A secondary prevention lipid clinic reaches low-density lipoprotein cholesterol goals more often than usual cardiology care with coronary heart disease

Objective The objective of this study was to determine whether enrollment in a multidisciplinary secondary prevention lipid clinic (SPLC) for 3 or more years was associated with improved adherence to lipid guidelines as compared with usual care provided by cardiologists. Methods Patients with docume...

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Bibliographic Details
Published in:Journal of clinical lipidology 2010-01, Vol.4 (1), p.46-52
Main Authors: Birtcher, Kim K., MS, PharmD, Greisinger, Anthony J., PhD, Brehm, Brenda J., MA, Wehmanen, Oscar A., MS, Furman, Loriann M., PharmD, Salinas, Cathryn C., RPh, Mirzai-Tehrane, Madjid, MD, Nayak, Atasu, MD, Rashid, Haroonur, MD, Mortazavi, Ali, MD
Format: Article
Language:English
Subjects:
Aged
Ambulatory Care Facilities
Cardiovascular
Cholesterol - blood
Cholesterol, HDL - blood
Cholesterol, LDL - blood
Cohort Studies
Coronary artery disease
Coronary Disease - blood
Coronary Disease - therapy
Female
Guideline adherence
Humans
LDL-C goal
Lipid clinic
Male
Middle Aged
Multidisciplinary clinic
NCEP guidelines
Pharmacist
Prevention
Quality improvement
Retrospective Studies
Secondary Prevention - methods
Triglycerides - blood
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Summary:Objective The objective of this study was to determine whether enrollment in a multidisciplinary secondary prevention lipid clinic (SPLC) for 3 or more years was associated with improved adherence to lipid guidelines as compared with usual care provided by cardiologists. Methods Patients with documented coronary artery disease (CAD), enrolled in a SPLC, and followed for at least 3 years were identified by the use of a computer database. The comparison group included patients with CAD who received usual care from a cardiologist during the same time period. The percentage of patients achieving low-density lipoprotein cholesterol (LDL-C) goals at enrollment and after at least 3 years of follow-up was determined for both groups. The average total cholesterol, LDL-C, high-density lipoprotein cholesterol (HDL-C), and triglycerides were determined after at least 3 years of follow-up for both groups. Results Patients enrolled in the SPLC reached the LDL-C goals more often than usual care cardiology patients (goal
ISSN:1933-2874
1876-4789
DOI:10.1016/j.jacl.2009.12.001