Tomasik, Tomasz and Jozwiak, Jacek and Windak, Adam and Rygiel, Katarzyna and Mastej, Miroslaw and Smithson, W. Henry and Mathers, Nigel and Tomaszewski, Maciej and Kaess, Bernhard M. and Tykarski, Andrzej and Konduracka, Ewa and Grzeszczak, Wladyslaw and Lukas, Witold (2011) Prevention of coronary heart disease in primary medical care in Poland: results from the LIPIDOGRAM study. EUROPEAN JOURNAL OF CARDIOVASCULAR PREVENTION & REHABILITATION, 18 (2). pp. 287-296. ISSN 1741-8267,
Full text not available from this repository. (Request a copy)Abstract
Aims: To determine: (1) achievement of cholesterol therapy goals in patients receiving lipid-lowering drugs in Polish primary care between the years 2004 and 2006; (2) the characteristics of patients that are associated with attainment of these goals. Design: Cross-sectional study in randomly selected Polish primary care practices. Method: 5248 patients aged over 30 years in 2004 and 5386 patients in 2006, who were taking cholesterol-lowering treatment took part in the study. Physicians recorded demographic and medical history data using a standardized questionnaire, including weight and height, and collected blood samples of patients to determine their cholesterol level. Results: 18.5% of patients attained their optimal goals of therapy (total cholesterol, TC; low-density lipoprotein cholesterol, LDL-C) in 2004 compared to 25.2% in 2006 (p < 0.001). In both 2004 and 2006, more patients achieved their target levels for LDL-C than for TC and statins were the most commonly used medication (85% and 91%, respectively). Male sex, smoking, and higher education were the strongest correlates of the therapeutic outcome. The odds ratio of achieving cholesterol therapy goals in men, non-smokers, and university graduates was estimated at 1.51, 0.70, 1.38 in 2004 and 1.50, 0.73, 1.34 in 2006, respectively. Conclusion: There was a measurable improvement in the effectiveness of hypercholesterolaemia treatment between 2004 and 2006 but the majority of patients remain inadequately treated, with goals not being achieved. There is a need to raise the standard of lipid-lowering management in Poland.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CHOLESTEROL GOALS; SECONDARY PREVENTION; EUROPEAN COUNTRIES; LOWERING TREATMENT; MODIFYING THERAPY; ARTERY-DISEASE; GUIDELINES; MANAGEMENT; ATTAINMENT; PROGRAM; Cross-sectional study; hypercholesterolaemia prevention; pharmacotherapy; primary health care |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin II |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 22 Jun 2020 13:02 |
| Last Modified: | 22 Jun 2020 13:02 |
| URI: | https://pred.uni-regensburg.de/id/eprint/20989 |
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