PMID: 8996306Jan 1, 1997Paper

Variations in cholesterol management practices of U.S. physicians

Journal of the American College of Cardiology
R S StaffordR Pasternak

Abstract

This study sought to evaluate national cholesterol management practices of U.S. physicians. Past studies show that nonclinical factors affect physician practices. We tested the hypothesis that physician and patient characteristics influence cholesterol management. We used a stratified, random sample of 2,332 office-based physicians providing 56,215 visits to adults in the 1991-1992 National Ambulatory Medical Care Surveys. We investigated physicians' reporting of cholesterol-related screening, counseling or medications during office visits and used multiple logistic regression to assess independent predictors. An estimated 1.12 billion adult office visits occurred in 1991 and 1992 (95% confidence interval 1.06 to 1.18 billion). For the 1.03 billion visits by patients without reported hyperlipidemia, cholesterol screening (2.8% of visits) and counseling (1.2%) were not frequent. The likelihood of screening increased with older age, cardiovascular disease risk factors, white race and private insurance. We estimate that only 1 in 12 adults received cholesterol screening annually. In the 85 million visits by patients with hyperlipidemia, cholesterol testing was reported in 22.9%, cholesterol counseling in 34.4% and lipid-lowering m...Continue Reading

References

Oct 19, 1995·The New England Journal of Medicine·A B Lowenfels
Apr 15, 1995·Circulation·A L GouldC D Furberg
Oct 1, 1993·The American Journal of Cardiology·J C LaRosa
May 10, 1986·Patient Education and Counseling·S E Radecki, R C Mendenhall
May 10, 1986·Patient Education and Counseling·S E Radecki

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Citations

Dec 31, 1997·The American Journal of Cardiology·D A BramletA F Kaul
Mar 1, 2000·The American Journal of Cardiology·K A LaBreshA F Kaul
Apr 27, 2000·The American Journal of Medicine·D SiegelJ Meier
Mar 11, 2000·Disease-a-month : DM·P R Liebson, E A Amsterdam
Sep 13, 2002·Journal of the American College of Cardiology·Albert SchömigAdnan Kastrati
Apr 8, 1999·Journal of the American College of Cardiology·H P Brunner-La RoccaM D Esler
Jan 10, 2002·Journal of Clinical Epidemiology·Isabelle Savoie, Arminée Kazanjian
Jan 5, 2000·International Journal of Medical Informatics·D R KaufmanV L Patel
May 25, 2006·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Robert T CroyleJoAnn Gettig
Sep 19, 2001·British Journal of Clinical Pharmacology·S RiahiH T Sørensen
Jan 13, 2000·Journal of General Internal Medicine·S R MajumdarS B Soumerai
Sep 22, 1999·Journal of General Internal Medicine·L R HarroldJ H Gurwitz
Jul 23, 2002·Journal of General Internal Medicine·Giselle Corbie-SmithMegan A O'Brien
Jan 27, 2005·Disease Management : DM·Etta L Fanning
May 24, 2012·Obstetrics and Gynecology·Rebecca B PerkinsKaren M Freund
Mar 2, 2002·Preventive Cardiology·Ezra A AmsterdamJ Douglas Kirk
Aug 31, 2004·Journal of General Internal Medicine·Philip B MellenDenise E Bonds
Jun 11, 2002·Journal of Interventional Cardiology·D M PolkUNKNOWN Northern New England Cardiovascular Disease Study Group
Sep 4, 2004·BMC Women's Health·Angela M CheungGail Robinson
May 27, 2005·PLoS Medicine·Jun MaRandall S Stafford
Jul 11, 2001·Pharmacotherapy·R J StrakaA C Smith
Jul 30, 2014·Journal of Atherosclerosis and Thrombosis·Jidong SungJeong Euy Park
Feb 14, 2002·Journal of General Internal Medicine·John Z AyanianBarbara J McNeil
Sep 12, 2000·Current Cardiology Reports·C M Nassa R Blumenthal
Apr 12, 2011·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Heather M JohnsonJames H Stein
Jun 9, 2015·Journal of the American Society of Hypertension : JASH·David A FoltChristopher J Cooper
Mar 18, 2011·Cancer·Barbara A GoffLaura-Mae Baldwin
Oct 15, 2013·Journal of Evaluation in Clinical Practice·Sameed Ahmed Mustafa KhatanaWen-Chih Wu
Jun 24, 2004·American Journal of Preventive Medicine·Catherine Kim, Gloria L Beckles

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