Management of lipids in rural Australia : are the guidelines being followed?
Tideman, Philip, Tirimacco, Rosy, Janus, Edward, Philpot, Benjamin, Bunker, Stephen, Mc Namara, Kevin, Laatikainen, Tiina, Kilkkinen, Annamari, Heistaro, Sami and Dunbar, James 2008, Management of lipids in rural Australia : are the guidelines being followed?, in CSANZ 2008 : The Cardiac Society of Australia and New Zealand : Fifty Sixth Annual Scientific Meeting : Incorporating ISHR Australasian Section 32nd Annual Scientific Meeting, Elsevier (Australia), Chatswood, N.S.W., pp. S206-S206, doi: 10.1016/j.hlc.2008.05.490.
CSANZ 2008 : The Cardiac Society of Australia and New Zealand : Fifty Sixth Annual Scientific Meeting : Incorporating ISHR Australasian Section 32nd Annual Scientific Meeting
Place of publication
Background: Hypercholesterolaemia is ranked seventh among the major factors contributing to the overall burden of disease in Australia. Guidelines for evidence-based lipid management were released in 2001 and updated in 2005, however little population level data has been published on the current gap between recommended management and actual practice in Australia. Method: Three population stratified surveys were undertaken in the Greater Green Triangle. Three thousand three hundred and twenty adults aged 25–74 years were randomly selected, stratified by gender and 10-year age groups. Anthropometric, clinical and self-administered questionnaire data relating to cardiovascular disease risk were collected in accordance with the WHO MONICA protocol. Blood samples were collected for lipid profile analysis. Participants were divided into four groups—Group 1: treated, high CVD risk; Group 2: treated, primary prevention; Group 3: untreated, high CVD risk; Group 4: untreated, low CVD risk. For each of these groups we compared cholesterol, HDL cholesterol, triglyceride and LDL cholesterol with targets recommended by the National Heart Foundation's 2005 guidelines. Results: All lipids were at target in 39.4% of the study population with marked differences between groups: Group 1, 11.2%; Group 2, 38.5%; Group 3, 1.8%; Group 4, 47.6%.
Only 50.8% of the untreated high CVD risk group reported having blood cholesterol measured within the last 12 months.
Conclusion: Current rates of detection and treatment practices in rural Australia are suboptimal. Although one-third of the study population age 25–74 years are at sufficiently high risk to warrant consideration of lipid lowering medication only just over half of these were on treatment at the time of the study. These results suggest that an intensive implementation plan is required for the management of hyperlipidaemia in rural Australia.
Abstracts printed in : Heart, Lung and Circulation Volume 17, Supplement 3, Page S206 (2008)
Field of Research
110104 Medical Biochemistry: Lipids 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective
920499 Public Health (excl. Specific Population Health) not elsewhere classified
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