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 Allan, G. Michael
A1 Lindblad, Adrienne J.
A1 Comeau, Ann
A1 Coppola, John
A1 Hudson, Brianne
A1 Mannarino, Marco
A1 McMinis, Cindy
A1 Padwal, Raj
A1 Schelstraete, Christine
A1 Zarnke, Kelly
A1 Garrison, Scott
A1 Cotton, Candra
A1 Korownyk, Christina
A1 McCormack, James
A1 Nickel, Sharon
A1 Kolber, Michael R.
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.