血脂异常观测站:治疗高胆固醇血症在西班牙,背景和杠杆改善临床实践

Juan Cosín-Sales , Raquel Campuzano Ruiz , José Luis Díaz Díaz , Carlos Escobar Cervantes , María Rosa Fernández Olmo , Juan José Gómez-Doblas , José María Mostaza , Juan Pedro-Botet , Núria Plana Gil , Pedro Valdivielso
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摘要

简介和目的血脂异常的治疗在临床实践中表现出广泛的可变性和重要的局限性,使得降脂目标更难实现。了解这些患者在临床实践中的管理是了解现有障碍的关键,并根据最新的临床实践指南确定有助于实现治疗目标的行动。方法观察站收集的信息是基于常规临床实践和西班牙参与治疗血脂异常的医疗保健专业人员的经验。这些信息是由卫生部门通过以下方式收集的:(i)与三个不同的医学专家面对面会面;(ii)与高胆固醇血症患者管理相关的定量信息(特设问卷)。信息包括患者概况、援助负担、使用的指南和方案、目标实现、临床实践中的限制和机会。结果计划纳入145个保健领域,来自西班牙17个自治区的435名保健专业人员将参与其中。信息收集将产生来自4000多名患者的汇总数据。结论:本观察站旨在了解高胆固醇血症在西班牙的常规临床实践中的治疗情况。尽管初步结果显示了血脂异常治疗的重要改进领域,但也确定了推动健康结果优化变化的机制。
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Dyslipidemia observatory: Treatment of hypercholesterolemia in Spain, context and levers for improvement in clinical practice

Introduction and objectives

The treatment of dyslipidemia exhibits wide variability in clinical practice and important limitations that make lipid-lowering goals more difficult to attain. Getting to know the management of these patients in clinical practice is key to understand the existing barriers and to define actions that contribute to achieving the therapeutic goals from the most recent Clinical Practice Guidelines.

Methods

Observatory where the information gathered is based on routine clinical practice and the experience from the healthcare professionals involved in the treatment of dyslipidemia in Spain. The information is collected by health area through: (i) face-to-face meeting with three different medical specialties and (ii) quantitative information related to hypercholesterolemia patients’ management (ad-hoc questionnaire). Information includes patients’ profiles, assistance burden, guidelines and protocols used, goal attainment, limitations and opportunities in clinical practice.

Results

145 health areas are planned to be included, with the participation of up to 435 healthcare professionals from the 17 Autonomous Regions of Spain. Information collection will result in aggregated data from over four thousand patients.

Conclusions

This Observatory aims to understand how hypercholesterolemia is being treated in routine clinical practice in Spain. Even though the preliminary results show important improvement areas in the treatment of dyslipidemias, mechanisms to drive a change towards health outcomes optimization are also identified.

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