The impact of physician attitudes and beliefs on treatment decisions: lipid therapy in high-risk patients

Medical Care
Kathleen A FoleyCharles M Alexander

Abstract

Despite clinical guidelines, many patients with hypercholesterolemia do not achieve treatment goals in clinical practice. This study examined physician attitudes and beliefs about hyperlipidemia and whether they are associated with lipid treatment decisions. This was a cross-sectional study of 107 physicians who completed a validated survey of attitudes and beliefs about hyperlipidemia and provided treatment histories for 1187 statin-treated patients with coronary heart disease (CHD) or who were CHD risk-equivalent. Logistic regressions (using generalized estimating equation) estimated the impact of patient characteristics and physician attitudes and beliefs on whether a patient received increases in the statin dose. Approximately 70% of the 843 patients who were not at low-density lipoprotein cholesterol goal (<100 mg/dL) with initial statin therapy received a dose increase, although only one-half attained goal. Controlling for patient characteristics, patients whose physicians believed "close enough to goal is good enough" had 47% lower odds of having a dose increase (odds ratio [OR], 0.53; 95% confidence interval [CI], 0.34-0.82), whereas patients whose physicians believed "statins are effective" had almost twice the odds of...Continue Reading

References

Jul 1, 1992·Diabetes Care·R M AndersonW K Davis
Feb 1, 1989·Diabetes Care·R M AndersonR F Dedrick
Jan 1, 1984·Social Science & Medicine·M WeinbergerS A Mazzuca
Dec 31, 1997·The American Journal of Cardiology·D A BramletA F Kaul
Apr 29, 1998·The American Journal of Cardiology·D E HarrisT A Pearson
May 23, 2001·JAMA : the Journal of the American Medical Association·UNKNOWN Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults
Oct 26, 2001·The Annals of Pharmacotherapy·D M HuseS C Hartz
Nov 6, 2001·Annals of Internal Medicine·L S PhillipsC S Barnes
Mar 2, 2002·Preventive Cardiology·Ezra A AmsterdamJ Douglas Kirk
Mar 20, 2002·The American Journal of Cardiology·Michael H Davidson
May 16, 2003·JAMA : the Journal of the American Medical Association·Aram V ChobanianUNKNOWN National High Blood Pressure Education Program Coordinating Committee
Dec 23, 2003·Journal of General Internal Medicine·Kathleen A FoleyLeona E Markson

❮ Previous
Next ❯

Citations

Jul 10, 2007·European Journal of Clinical Pharmacology·Dorte Gilså HansenJohn Larsen
Sep 23, 2009·International Journal of Clinical Practice·L T HuynhC J Zeitz
Nov 22, 2011·Arthritis Research & Therapy·Katie L GarneauDaniel H Solomon
Mar 27, 2007·Translational Research : the Journal of Laboratory and Clinical Medicine·David LitakerRenee H Lawrence
May 22, 2021·Stroke; a Journal of Cerebral Circulation·Jennifer L Dearborn-TomazosJason J Sico

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.