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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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| Published in: | Journal of clinical lipidology 2010-01, Vol.4 (1), p.46-52 |
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| container_end_page | 52 |
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| container_start_page | 46 |
| container_title | Journal of clinical lipidology |
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| creator | 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 |
| description | 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 |
| doi_str_mv | 10.1016/j.jacl.2009.12.001 |
| format | article |
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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 <100 mg/dL: 81.9% vs. 72.8%, P < .001; optional goal < 70 mg/dL: 41.9% vs. 28.6%, P < .001). The patients enrolled in the SPLC had lower average total cholesterol, triglycerides, and LDL-C and greater average HDL-C after 3 years. All the lipid parameters decreased for patients in usual cardiology care, but these changes were not statistically significant. Conclusions This multidisciplinary secondary prevention lipid clinic achieved the LDL-C goals (<100 mg/dL and optional goal <70 mg/dL) more often than usual cardiology care for patients with CAD after 3 years of lipid management.]]></description><identifier>ISSN: 1933-2874</identifier><identifier>EISSN: 1876-4789</identifier><identifier>DOI: 10.1016/j.jacl.2009.12.001</identifier><identifier>PMID: 21122626</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Journal of clinical lipidology, 2010-01, Vol.4 (1), p.46-52</ispartof><rights>National Lipid Association</rights><rights>2010 National Lipid Association</rights><rights>Copyright © 2010 National Lipid Association. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-b719480793afbd5ed17cc47a6a36363912e427440904260ed916f5893928d0733</citedby><cites>FETCH-LOGICAL-c410t-b719480793afbd5ed17cc47a6a36363912e427440904260ed916f5893928d0733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21122626$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Birtcher, Kim K., MS, PharmD</creatorcontrib><creatorcontrib>Greisinger, Anthony J., PhD</creatorcontrib><creatorcontrib>Brehm, Brenda J., MA</creatorcontrib><creatorcontrib>Wehmanen, Oscar A., MS</creatorcontrib><creatorcontrib>Furman, Loriann M., PharmD</creatorcontrib><creatorcontrib>Salinas, Cathryn C., RPh</creatorcontrib><creatorcontrib>Mirzai-Tehrane, Madjid, MD</creatorcontrib><creatorcontrib>Nayak, Atasu, MD</creatorcontrib><creatorcontrib>Rashid, Haroonur, MD</creatorcontrib><creatorcontrib>Mortazavi, Ali, MD</creatorcontrib><title>A secondary prevention lipid clinic reaches low-density lipoprotein cholesterol goals more often than usual cardiology care with coronary heart disease</title><title>Journal of clinical lipidology</title><addtitle>J Clin Lipidol</addtitle><description><![CDATA[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 <100 mg/dL: 81.9% vs. 72.8%, P < .001; optional goal < 70 mg/dL: 41.9% vs. 28.6%, P < .001). The patients enrolled in the SPLC had lower average total cholesterol, triglycerides, and LDL-C and greater average HDL-C after 3 years. All the lipid parameters decreased for patients in usual cardiology care, but these changes were not statistically significant. Conclusions This multidisciplinary secondary prevention lipid clinic achieved the LDL-C goals (<100 mg/dL and optional goal <70 mg/dL) more often than usual cardiology care for patients with CAD after 3 years of lipid management.]]></description><subject>Aged</subject><subject>Ambulatory Care Facilities</subject><subject>Cardiovascular</subject><subject>Cholesterol - blood</subject><subject>Cholesterol, HDL - blood</subject><subject>Cholesterol, LDL - blood</subject><subject>Cohort Studies</subject><subject>Coronary artery disease</subject><subject>Coronary Disease - blood</subject><subject>Coronary Disease - therapy</subject><subject>Female</subject><subject>Guideline adherence</subject><subject>Humans</subject><subject>LDL-C goal</subject><subject>Lipid clinic</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multidisciplinary clinic</subject><subject>NCEP guidelines</subject><subject>Pharmacist</subject><subject>Prevention</subject><subject>Quality improvement</subject><subject>Retrospective Studies</subject><subject>Secondary Prevention - methods</subject><subject>Triglycerides - blood</subject><issn>1933-2874</issn><issn>1876-4789</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNp9UsuO1DAQjBCIXQZ-gAPyjVOCX4ljCSGtVryklTgAZ8tjdzYOHnuwnV3Nl_C7OJqFAwfkg_tQVd3V1U3zkuCOYDK8WbpFG99RjGVHaIcxedRcklEMLRejfFxryVhLR8Evmmc5Lxj3vcD90-aCEkLpQIfL5tcVymBisDqd0DHBHYTiYkDeHZ1FxrvgDEqgzQwZ-XjfWgjZldMGiMcUC7iAzBw95AIpenQbtc_oEBOgOBUIqMw6oDWv2iOjk3XRx9vTVgK6d2VGJqYYtu4z6FSQdRl0hufNk6kKwYuHf9d8__D-2_Wn9ubLx8_XVzet4QSXdi-I5CMWkulpb3uwRBjDhR40G-qThAKngnMsMacDBivJMPWjZJKOFgvGds3rs2718nOtJtTBZQPe6wBxzWokvRxYXxvsGnpGmhRzTjCpY3KHOrgiWG15qEVteagtD0WoqnlU0qsH-XV_APuX8ieACnh7BkA1eecgqWwcBAPWJTBF2ej-r__uH_o5Mu1_wAnyEtcU6voUUbkS1NftIraDqPvAnDPBfgOUEbNg</recordid><startdate>201001</startdate><enddate>201001</enddate><creator>Birtcher, Kim K., MS, PharmD</creator><creator>Greisinger, Anthony J., PhD</creator><creator>Brehm, Brenda J., MA</creator><creator>Wehmanen, Oscar A., MS</creator><creator>Furman, Loriann M., PharmD</creator><creator>Salinas, Cathryn C., RPh</creator><creator>Mirzai-Tehrane, Madjid, MD</creator><creator>Nayak, Atasu, MD</creator><creator>Rashid, Haroonur, MD</creator><creator>Mortazavi, Ali, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201001</creationdate><title>A secondary prevention lipid clinic reaches low-density lipoprotein cholesterol goals more often than usual cardiology care with coronary heart disease</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-b719480793afbd5ed17cc47a6a36363912e427440904260ed916f5893928d0733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Ambulatory Care Facilities</topic><topic>Cardiovascular</topic><topic>Cholesterol - blood</topic><topic>Cholesterol, HDL - blood</topic><topic>Cholesterol, LDL - blood</topic><topic>Cohort Studies</topic><topic>Coronary artery disease</topic><topic>Coronary Disease - blood</topic><topic>Coronary Disease - therapy</topic><topic>Female</topic><topic>Guideline adherence</topic><topic>Humans</topic><topic>LDL-C goal</topic><topic>Lipid clinic</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multidisciplinary clinic</topic><topic>NCEP guidelines</topic><topic>Pharmacist</topic><topic>Prevention</topic><topic>Quality improvement</topic><topic>Retrospective Studies</topic><topic>Secondary Prevention - methods</topic><topic>Triglycerides - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Birtcher, Kim K., MS, PharmD</creatorcontrib><creatorcontrib>Greisinger, Anthony J., PhD</creatorcontrib><creatorcontrib>Brehm, Brenda J., MA</creatorcontrib><creatorcontrib>Wehmanen, Oscar A., MS</creatorcontrib><creatorcontrib>Furman, Loriann M., PharmD</creatorcontrib><creatorcontrib>Salinas, Cathryn C., RPh</creatorcontrib><creatorcontrib>Mirzai-Tehrane, Madjid, MD</creatorcontrib><creatorcontrib>Nayak, Atasu, MD</creatorcontrib><creatorcontrib>Rashid, Haroonur, MD</creatorcontrib><creatorcontrib>Mortazavi, Ali, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical lipidology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Birtcher, Kim K., MS, PharmD</au><au>Greisinger, Anthony J., PhD</au><au>Brehm, Brenda J., MA</au><au>Wehmanen, Oscar A., MS</au><au>Furman, Loriann M., PharmD</au><au>Salinas, Cathryn C., RPh</au><au>Mirzai-Tehrane, Madjid, MD</au><au>Nayak, Atasu, MD</au><au>Rashid, Haroonur, MD</au><au>Mortazavi, Ali, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A secondary prevention lipid clinic reaches low-density lipoprotein cholesterol goals more often than usual cardiology care with coronary heart disease</atitle><jtitle>Journal of clinical lipidology</jtitle><addtitle>J Clin Lipidol</addtitle><date>2010-01</date><risdate>2010</risdate><volume>4</volume><issue>1</issue><spage>46</spage><epage>52</epage><pages>46-52</pages><issn>1933-2874</issn><eissn>1876-4789</eissn><abstract><![CDATA[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 <100 mg/dL: 81.9% vs. 72.8%, P < .001; optional goal < 70 mg/dL: 41.9% vs. 28.6%, P < .001). The patients enrolled in the SPLC had lower average total cholesterol, triglycerides, and LDL-C and greater average HDL-C after 3 years. All the lipid parameters decreased for patients in usual cardiology care, but these changes were not statistically significant. Conclusions This multidisciplinary secondary prevention lipid clinic achieved the LDL-C goals (<100 mg/dL and optional goal <70 mg/dL) more often than usual cardiology care for patients with CAD after 3 years of lipid management.]]></abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21122626</pmid><doi>10.1016/j.jacl.2009.12.001</doi><tpages>7</tpages></addata></record> |
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| 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 |
| title | A secondary prevention lipid clinic reaches low-density lipoprotein cholesterol goals more often than usual cardiology care with coronary heart disease |
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