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Is the physician's behavior in dyslipidemia diagnosis in accordance with guidelines? Cross-sectional ESCARVAL study

Clinical inertia has been defined as mistakes by the physician in starting or intensifying treatment when indicated. Inertia, therefore, can affect other stages in the healthcare process, like diagnosis. The diagnosis of dyslipidemia requires ≥2 high lipid values, but inappropriate behavior in the d...

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Bibliographic Details
Published in:PloS one 2014-03, Vol.9 (3), p.e91567-e91567
Main Authors: Palazón-Bru, Antonio, Gil-Guillén, Vicente F, Orozco-Beltrán, Domingo, Pallarés-Carratalá, Vicente, Valls-Roca, Francisco, Sanchís-Domenech, Carlos, Martín-Moreno, José M, Redón, Josep, Navarro-Pérez, Jorge, Fernández-Giménez, Antonio, Pérez-Navarro, Ana M, Trillo, José L, Usó, Ruth, Ruiz, Elías
Format: Article
Language:English
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Summary:Clinical inertia has been defined as mistakes by the physician in starting or intensifying treatment when indicated. Inertia, therefore, can affect other stages in the healthcare process, like diagnosis. The diagnosis of dyslipidemia requires ≥2 high lipid values, but inappropriate behavior in the diagnosis of dyslipidemia has only previously been analyzed using just total cholesterol (TC). To determine clinical inertia in the dyslipidemia diagnosis using both TC and high-density lipoprotein cholesterol (HDL-c) and its associated factors. Cross-sectional. All health center visits in the second half of 2010 in the Valencian Community (Spain). 11,386 nondyslipidemic individuals aged ≥20 years with ≥2 lipid determinations. Gender, atrial fibrillation, hypertension, diabetes, cardiovascular disease, age, and ESCARVAL training course. Lipid groups: normal (TC
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0091567