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Background: Familial hypercholesterolemia (FH) is highly prevalent but <10% of patients have been diagnosed in the US, highlighting the need to increase awareness and control of FH. We conducted a survey of physicians at an academic medical center to assess familiarity with FH and gather input for a clinical decision support (CDS) tool for FH.
Methods: Consultants (Cardiology, Internal and Family Medicine, Endocrinology and Pediatrics) and residents (Internal and Family Medicine) were emailed a survey that queried respondents about a lipid profile typical of FH, prevalence of FH and the need for a CDS tool as well as elements that should be incorporated into the tool.
Results: Of 1166 physicians 203 (17.4%) responded. The main results are summarized in the Table. Only 5% reported being “very familiar with FH”. The majority (85%) identified a lipid panel typical of FH but only 48% correctly identified the prevalence of FH. After adjustment for number of patients seen and years in practice, cardiologists were more likely (OR 2.51, 95% CI 1.21-5.31; P=0.01) to correctly state the prevalence of FH than primary care physicians and more likely (OR 3.92, 95% CI 1.02-20.10; P=0.05) to correctly choose a lipid profile consistent with FH.
Conclusions: Most respondents were able to identify a lipid profile typical for FH but less than half correctly identified the prevalence of FH. Nearly all of the respondents favored the creation of a CDS tool for FH and provided feedback on its design.
Poster Hall, Hall C
Friday, March 17, 2017, 10:00 a.m.-10:45 a.m.
Session Title: Advances in Cholesterol Measurement and Management
Abstract Category: 32. Prevention: Clinical
Presentation Number: 1106-054
- 2017 American College of Cardiology Foundation