of coronary disease. Diabetes, cigarette smoking, and elevated LDL cholesterol levels were reported to be the three most important risk factors for CHD by the physician sample. Gaps in the recommendation of lifestyle changes to patients with hyperlipidemia were observed. CONCLUSIONS: Despite adequate physician knowledge, achieving desirable serum lipid levels in primary care patients remains elusive. Provider education is needed to optimize the care of patients with elevated serum lipids treated in the primary care setting.
    Source
    Cardiology. 2007;107(4):302-6. Epub 2007 Jan 30. Link to article on publisher's site
    DOI
    10.1159/000099066
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/47188
    PubMed ID
    17264510
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1159/000099066
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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