Opportunity for intervention to achieve American Heart Association guidelines for optimal lipid levels in high-risk women in a managed care setting

Lori Mosca, Noel Bairey Merz, Roger S Blumenthal, Mark J. Cziraky, Rosalind P. Fabunmi, Chaitanya Sarawate, Karol E. Watson, Vincent J. Willey, Eric J. Stanek

Research output: Contribution to journalArticle

Abstract

Background - The American Heart Association (AHA) recently established evidence-based recommendations for cardiovascular disease (CVD) prevention in women, including lipid management. This study evaluated optimal lipid-level attainment and treatment patterns on the basis of these guidelines in high-risk women in a managed care setting. Methods and Results - We conducted a historical prospective cohort analysis of a 1.1-million-member, integrated, managed-care database. Eligible high-risk women were those with evidence of previous CVD or risk equivalent who had a full lipid panel available between October 1, 1999, and September 30, 2000; were naive to lipid therapy; and had a minimum of 12 months health plan eligibility preindex and postindex lipid panel. Optimal lipid levels were defined as LDL cholesterol (LDL-C) 50 mg/dL, non-HDL-C

Original languageEnglish (US)
Pages (from-to)488-493
Number of pages6
JournalCirculation
Volume111
Issue number4
DOIs
StatePublished - Feb 1 2005

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Managed Care Programs
Guidelines
Lipids
Cardiovascular Diseases
LDL Cholesterol
Cohort Studies
Databases
Health
Therapeutics

Keywords

  • Cardiovascular diseases
  • Cholesterol
  • Lipids
  • Lipoproteins
  • Women

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

Cite this

Opportunity for intervention to achieve American Heart Association guidelines for optimal lipid levels in high-risk women in a managed care setting. / Mosca, Lori; Merz, Noel Bairey; Blumenthal, Roger S; Cziraky, Mark J.; Fabunmi, Rosalind P.; Sarawate, Chaitanya; Watson, Karol E.; Willey, Vincent J.; Stanek, Eric J.

In: Circulation, Vol. 111, No. 4, 01.02.2005, p. 488-493.

Research output: Contribution to journalArticle

Mosca, Lori ; Merz, Noel Bairey ; Blumenthal, Roger S ; Cziraky, Mark J. ; Fabunmi, Rosalind P. ; Sarawate, Chaitanya ; Watson, Karol E. ; Willey, Vincent J. ; Stanek, Eric J. / Opportunity for intervention to achieve American Heart Association guidelines for optimal lipid levels in high-risk women in a managed care setting. In: Circulation. 2005 ; Vol. 111, No. 4. pp. 488-493.
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