Significant challenges remain to achieve risk reduction targets for cardiovascular secondary prevention and diabetes

Mc Namara, Kevin, Janus, Edward, Philpot, Benjamin and Dunbar, James 2011, Significant challenges remain to achieve risk reduction targets for cardiovascular secondary prevention and diabetes, in Heart to heart : from access to action : Proceedings of the 2011 Heart Foundation conference, Heart Foundation of Australia, [Melbourne, Vic.], pp. 1-1.

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Title Significant challenges remain to achieve risk reduction targets for cardiovascular secondary prevention and diabetes
Author(s) Mc Namara, Kevin
Janus, Edward
Philpot, Benjamin
Dunbar, James
Conference name Heart Foundation. Conference (2011 : Melbourne, Victoria)
Conference location Melbourne, Victoria
Conference dates 17-19 Mar. 2011
Title of proceedings Heart to heart : from access to action : Proceedings of the 2011 Heart Foundation conference
Publication date 2011
Start page 1
End page 1
Publisher Heart Foundation of Australia
Place of publication [Melbourne, Vic.]
Summary Objective: To examine population-level evidence treatment gaps for cardiovascular risk among rural patients with existing cardiovascular disease or diabetes.

Methods: Three population surveys were undertaken in the Greater Green Triangle region of southeastern Australia 2004-2006. Adults aged 25-84 yrs were randomly selected using age/sex stratified electoral role samples. A representative 1690 participants were recruited (48% participation rate). Anthropometric, clinical and self-administered questionnaire chronic disease risk data were collected in accordance with the WHO MONICA protocol. Detailed investigation of cardiovascular and diabetes history, key cardiovascular risk factors, medication use and health behaviours were included.

Results: After adjusting for age and sex, an estimated 12% (sample n=272) of the population had one or more of coronary heart disease, stroke, or diabetes. Blood pressure was at target (<130/80 mmHg) for 26% of these individuals, and 61% were treated with antihypertensive medications. Lipid targets were achieved by 17% for total cholesterol (<4 mmol/L), 18% for LDL cholesterol (<2 mmol/L), 77% for HDL cholesterol (>1.0 mmol/L) and 44% for triglycerides (<1.5 mmol/L); overall 6% achieved all four lipid targets and 60% reported use of lipid-lowering therapy, including 51% overall using statins. Ten percent were current smokers, and four in every five patients (82%) had suboptimal BMI (outside the range 18.5 - 25.0).

Conclusions: All participants with uncontrolled blood pressure and most with uncontrolled lipids should be taking medications. The magnitude of evidence treatment gaps suggests existing models of care need fundamental reform and renewed focus on prevention.
Language eng
Field of Research 111717 Primary Health Care
Socio Economic Objective 920412 Preventive Medicine
HERDC Research category E2.1 Full written paper - non-refereed / Abstract reviewed
ERA Research output type X Not reportable
Persistent URL http://hdl.handle.net/10536/DRO/DU:30033651

Document type: Conference Paper
Collection: Public Health Research, Evaluation, and Policy Cluster
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