Is the Physician’s Behavior in Dyslipidemia Diagnosis in Accordance with Guidelines? Cross-Sectional Escarval Study
Publication Date
March 13, 2014
Journal
PLOS ONE
Authors
Antonio Palazón Bru, Vicente F. Gil Guillén, Domingo Orozco Beltrán, Vicente Pallarés Carratalá, et al
Volume
9
Issue
3
Pages
e91567
DOI
https://dx.plos.org/10.1371/journal.pone.0091567
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0091567
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/24626597
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3953440
Europe PMC
http://europepmc.org/abstract/MED/24626597
Web of Science
000332851300105
Scopus
84898753812
Mendeley
http://www.mendeley.com/research/physicians-behavior-dyslipidemia-diagnosis-accordance-guidelines-crosssectional-escarval-study
Events
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Mendeley | Further Information

{"title"=>"Is the physician's behavior in dyslipidemia diagnosis in accordance with guidelines? cross-sectional Escarval study", "type"=>"journal", "authors"=>[{"first_name"=>"Antonio", "last_name"=>"Palazón-Bru", "scopus_author_id"=>"55443914100"}, {"first_name"=>"Vicente F.", "last_name"=>"Gil-Guillén", "scopus_author_id"=>"6602729443"}, {"first_name"=>"Domingo", "last_name"=>"Orozco-Beltrán", "scopus_author_id"=>"57194561233"}, {"first_name"=>"Vicente", "last_name"=>"Pallarés-Carratalá", "scopus_author_id"=>"6603321589"}, {"first_name"=>"Francisco", "last_name"=>"Valls-Roca", "scopus_author_id"=>"34877851200"}, {"first_name"=>"Carlos", "last_name"=>"Sanchís-Domenech", "scopus_author_id"=>"22938760800"}, {"first_name"=>"José M.", "last_name"=>"Martín-Moreno", "scopus_author_id"=>"19035120600"}, {"first_name"=>"Josep", "last_name"=>"Redón", "scopus_author_id"=>"35371149100"}, {"first_name"=>"Jorge", "last_name"=>"Navarro-Pérez", "scopus_author_id"=>"6603361438"}, {"first_name"=>"Antonio", "last_name"=>"Fernández-Giménez", "scopus_author_id"=>"56117583900"}, {"first_name"=>"Ana M.", "last_name"=>"Pérez-Navarro", "scopus_author_id"=>"56117620300"}, {"first_name"=>"José L.", "last_name"=>"Trillo", "scopus_author_id"=>"36697104100"}, {"first_name"=>"Ruth", "last_name"=>"Usó", "scopus_author_id"=>"13406886800"}, {"first_name"=>"Elías", "last_name"=>"Ruiz", "scopus_author_id"=>"56117861000"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "isbn"=>"1932-6203", "doi"=>"10.1371/journal.pone.0091567", "pui"=>"372786323", "sgr"=>"84898753812", "pmid"=>"24626597", "scopus"=>"2-s2.0-84898753812"}, "id"=>"289357c8-0e9c-3218-a6e8-252a40c77f8d", "abstract"=>"BACKGROUND: Clinical inertia has been defined as mistakes by the physician in starting or intensifying treatment when indicated. Inertia, therefore, can affect other stages in the healthcare process, like diagnosis. The diagnosis of dyslipidemia requires ≥2 high lipid values, but inappropriate behavior in the diagnosis of dyslipidemia has only previously been analyzed using just total cholesterol (TC).\\n\\nOBJECTIVES: To determine clinical inertia in the dyslipidemia diagnosis using both TC and high-density lipoprotein cholesterol (HDL-c) and its associated factors.\\n\\nDESIGN: Cross-sectional.\\n\\nSETTING: All health center visits in the second half of 2010 in the Valencian Community (Spain).\\n\\nPATIENTS: 11,386 nondyslipidemic individuals aged ≥20 years with ≥2 lipid determinations.\\n\\nMEASUREMENT VARIABLES: Gender, atrial fibrillation, hypertension, diabetes, cardiovascular disease, age, and ESCARVAL training course. Lipid groups: normal (TC<5.17 mmol/L and normal HDL-c [≥1.03 mmol/L in men and ≥1.29 mmol/L in women], TC inertia (TC≥5.17 mmol/L and normal HDL-c), HDL-c inertia (TC<5.17 mmol/L and low HDL-c), and combined inertia (TC≥5.17 mmol/L and low HDL-c).