Benefits and Costs of Medical Nutrition Therapy by Registered Dietitians for Patients With Hypercholesterolemia

The Massachusetts Dietetic Association implemented a statewide retrospective quality assurance audit to determine the effectiveness and cost of medical nutrition therapy in patients with hypercholesterolemia (>5.20mmol/L). Hypercholesterolemia is a major risk factor for coronary artery disease (C...

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Bibliographic Details
Published in:Journal of the American Dietetic Association 1995-09, Vol.95 (9), p.1041-1043
Main Authors: McGEHEE, MARY M, JOHNSON, ELVIRA Q, RASMUSSEN, HELEN M, SAHYOUN, NADINE, LYNCH, MARTHA M, CAREY, MARY
Format: Article
Language:English
Subjects:
ANALISIS DE COSTOS Y BENEFICIOS
ANALYSE COUT AVANTAGE
CATEGORIE PROFESSIONNELLE
CHOLESTEROL
COLESTEROL
COSTOS
COUT
Diet therapy
DIETA TERAPEUTICA
Dietitians
Health aspects
Hypercholesterolemia
MASSACHUSETTS
Nutrition
Nutrition counseling
OCUPACIONES
REGIME ALIMENTAIRE THERAPEUTIQUE
Therapy
TRASTORNOS METABOLICOS
TROUBLE DU METABOLISME
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Summary:The Massachusetts Dietetic Association implemented a statewide retrospective quality assurance audit to determine the effectiveness and cost of medical nutrition therapy in patients with hypercholesterolemia (>5.20mmol/L). Hypercholesterolemia is a major risk factor for coronary artery disease (CAD). Data were collected at 23 sites from 285 outpatients seen by a registered dietitian for a minimum of two visits. Patients taking lipid-lowering medications were excluded. Of the 285 patients, 108 (38%) were men and 177 (62%) were women. The mean age was 51.4 years (range=22 to 79 years). Results showed that the mean reduction in serum cholesterol level was 8.6%, which translates to a decrease of approximately 17.2% in risk of CAD. Forty-five percent of the total population showed an 11% or greater reduction in serum cholesterol levels. Reduction in serum cholesterol levels correlated with increased time spent with a dietitian (r=.188, P
ISSN:0002-8223
2212-2672
1878-3570
2212-2680
DOI:10.1016/S0002-8223(95)00288-X