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Lipid management in cardiovascular disease prevention guidelines: Strategies and tactics for implementation.

Erhardt, Leif RW LU ; Leiter, Lawrence A and Richard Hobbs, F D (2008) In Atherosclerosis 196(2). p.532-541
Abstract
Despite the widespread dissemination of clinical practice guidelines on the prevention and treatment of cardiovascular disease (CVD), CVD causes one third of deaths worldwide and almost half of all deaths in the developed world. It is therefore likely that, although some aspects of CVD management have improved, there is still a significant shortfall between what is known about CVD prevention and what is put into action.



Twenty-one experts in the field of CVD from around the world attended a focus panel meeting in Marlow-on-Thames, UK (see acknowledgements for a list of meeting participants). These experts were invited to discuss practical strategies and tactics for overcoming barriers to the implementation of guidelines... (More)
Despite the widespread dissemination of clinical practice guidelines on the prevention and treatment of cardiovascular disease (CVD), CVD causes one third of deaths worldwide and almost half of all deaths in the developed world. It is therefore likely that, although some aspects of CVD management have improved, there is still a significant shortfall between what is known about CVD prevention and what is put into action.



Twenty-one experts in the field of CVD from around the world attended a focus panel meeting in Marlow-on-Thames, UK (see acknowledgements for a list of meeting participants). These experts were invited to discuss practical strategies and tactics for overcoming barriers to the implementation of guidelines on CVD prevention, and lipid management in particular. This article reviews and updates the key topics presented during the course of the meeting, captures the essence of the group discussions, and summarizes the meeting outcomes.



The participants concluded that initial efforts to implement CVD prevention guidelines more effectively are best directed at high-risk patients who have already been identified. Once current patients achieve their targets, more attention can be paid to finding untreated patients at risk. Recommendations from the expert panel included:



Harmonize guidelines; focus on common areas of consensus rather than state-of-the-art science



Remove the boundary between primary and secondary prevention and focus on level of overall risk.



Help policy makers understand the different components of CVD.



Include professional societies from different specialties in guideline development and implementation, to increase ownership and decrease fragmentation of guideline committees. (c) 2007 Elsevier Ireland Ltd. All rights reserved. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cardiovascular disease (CVD), cholesterol, guidelines, implementation, barriers, prevention
in
Atherosclerosis
volume
196
issue
2
pages
532 - 541
publisher
Elsevier
external identifiers
  • wos:000253743800006
  • scopus:38349093579
ISSN
1879-1484
DOI
10.1016/j.atherosclerosis.2007.05.017
language
English
LU publication?
yes
id
6a976781-edef-4e3b-b04b-aba3b4b607c6 (old id 541084)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17606265&dopt=Abstract
date added to LUP
2009-07-10 11:07:22
date last changed
2017-01-01 05:01:59
@article{6a976781-edef-4e3b-b04b-aba3b4b607c6,
  abstract     = {Despite the widespread dissemination of clinical practice guidelines on the prevention and treatment of cardiovascular disease (CVD), CVD causes one third of deaths worldwide and almost half of all deaths in the developed world. It is therefore likely that, although some aspects of CVD management have improved, there is still a significant shortfall between what is known about CVD prevention and what is put into action.<br/><br>
<br/><br>
Twenty-one experts in the field of CVD from around the world attended a focus panel meeting in Marlow-on-Thames, UK (see acknowledgements for a list of meeting participants). These experts were invited to discuss practical strategies and tactics for overcoming barriers to the implementation of guidelines on CVD prevention, and lipid management in particular. This article reviews and updates the key topics presented during the course of the meeting, captures the essence of the group discussions, and summarizes the meeting outcomes.<br/><br>
<br/><br>
The participants concluded that initial efforts to implement CVD prevention guidelines more effectively are best directed at high-risk patients who have already been identified. Once current patients achieve their targets, more attention can be paid to finding untreated patients at risk. Recommendations from the expert panel included:<br/><br>
<br/><br>
Harmonize guidelines; focus on common areas of consensus rather than state-of-the-art science<br/><br>
<br/><br>
Remove the boundary between primary and secondary prevention and focus on level of overall risk.<br/><br>
<br/><br>
Help policy makers understand the different components of CVD.<br/><br>
<br/><br>
Include professional societies from different specialties in guideline development and implementation, to increase ownership and decrease fragmentation of guideline committees. (c) 2007 Elsevier Ireland Ltd. All rights reserved.},
  author       = {Erhardt, Leif RW and Leiter, Lawrence A and Richard Hobbs, F D},
  issn         = {1879-1484},
  keyword      = {cardiovascular disease (CVD),cholesterol,guidelines,implementation,barriers,prevention},
  language     = {eng},
  number       = {2},
  pages        = {532--541},
  publisher    = {Elsevier},
  series       = {Atherosclerosis},
  title        = {Lipid management in cardiovascular disease prevention guidelines: Strategies and tactics for implementation.},
  url          = {http://dx.doi.org/10.1016/j.atherosclerosis.2007.05.017},
  volume       = {196},
  year         = {2008},
}