西班牙改善心血管健康和治疗血脂异常的策略。专家见解项目。

IF 1.9 Q3 PERIPHERAL VASCULAR DISEASE Clinica e Investigacion en Arteriosclerosis Pub Date : 2024-09-19 DOI:10.1016/j.arteri.2024.08.007
Juan Pedro-Botet, Román Freixa, Juan José Tamarit, José López-Miranda, Rosa Fernández-Olmo, Ovidio Muñiz-Grijalvo, Rafael Vázquez-García, Carlos Guijarro, Luis Rodríguez-Padial, José Luis Díaz-Díaz, Marisol Bravo-Amaro, José Luís Hernández, José Antonio Alarcón-Duque, José Alfredo Martin-Armas, Martín García-López, Juan Cosín-Sales
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引用次数: 0

摘要

目的:收集西班牙临床医生对心血管健康的意见、建议和改进意见:收集西班牙临床医生对心血管(CV)健康,尤其是血脂异常管理的意见、建议和改进方案:专家视角 "项目在西班牙各地举行了 8 次面对面会议,共有 138 名心血管健康专家参加。临床医生回答了与 CV 健康和血脂异常控制有关的 25 个问题。每次会议都包括对现实情况和有待改进之处的分析和讨论:结果:72%的中心在患者出院后对其进行了标准化的监测,但只有 37% 的中心在临床随访期间对患者进行了监测。患者护理和管理依赖于医生,医院专科和初级保健(PC)之间缺乏协调。95% 的临床医生认为有必要将治疗优化标准化。65%的医疗中心在冠心病发作后处方联合降脂治疗。更新《治疗定位报告》中的 cLDL 水平,实现处方文件的标准化和全球化,将减少 iPCSK9 处方障碍,使患者更公平地获得治疗:西班牙在血脂异常管理方面存在严重缺陷,亟需就规范管理流程和优化患者治疗达成共识。西班牙临床医生对心血管健康的意见、建议和改进方案是改善现状的重要起点。
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Strategies to improve cardiovascular health and treatment of dyslipidemia in Spain. Expert Insights Project.

Objectives: To gather opinions, recommendations, and proposals for improvement from Spanish clinicians on cardiovascular (CV) health, with particular focus on dyslipidemia management.

Methods: The Expert Insights project involved 8face-to-face sessions held throughout Spain, attended by 138 CV health experts. Clinicians answered to 25 questions survey related to CV health and dyslipidemia control. Each session included an analysis and a discussion on the perceived realities and areas for improvement.

Results: 72% of centers have a standardized process for monitoring patients after a CV episode at discharge, but only 37% during their clinical follow-up. Patient care and management are dependent on the physician, with a lack of coordination between hospital specialties and primary care (PC). 95% of clinicians believe it is necessary to standarize treatment optimization. 65% of centers prescribe combined lipid-lowering treatment after a CV episode. Updating cLDL levels in the Therapeutic Positioning Report and standardizing and globalizing the prescription document would reduce iPCSK9 prescription barriers and lead to more equitable access.

Conclusions: In Spain, there are significant deficiencies in the management of dyslipidemia, with a great need for a consensus on standardizing management processes and optimizing patient treatment. The opinions, recommendations, and improvement proposals from Spanish clinicians on CV health are an important starting point to improve the situation.

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来源期刊
Clinica e Investigacion en Arteriosclerosis
Clinica e Investigacion en Arteriosclerosis PERIPHERAL VASCULAR DISEASE-
CiteScore
3.20
自引率
6.20%
发文量
44
审稿时长
40 days
期刊介绍: La publicación idónea para acceder tanto a los últimos originales de investigación como a formación médica continuada sobre la arteriosclerosis y su etiología, epidemiología, fisiopatología, diagnóstico y tratamiento. Además, es la publicación oficial de la Sociedad Española de Arteriosclerosis.
期刊最新文献
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