XXXX prevalence in a laboratory initiated screening program.

@entity1 @entity301 @entity2299 @entity1674 @entity4977 @entity165
OBJECTIVE: Evaluate utilization and diagnosis rates in a self-pay, self-referred screening program for @entity2299 . DESIGN: 301 @entity1 self-referred to the clinical laboratory for lipid testing in a two-year period. The @entity1 population that participated was characterized in terms of insurance status, gender, age, and known cardiovascular risk factors. Lipid profiles were characterized as measured by total @entity165 , @entity1674 (TGs), low-density lipoprotein @entity165 (LDL), high-density lipoprotein @entity165 (HDL), and total @entity165 to HDL risk factor. SETTING: Clinical laboratory in an academic medical center. @entity1 : Data from all @entity1 that self-selected for screening were included. INTERVENTIONS: Immediate laboratory results with both verbal and written interpretations and recommendations were provided to the @entity1 . MAIN OUTCOME MEASURES: Age, gender, insurance status, number of known risk factors, and lipid profiles in the subject group. RESULTS: The mean age of @entity1 was 57 years. @entity1 (197) outnumbered @entity1 (104) by almost 2:1; most (94%) had health insurance. At presentation, 44% of the @entity1 had more than one risk factor for @entity301 ( @entity301 ). 151 individuals (50%) had lipid findings that would require at least dietary intervention by NCEP guidelines. CONCLUSION: A self-pay, self-referred screening program for @entity4977 is an effective means of improving screening and diagnosis rates. @entity1 with insurance were willing to pay for the convenience offered and @entity1 in particular were more likely to self-refer than @entity1 , independent of previous knowledge of risk factors or @entity4977 .