\\n\\nRESULTS: TC inertia: 38.0% (95% CI: 37.2-38.9%); HDL-c inertia: 17.7% (95% CI: 17.0-18.4%); and combined inertia: 9.6% (95% CI: 9.1-10.2%). The profile associated with TC inertia was: female, no cardiovascular risk factors, no cardiovascular disease, middle or advanced age; for HDL-c inertia: female, cardiovascular risk factors and cardiovascular disease; and for combined inertia: female, hypertension and middle age.\\n\\nLIMITATIONS: Cross-sectional study, under-reporting, no analysis of some cardiovascular risk factors or other lipid parameters.\\n\\nCONCLUSIONS: A more proactive attitude should be adopted, focusing on the full diagnosis of dyslipidemia in clinical practice. Special emphasis should be placed on patients with low HDL-c levels and an increased cardiovascular risk.", "link"=>"http://www.mendeley.com/research/physicians-behavior-dyslipidemia-diagnosis-accordance-guidelines-crosssectional-escarval-study", "reader_count"=>19, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Student > Doctoral Student"=>2, "Researcher"=>5, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>2, "Student > Master"=>4, "Other"=>1, "Student > Bachelor"=>2, "Lecturer"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Student > Doctoral Student"=>2, "Researcher"=>5, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>2, "Student > Master"=>4, "Other"=>1, "Student > Bachelor"=>2, "Lecturer"=>1}, "reader_count_by_subject_area"=>{"Engineering"=>1, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>15, "Agricultural and Biological Sciences"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>15}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}}, "reader_count_by_country"=>{"United Kingdom"=>1}, "group_count"=>0}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1417946"], "description"=>"<p>CI, confidence interval; TC, total cholesterol; HDL-c; high-density lipoprotein cholesterol.</p>", "links"=>[], "tags"=>["cardiovascular", "Clinical research design", "Cross-sectional studies", "Diagnostic medicine", "Non-clinical medicine", "Health care policy", "Health systems strengthening", "Health care providers", "physicians", "Health care quality", "Public health", "Health screening", "preventive medicine", "patients", "healthcare", "centers", "spanish"], "article_id"=>960296, "categories"=>["Medicine"], "users"=>["Antonio Palazón-Bru", "Vicente F. Gil-Guillén", "Domingo Orozco-Beltrán", "Vicente Pallarés-Carratalá", "Francisco Valls-Roca", "Carlos Sanchís-Domenech", "José M. Martín-Moreno", "Josep Redon", "Jorge Navarro-Pérez", "Antonio Fernández-Giménez", "Ana M. Pérez-Navarro", "José L. Trillo", "Ruth Usó", "Elías Ruiz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0091567.g001", "stats"=>{"downloads"=>2, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Nondyslipidemic_patients_at_primary_healthcare_centers_in_a_Spanish_region_/960296", "title"=>"Nondyslipidemic patients at primary healthcare centers in a Spanish region.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-03-13 08:24:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/1417949"], "description"=>"<p>Abbreviations: TC, total cholesterol; DM, diabetes mellitus; CVD, cardiovascular disease. *: This value was obtained through a weighted average. <sup>†</sup>: The sample size is not given in the original article. We therefore obtained it from linear programming mathematical calculations based on the Simplex method.</p>", "links"=>[], "tags"=>["cardiovascular", "Clinical research design", "Cross-sectional studies", "Diagnostic medicine", "Non-clinical medicine", "Health care policy", "Health systems strengthening", "Health care providers", "physicians", "Health care quality", "Public health", "Health screening", "preventive medicine", "studies", "inertia"], "article_id"=>960299, "categories"=>["Medicine"], "users"=>["Antonio Palazón-Bru", "Vicente F. Gil-Guillén", "Domingo Orozco-Beltrán", "Vicente Pallarés-Carratalá", "Francisco Valls-Roca", "Carlos Sanchís-Domenech", "José M. Martín-Moreno", "Josep Redon", "Jorge Navarro-Pérez", "Antonio Fernández-Giménez", "Ana M. Pérez-Navarro", "José L. Trillo", "Ruth Usó", "Elías Ruiz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0091567.t001", "stats"=>{"downloads"=>2, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Main_characteristics_of_the_studies_that_evaluate_clinical_inertia_in_the_diagnosis_of_dyslipidemia_/960299", "title"=>"Main characteristics of the studies that evaluate clinical inertia in the diagnosis of dyslipidemia.