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儿童和青少年的胆固醇筛查和管理应尽早开始——不应该！

Cholesterol screening and management in children and young adults should start early--NO!

出版信息

Clin Cardiol. 2012 Nov;35(11):665-8. doi: 10.1002/clc.22075.

DOI:10.1002/clc.22075
PMID:23161509
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6652346/
Abstract

In 2011, an expert panel from the National Heart, Lung, and Blood Institute released recommendations for universal lipid screening and treatment of high cholesterol in children. There is no evidence that universal screening will help children lead longer, healthier lives. These recommendations will, however, fuel the epidemic of overtreatment that is currently threatening our healthcare system and our patients.

摘要

2011 年，美国国家心肺血液研究所的一个专家小组发布了针对儿童普遍进行血脂筛查和高胆固醇治疗的建议。没有证据表明普遍筛查将有助于儿童活得更长、更健康。然而，这些建议将助长目前正在威胁我们的医疗体系和患者的过度治疗的流行。

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Cholesterol screening and management in children and young adults should start early--NO!

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引用本文的文献

[1]
Universal Lipid Screening Among 9- to 11-Year-Old Children: Screening Results and Physician Management.

Clin Pediatr (Phila). 2022-3

[2]
Parental Knowledge and Attitudes About Universal Lipid Screening Among Children Aged 9 to 11 Years.

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[4]
Serum Lipid Profile, Prevalence of Dyslipidaemia, and Associated Risk Factors Among Northern Mexican Adolescents.

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[5]
A systematic review and meta-analysis on screening lipid disorders in the pediatric age group.

J Res Med Sci. 2015-12

[6]
Prevalence of dyslipidaemia and associated risk factors among Balearic Islands adolescents, a Mediterranean region.

Eur J Clin Nutr. 2015-6

[7]
Management of hypercholesterolemia in children.

Paediatr Drugs. 2014-4

本文引用的文献

[1]
Declining cholesterol levels in US youths: a reason for optimism.

JAMA. 2012-8-8

[2]
Trends in serum lipids among US youths aged 6 to 19 years, 1988-2010.

JAMA. 2012-8-8

[3]
Guidelines for lipid screening in children and adolescents: bringing evidence to the debate.

Pediatrics. 2012-8

[4]
Overly aggressive new guidelines for lipid screening in children: evidence of a broken process.

Pediatrics. 2012-8

[5]
The effects of lowering LDL cholesterol with statin therapy in people at low risk of vascular disease: meta-analysis of individual data from 27 randomised trials.

Lancet. 2012-5-17

[6]
Drug therapy of hypercholesterolaemia in children and adolescents.

Drugs. 2012-4-16

[7]
Healthy men should not take statins.

JAMA. 2012-4-11

[8]
Eliminating waste in US health care.

JAMA. 2012-3-14

[9]
Is universal pediatric lipid screening justified?

JAMA. 2012-1-18

[10]
Statin use and risk of diabetes mellitus in postmenopausal women in the Women's Health Initiative.

Arch Intern Med. 2012-1-23

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