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- W2071306776 abstract "La inercia clínica en el cribado y tratamiento de los pacientes de alto o muy alto riesgo cardiovascular comporta la no consecución de los objetivos en cLDL en esta población. El objetivo del estudio DIANA fue conocer la opinión de los médicos sobre el cribado de dislipidemia, la práctica habitual y las diferencias existentes entre médicos de atención primaria (AP) y otras especialidades.El cuestionario, mediante el método Delphi modificado, incluyó 4 bloques alrededor del paciente dislipidémico con alteración del metabolismo de la glucosa.De los 497 expertos participantes, el 58% eran médicos de AP. Se consensuó, aunque en menor medida en los médicos de AP, la necesidad de realizar el cribado de dislipidemia en pacientes con diabetes, cardiopatía isquémica o hipertensión arterial. Mayores diferencias significativas se encontraron en situaciones como la prediabetes o la existencia de antecedentes familiares de enfermedad cardiovascular precoz (86,2% y 88,6% en médicos de AP frente 96,1% y 97,6% en otras especialidades, respectivamente). No existió acuerdo en la necesidad de cribado ante la presencia de xantomas, xantelasmas o arco corneal en menores de 45 años, existiendo diferencias estadísticamente significativas en el último de ellos.El cribado de la dislipidemia se realiza principalmente en pacientes con enfermedad cardiovascular o algún factor mayor de riesgo cardiovascular, y se infravaloran los estigmas cutáneos de hipercolesterolemia familiar. Es preciso insistir en la necesidad de un cribado y tratamiento correctos de dislipidemia en aquellos sujetos de alto riesgo cardiovascular.The clinical inertia in the screening and treatment of patients at high or very high cardiovascular risk leads to the failure to achieve LDLc targets in this population. The aim of the DIANA study was to determine the opinion of doctors about the screening for dyslipidaemia, the usual practice, and the differences between Primary Care physicians and other specialties.A questionnaire, using the modified Delphi method, included four blocks on dyslipidemic patients with impaired glucose metabolism.Of the 497 participating experts, 58% were Primary Care physicians. There was agreement on the need for dyslipidemia screening in patients with diabetes, ischaemic heart disease or hypertension, although to a lesser extent among Primary Care physicians. Greater significant differences were found in situations such as pre-diabetes or family history of premature cardiovascular disease (86.2% and 88.6% in Primary Care physicians versus 96.1% and 97.6% in other specialties, respectively). There was no agreement on the need for screening in the presence of xanthomas, xanthelasmas or corneal arcus in people under the age of 45 years, with statistically significant differences in the latter.Dyslipidaemia screening is mainly performed on patients with cardiovascular disease or any major cardiovascular risk factor, and cutaneous lesions of familial hypercholesterolaemia are underestimated. The need for accurate screening and treatment of dyslipidemia in subjects at high cardiovascular risk must be stressed" @default.
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- W2071306776 date "2013-09-01" @default.
- W2071306776 modified "2023-10-02" @default.
- W2071306776 title "Cifras de colesterol adecuadas en pacientes coronarios y diabéticos. Análisis según especialidades médicas y comunidades autónomas" @default.
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- W2071306776 doi "https://doi.org/10.1016/j.recesp.2013.04.012" @default.
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