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-13 08:24:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/1417947"], "description"=>"<p>Abbreviations: n(%), absolute frequency(relative frequency); TC, total cholesterol; HDL-c, high density lipoprotein cholesterol.</p>", "links"=>[], "tags"=>["cardiovascular", "Clinical research design", "Cross-sectional studies", "Diagnostic medicine", "Non-clinical medicine", "Health care policy", "Health systems strengthening", "Health care providers", "physicians", "Health care quality", "Public health", "Health screening", "preventive medicine", "inertia", "groups", "dyslipidemia", "centers", "spanish"], "article_id"=>960297, "categories"=>["Medicine"], "users"=>["Antonio Palazón-Bru", "Vicente F. Gil-Guillén", "Domingo Orozco-Beltrán", "Vicente Pallarés-Carratalá", "Francisco Valls-Roca", "Carlos Sanchís-Domenech", "José M. Martín-Moreno", "Josep Redon", "Jorge Navarro-Pérez", "Antonio Fernández-Giménez", "Ana M. Pérez-Navarro", "José L. Trillo", "Ruth Usó", "Elías Ruiz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0091567.t002", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Descriptive_analysis_of_inertia_groups_for_dyslipidemia_at_primary_health_care_centers_in_a_Spanish_region_/960297", "title"=>"Descriptive analysis of inertia groups for dyslipidemia at primary health care centers in a Spanish region.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-13 08:24:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/1417948"], "description"=>"<p>Abbreviations: TC, total cholesterol; HDL-c, high density lipoprotein cholesterol; Adj. OR, Adjusted Odds Ratio; CI, Confidence Interval.</p><p>Goodness-of-fit of the inertia models: TC: <i>X<sup>2</sup></i> = 552.7, p<0.001; HDL-c: <i>X</i><sup>2</sup> = 182.9, p<0.001; Combined: <i>X</i><sup>2</sup> = 205.7, p<0.001.</p><p>OR adjusted for gender, atrial fibrillation, hypertension, diabetes mellitus, cardiovascular disease, age groups and the on-line course.</p><p><sup>*</sup>: Reference.</p>", "links"=>[], "tags"=>["cardiovascular", "Clinical research design", "Cross-sectional studies", "Diagnostic medicine", "Non-clinical medicine", "Health care policy", "Health systems strengthening", "Health care providers", "physicians", "Health care quality", "Public health", "Health screening", "preventive medicine", "inertia", "groups", "dyslipidemia", "centers", "spanish"], "article_id"=>960298, "categories"=>["Medicine"], "users"=>["Antonio Palazón-Bru", "Vicente F. Gil-Guillén", "Domingo Orozco-Beltrán", "Vicente Pallarés-Carratalá", "Francisco Valls-Roca", "Carlos Sanchís-Domenech", "José M. Martín-Moreno", "Josep Redon", "Jorge Navarro-Pérez", "Antonio Fernández-Giménez", "Ana M. Pérez-Navarro", "José L. Trillo", "Ruth Usó", "Elías Ruiz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0091567.t003", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Analysis_of_factors_associated_with_inertia_groups_for_dyslipidemia_at_primary_health_care_centers_in_a_Spanish_region_/960298", "title"=>"Analysis of factors associated with inertia groups for dyslipidemia at primary health care centers in a Spanish region.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-13 08:24:15"}

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Relative Metric

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