RT Journal Article
SR Electronic
T1 Simplified lipid guidelines
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 857
OP 867
VO 61
IS 10
A1 G. Michael Allan
A1 Adrienne J. Lindblad
A1 Ann Comeau
A1 John Coppola
A1 Brianne Hudson
A1 Marco Mannarino
A1 Cindy McMinis
A1 Raj Padwal
A1 Christine Schelstraete
A1 Kelly Zarnke
A1 Scott Garrison
A1 Candra Cotton
A1 Christina Korownyk
A1 James McCormack
A1 Sharon Nickel
A1 Michael R. Kolber
YR 2015
UL http://www.cfp.ca/content/61/10/857.abstract
AB Objective To develop clinical practice guidelines for a simplified approach to primary prevention of cardiovascular disease (CVD), concentrating on CVD risk estimation and lipid management for primary care clinicians and their teams; we sought increased contribution from primary care professionals with little or no conflict of interest and focused on the highest level of evidence available.Methods Nine health professionals (4 family physicians, 2 internal medicine specialists, 1 nurse practitioner, 1 registered nurse, and 1 pharmacist) and 1 nonvoting member (pharmacist project manager) comprised the overarching Lipid Pathway Committee (LPC). Member selection was based on profession, practice setting, and location, and members disclosed any actual or potential conflicts of interest. The guideline process was iterative through online posting, detailed evidence review, and telephone and online meetings. The LPC identified 12 priority questions to be addressed. The Evidence Review Group answered these questions. After review of the answers, key recommendations were derived through consensus of the LPC. The guidelines were drafted, refined, and distributed to a group of clinicians (family physicians, other specialists, pharmacists, nurses, and nurse practitioners) and patients for feedback, then refined again and finalized by the LPC.Recommendations Recommendations are provided on screening and testing, risk assessments, interventions, follow-up, and the role of acetylsalicylic acid in primary prevention.Conclusion These simplified lipid guidelines provide practical recommendations for prevention and treatment of CVD for primary care practitioners. All recommendations are intended to assist with, not dictate, decision making in conjunction with patients.