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Can Fam Physician. 2015 Oct;61(10):857-67, e439-50.

Simplified lipid guidelines: Prevention and management of cardiovascular disease in primary care.

[Article in English, French]

Author information

1
Professor and Director of Evidence-based Medicine in the Department of Family Medicine at the University of Alberta in Edmonton and Director of the Evidence and CPD program of the Alberta College of Family Physicians. mgallan@ualberta.ca.
2
Knowledge Translation and Evidence Coordinator for the Alberta College of Family Physicians and Associate Clinical Professor in the Department of Family Medicine at the University of Alberta.
3
Primary Care Manager and a nurse practitioner for the Edmonton Southside Primary Care Network.
4
Clinical Assistant Professor in the Department of Family Medicine in the Cumming School of Medicine at the University of Calgary in Alberta.
5
Family physician in Grande Prairie, Alta.
6
Assistant Clinical Professor and Clinic Preceptor in the Department of Family Medicine at the University of Alberta.
7
Clinical Practice Leader in Pharmacy Services for Alberta Health Services in Wainwright, Alta.
8
Associate Professor in Clinical Epidemiology, Clinical Pharmacology, and General Internal Medicine and Director of the Hypertension Clinic at the University of Alberta.
9
Virtual care nurse for MyHome Health pilot project in the Sherwood Park-Strathcona County Primary Care Network in Alberta.
10
Associate Professor of Medicine and Head of the Division of General Internal Medicine in the Faculty of Medicine at the University of Calgary and Section Chief of General Internal Medicine for the Alberta Health Services Calgary Zone.
11
Associate Professor in the Department of Family Medicine at the University of Alberta.
12
Clinical pharmacist at Saint-Vincent Hospital in Ottawa, Ont.
13
Professor in the Faculty of Pharmaceutical Sciences at the University of British Columbia in Vancouver.
14
Coordinator of the Evidence and CPD program of the Alberta College of Family Physicians.

Abstract

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.

PMID:
26472792
PMCID:
PMC4607330
[Indexed for MEDLINE]
Free PMC Article

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