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Evaluation of hypercholesterolemia management in at-risk patients by cardiologists in France: a case vignette-based study
AIMS: This online interactive survey investigated lipid-lowering approaches of French cardiologists in high- and very high-cardiovascular risk patients with hypercholesterolemia. MATERIALS & METHODS: Physicians assessed three hypothetical patients at three clinic visits, and selected the patient...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Becaris Publishing Ltd
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10402750/ https://www.ncbi.nlm.nih.gov/pubmed/36891969 http://dx.doi.org/10.57264/cer-2022-0181 |
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author | Ferrières, Jean Bruckert, Eric Farnier, Michel Krempf, Michel Mourad, Jean-Jacques Roux, Baptiste Schiele, François |
author_facet | Ferrières, Jean Bruckert, Eric Farnier, Michel Krempf, Michel Mourad, Jean-Jacques Roux, Baptiste Schiele, François |
author_sort | Ferrières, Jean |
collection | PubMed |
description | AIMS: This online interactive survey investigated lipid-lowering approaches of French cardiologists in high- and very high-cardiovascular risk patients with hypercholesterolemia. MATERIALS & METHODS: Physicians assessed three hypothetical patients at three clinic visits, and selected the patients’ cardiovascular risk category, target low-density lipoprotein cholesterol (LDL-C) and treatment. RESULTS: A total of 162 physicians completed 480 risk assessments; 58% of assessments correctly categorized the hypothetical patients. Most physicians chose the correct LDL-C target for one of the very high-risk patients, but higher-than-recommended targets were selected for the other very high-risk patient and the high-risk patient. Statins were the most commonly chosen treatment. CONCLUSION: French cardiologists often underestimate cardiovascular risk in patients with hypercholesterolemia, select a higher-than-recommended LDL-C target and prescribe less intensive treatment than that recommended by guidelines. |
format | Online Article Text |
id | pubmed-10402750 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Becaris Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-104027502023-08-11 Evaluation of hypercholesterolemia management in at-risk patients by cardiologists in France: a case vignette-based study Ferrières, Jean Bruckert, Eric Farnier, Michel Krempf, Michel Mourad, Jean-Jacques Roux, Baptiste Schiele, François J Comp Eff Res Research Article AIMS: This online interactive survey investigated lipid-lowering approaches of French cardiologists in high- and very high-cardiovascular risk patients with hypercholesterolemia. MATERIALS & METHODS: Physicians assessed three hypothetical patients at three clinic visits, and selected the patients’ cardiovascular risk category, target low-density lipoprotein cholesterol (LDL-C) and treatment. RESULTS: A total of 162 physicians completed 480 risk assessments; 58% of assessments correctly categorized the hypothetical patients. Most physicians chose the correct LDL-C target for one of the very high-risk patients, but higher-than-recommended targets were selected for the other very high-risk patient and the high-risk patient. Statins were the most commonly chosen treatment. CONCLUSION: French cardiologists often underestimate cardiovascular risk in patients with hypercholesterolemia, select a higher-than-recommended LDL-C target and prescribe less intensive treatment than that recommended by guidelines. Becaris Publishing Ltd 2023-03-08 /pmc/articles/PMC10402750/ /pubmed/36891969 http://dx.doi.org/10.57264/cer-2022-0181 Text en © 2023 Jean Ferrières https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under the Attribution-NonCommercial-NoDerivatives 4.0 Unported License (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Research Article Ferrières, Jean Bruckert, Eric Farnier, Michel Krempf, Michel Mourad, Jean-Jacques Roux, Baptiste Schiele, François Evaluation of hypercholesterolemia management in at-risk patients by cardiologists in France: a case vignette-based study |
title | Evaluation of hypercholesterolemia management in at-risk patients by cardiologists in France: a case vignette-based study |
title_full | Evaluation of hypercholesterolemia management in at-risk patients by cardiologists in France: a case vignette-based study |
title_fullStr | Evaluation of hypercholesterolemia management in at-risk patients by cardiologists in France: a case vignette-based study |
title_full_unstemmed | Evaluation of hypercholesterolemia management in at-risk patients by cardiologists in France: a case vignette-based study |
title_short | Evaluation of hypercholesterolemia management in at-risk patients by cardiologists in France: a case vignette-based study |
title_sort | evaluation of hypercholesterolemia management in at-risk patients by cardiologists in france: a case vignette-based study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10402750/ https://www.ncbi.nlm.nih.gov/pubmed/36891969 http://dx.doi.org/10.57264/cer-2022-0181 |
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