Results from a practice-based lipid clinic model in achieving low density lipoprotein XXXX goals.

@entity407 @entity1 @entity6 @entity301 @entity165
OBJECTIVE: Lipid clinic models that combine diet and drug therapy have shown significantly better @entity407 management than usual care. The objective is to demonstrate that such a model can be established and utilized in a primary care practice, replicating the results obtained in specialty clinic settings. DESIGN: This study evaluated a "lipid clinic" model for @entity165 management in a primary care setting. SETTING/ @entity1 : @entity1 and @entity1 for both the study and control groups were selected from those with abnormal lipid profiles determined during the course of routine healthcare in community internal medicine group practices. INTERVENTION: Control subjects are those selected by chart review from the practices of four general internists. These physicians treated their @entity1 according to "usual practice". Study subjects are those from another general internal medicine practice who volunteered to enroll in that practice-based "lipid clinic". MEASUREMENT _ RESULTS: This program demonstrated significant reductions in total and low density lipoprotein @entity165 in @entity1 with @entity301 , @entity6 , and @entity1 without @entity301 defined as high and low risk. It used a specialty clinic-based intervention that included diet, medication, and follow-up by nurses and physicians. Almost 90% of all @entity1 were on appropriate drug therapy and achieved therapeutic goals. CONCLUSION: We believe that a primary care practice-based, lipid clinic model employing physician involvement, diet, maximal drug therapy and @entity1 tracking can result in superior achievement of treatment goals.
