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全科医生对高脂血症患者治疗益处和成本的看法。

General practitioner perceptions of treatment benefits and costs in patients with hyperlipidaemia.

作者信息

Hobbs F D, Holmes J, Pugner K

机构信息

Department of General Practice, University of Birmingham, London.

出版信息

Br J Gen Pract. 1998 Feb;48(427):983-4.

PMID:9624770
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1409990/
Abstract

This study explored general practitioner (GP) perceptions of use of treatments to manage hyperlipidaemia and their cost implications. GPs recognized different levels of coronary heart disease (CHD) risk, but were not always aware of which were major factors. Most were unfamiliar with published guidelines on managing hyperlipidaemia, and were likely to initiate drug therapies even in low-risk patients with mild hyperlipidaemia. Clearer advice is needed on whom to treat and on dietary intervention with high-fibre as well as low-fat diets.

摘要

本研究探讨了全科医生(GP)对使用治疗方法管理高脂血症及其成本影响的看法。全科医生认识到冠心病(CHD)存在不同程度的风险,但并不总是清楚哪些是主要因素。大多数人不熟悉已发表的高脂血症管理指南,甚至可能对轻度高脂血症的低风险患者启动药物治疗。在治疗对象以及高纤维和低脂饮食的饮食干预方面,需要更明确的建议。

相似文献

1
General practitioner perceptions of treatment benefits and costs in patients with hyperlipidaemia.全科医生对高脂血症患者治疗益处和成本的看法。
Br J Gen Pract. 1998 Feb;48(427):983-4.
2
Non-pharmacological therapy of hyperlipidaemia.高脂血症的非药物治疗
Nepal Med Coll J. 2003 Dec;5(2):109-12.
3
Management of hyperlipidaemia.
Aust Fam Physician. 2005 Jun;34(6):447-53.
4
Factors affecting feasibility and acceptability of a practice-based educational intervention to support evidence-based prescribing: a qualitative study.影响基于实践的教育干预以支持循证处方的可行性和可接受性的因素:一项定性研究
Fam Pract. 2004 Dec;21(6):661-9. doi: 10.1093/fampra/cmh614. Epub 2004 Nov 4.
5
Guidelines for the management of hyperlipidaemia in general practice. Towards the primary prevention of coronary heart disease. Royal College of General Practitioners.全科医疗中高脂血症管理指南。迈向冠心病的一级预防。皇家全科医师学院。
Occas Pap R Coll Gen Pract. 1992 Mar(55):1-15.
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Attitude changes of general practitioners towards lowering LDL cholesterol.全科医生对降低低密度脂蛋白胆固醇的态度变化。
J Cardiovasc Risk. 1998 Feb;5(1):43-6.
7
Primary prevention of cardiovascular diseases by lipid-lowering treatment in German general practice: results from GPs ignoring guidelines and risk calculators.德国全科医疗中通过降脂治疗进行心血管疾病的一级预防:全科医生忽视指南和风险计算器的结果。
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The human and economic costs of undertreatment with statins.他汀类药物治疗不足所带来的人力和经济成本。
Int J Clin Pract. 2002 Jun;56(5):357-68.

本文引用的文献

1
Intake of dietary fiber and risk of coronary heart disease in a cohort of Finnish men. The Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study.芬兰男性队列中膳食纤维摄入量与冠心病风险。α-生育酚、β-胡萝卜素癌症预防研究。
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2
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4
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N Engl J Med. 1995 Nov 16;333(20):1301-7. doi: 10.1056/NEJM199511163332001.