Dyslipidaemia in rural Australia : the evidence treatment gaps
Data(s) |
01/01/2008
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Resumo |
<b>Aims & rationale/Objectives :</b> Hypercholesterolaemia accounts for 11.6% of total deaths and 6.2% of the disability burden for the Australian population.1 This paper reports population lipid profiles for three rural Australian populations, and assesses evidence-treatment gaps against the most recent (2005-2007) Australian guidelines.<br /><b><br />Methods :</b> Three population surveys were undertaken in the Greater Green Triangle. 3,320 adults aged 25-74 yrs were randomly selected using age/gender stratified electoral roll samples and of these 1563 subjects participated in the survey. Anthropometric, clinical and self-administered questionnaire data relating to chronic disease risk were collected in accordance with the WHO MONICA protocol.2 A detailed investigation of dyslipidaemia was included.<br /><br /><b>Principal findings :</b> All required data was available for 1255 participants. Age-standardised mean total cholesterol (TC), triglycerides, LDL cholesterol and HDL cholesterol concentrations were 5.36 mmol/l, 1.42 mmol/l, 3.23 mmol/l and 1.48 mmol/l, respectively. Amongst those taking lipid-lowering medication, just 11% categorised as secondary prevention/diabetes, and 39% as primary prevention, achieved all lipid targets. In the 20% of untreated participants at high risk of a primary cardiovascular event, 26% were aware of their hypercholesterolaemia and just 2% achieved all lipid targets (2.8% achieved TC?5.5 mmol, 8.5% achieved LDL<3.5 mmol/l). 11.2% of the overall population used lipid-lowering medication (95% was statin monotherapy).<br /><br /><b>Implications : </b>Most adults do not achieve their target lipid profile. This paper identifies the subpopulations and lipid components which need to be targeted for future interventions. It also identifies substantial evidence-treatment gaps which should be addressed to help improve lipid profiles at a population level.<br /> |
Identificador | |
Idioma(s) |
eng |
Publicador |
Primary Health Care Research Information Service |
Relação |
http://dro.deakin.edu.au/eserv/DU:30019226/dunbar-dyslipidaemiainrural-2008.pdf http://www.phcris.org.au/conference/browse.php?id=6332&spindex=3&catid=755&page=1&subcat=all&search=Dyslipidaemia |
Direitos |
2008, Primary Health Care Research Information Service |
Tipo |
Conference Paper |