抽象的

A pilot study of cholesterol management among patients in a Macau primary care setting.

In Wong

 Objective: Elevated cholesterol is one of the most significant factors for cardiovascular disease. The aim of this study is to evaluate the management of dyslipidaemia in a Macau primary care setting based on the Adult Treatment Panel III guidelines. Methods: Risk estimation was based on the Framingham risk assessment and patient lipid profiles and risk factors prior to initiating statins. The results regarding the efficacy of the therapy were categorized as follows: (1) on target; (2) under treatment; (3) over treatment; and (4) managed appropriately. Results: Of the 896 patients who fulfilled the inclusion criteria, 390 (43.5%) patients were eligible for statin therapy, and 715 (79.8%) patients’ LDL-C were on target, but of the 390 patients who were eligible for statin therapy, only 214 (54.9%) patients’ LDL-C were on target. Sixty-one (20.3%) patients in the CHD equivalent group were undertreated, and the results for the other three groups were 3 (4.4%), 1 (9.1%) and 6 (1.2%) (P<0.05). Meanwhile, more patients (12.6%) were overtreated in the low-risk group, compared with other groups. Conclusions: These data suggest that nearly eighty percent of patients with dyslipidaemia in a Macau primary care setting were receiving appropriate therapy