General practitioners' adherence to guidelines on management of dyslipidaemia: ADDITION-Denmark.

Scandinavian Journal of Primary Health Care
Lise GraversenAnnelli Sandbaek

Abstract

To describe the management of dyslipidaemia in patients with high risk of cardiovascular disease (CVD) and patients with a history of CVD identified by screening for diabetes in general practice in Denmark, concentrating on prescription of lipid-lowering drugs. Moreover, to analyse predicting factors for starting lipid-lowering drugs related to patient and general practice characteristics. Population-based cross-sectional study with follow-up. A total of 139 general practices from three of five Danish regions, totalling 216 GPs. The study population comprised 4986 patients with a high risk of CVD and dyslipidaemia and 764 patients with a history of CVD and dyslipidaemia out of a population of 16 572 patients who completed screening for diabetes but were cleared for diabetes in the ADDITION study. Of patients with a high risk of CVD and dyslipidaemia not receiving lipid-lowering drugs at the time of screening (n = 4823), 20% started lipid-lowering therapy within the follow-up period (median 2.1 years). This percentage was 45% (n = 536) for patients with CVD and dyslipidaemia (median follow-up period 1.6 years). Age over 50, high cholesterol, impaired fasting glucose and/or impaired glucose tolerance, minor polypharmacy, use of h...Continue Reading

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Citations

Oct 27, 2015·International Journal of Family Medicine·Benedicte Lind BarfoedJens Søndergaard
Dec 1, 2011·Scandinavian Journal of Primary Health Care·Maisa KuuselaPäivi Rautava
May 31, 2012·Scandinavian Journal of Primary Health Care·Jørgen Nexøe
Apr 2, 2014·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Charlotte Gry HarmsenDorte Ejg Jarbøl

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