| Low Density Lipoprotein Cholesterol Target Goal Attainment Rate and Physician Perceptions about Target Goal Achievement in Korean Patients with Diabetes. | |
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MedLine Citation:
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PMID: 22247906 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: This study aims to investigate the discrepancy between clinicians' perceptions and actual achievement rates of low density lipoprotein cholesterol (LDL-C) in Korean patients with diabetes according to updated American Diabetes Association (ADA)/American College of Cardiology Foundation (ACC) recommendations. METHODS: This is a multi-center, retrospective, non-interventional, observational study. Diabetic patients aged 18 years or older were eligible if they had been diagnosed with hypercholesterolemia or were receiving a lipid-lowering therapy between May 2010 and August 2010. The information was obtained by reviewing medical records and using a self-completed questionnaire to examine physician perceptions. RESULTS: A total of 2,591 subjects who satisfied the inclusion criteria were enrolled. Highest-risk and high-risk patients accounted for 61.9% and 38.1% of the patients, respectively. Although most (96.3%) underwent a statin monotherapy or a statin-based combination therapy, just 47.4% of patients attained the LDL-C target. However, the physicians' perceptions on target achievement rate (70.6%) were different from the actual results (47.4%). Many patients (65.3%) remained on the starting doses of statins, despite evidence of poor achievement of lipid goals. CONCLUSION: Only less than half of patients with diabetes attained the LDL-C goal. The surveys showed that poor physician performance might be due to the lack of recognition on ADA/ACC consensus causing a low LDL-C target attainment rate. Therefore, changes in doctor perception are needed to attain target LDL-C level and reduce cardiovascular risk in Korean patients with diabetes. |
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Authors:
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Jenie Yoonoo Hwang; Chang Hee Jung; Woo Je Lee; Cheol Young Park; Sung Rae Kim; Kun-Ho Yoon; Moon Kyu Lee; Sung Woo Park; Joong-Yeol Park |
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Publication Detail:
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Type: Journal Article Date: 2011-12-26 |
Journal Detail:
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Title: Diabetes & metabolism journal Volume: 35 ISSN: 2233-6087 ISO Abbreviation: Diabetes Metab J Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2012-01-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101556588 Medline TA: Diabetes Metab J Country: Korea (South) |
Other Details:
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Languages: eng Pagination: 628-36 Citation Subset: - |
Affiliation:
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Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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