Document Detail


Regional cholesterol screening: problems and potentials.
MedLine Citation:
PMID:  2110237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mass cholesterol level screening was carried out in 3,288 individuals. Over a wide range of ages, moderate or high risk values were found in 16%. Follow-up of those with abnormal cholesterol levels revealed that a low percentage visited their family physicians. Moreover, successful responses to treatment were identified in a very small number. The cost of lowering an elevated serum cholesterol level identified in this manner was approximately $800. Problems and potentials of this approach are discussed. Interest in serum cholesterol level control and understanding of its importance have greatly increased. Patients and physicians have become more well informed as a result of the Lipid Research Clinics-Coronary Primary Prevention Trial (LRC-CPPT) and recent guidelines proposed by the National Heart Lung and Blood Institute (NHLBI). As a result of these reports, it is now recognized that lowering an elevated cholesterol by 1% causes a 2% reduction in mortality from coronary artery occlusive disease. Moreover, it is now conceded that normal levels are much less than had been thought previously and it is recommended that all adults receive treatment to maintain a serum cholesterol less than 200 mg/dl. We were recently invited to present an exhibit in the high technology area of the Kentucky State Fair. This provided an opportunity to develop and test the mass screening process, collect data, and to evaluate the cost-effectiveness of such screening processes.
Authors:
A M Lansing; R N Barbie; K A Shaheen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of the Kentucky Medical Association     Volume:  88     ISSN:  0023-0294     ISO Abbreviation:  J Ky Med Assoc     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-06-05     Completed Date:  1990-06-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7505615     Medline TA:  J Ky Med Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  170-4     Citation Subset:  IM    
Affiliation:
Lipid Center of Humana Heart Institute International, Louisville, KY 40217.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Cost-Benefit Analysis
Health Education
Humans
Hypercholesterolemia / prevention & control*
Mass Screening / economics,  methods*
Middle Aged
Regional Health Planning / organization & administration*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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