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Implementation of lipid screening guidelines in children by primary pediatric providers.
Dixon, Damon B; Kornblum, Annabel P; Steffen, Lyn M; Zhou, Xia; Steinberger, Julia.
Afiliação
  • Dixon DB; Division of Cardiology, Department of Pediatrics, University of Minnesota, Minneapolis, MN.
  • Kornblum AP; Division of Cardiology, Department of Pediatrics, University of Minnesota, Minneapolis, MN.
  • Steffen LM; Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN.
  • Zhou X; Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN.
  • Steinberger J; Division of Cardiology, Department of Pediatrics, University of Minnesota, Minneapolis, MN. Electronic address: stein055@umn.edu.
J Pediatr ; 164(3): 572-6, 2014 Mar.
Article em En | MEDLINE | ID: mdl-24252785
OBJECTIVE: To assess the awareness and implementation of lipid guidelines among primary pediatric providers. STUDY DESIGN: An online survey was administered to primary pediatric providers (n = 1488): pediatricians, family medicine/general practitioners, and advanced practitioners (nurse practitioners/physician assistants) in Minnesota. The survey was conducted over 12 weeks in 2012-2013. A multiple-choice questionnaire was used to evaluate the participants' knowledge, screening, and management attitudes regarding pediatric lipid guidelines. RESULTS: The overall response rate was 39% (n = 548 of 1402 successful e-mails). Respondents were primarily pediatricians and family medicine practitioners (37% each), followed by general practitioners (11%) and advanced practitioners (nurse practitioners, 5.5%; physician assistants, 1.6%). Although 74% of providers reportedly believed that lipid screening and treatment would reduce future cardiovascular risk, 34% performed no screening, 50% screened selectively, and only 16% performed universal screening. Pediatricians were more likely to screen, with 30% performing universal screening and 41% performing selective screening. Among perceived barriers to screening, providers reported uneasiness addressing lipid disorders (43%), and unfamiliarity with screening guidelines (31%). The majority (83%) were uncomfortable managing lipid disorders, and 57% were opposed to the use of lipid-lowering medications in children. CONCLUSION: These findings underscore the need to further educate providers and supply easily accessible information on the screening and treatment of childhood lipid disorders.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Padrões de Prática Médica / Atitude do Pessoal de Saúde / Programas de Rastreamento / Dislipidemias / Padrões de Prática em Enfermagem / Lipídeos Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Screening_studies Aspecto: Implementation_research Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: J Pediatr Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Padrões de Prática Médica / Atitude do Pessoal de Saúde / Programas de Rastreamento / Dislipidemias / Padrões de Prática em Enfermagem / Lipídeos Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Screening_studies Aspecto: Implementation_research Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: J Pediatr Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos