Navigation Links
Letter from doctor boosts cholesterol medication use
Date:11/15/2012

Chicago --- In a new study, Northwestern Medicine researchers found that patients at high risk for cardiovascular disease (CVD) are more likely to receive a prescription for cholesterol-lowering medication, and to achieve lower long-term cholesterol levels, when doctors use electronic health records (EHRs) to deliver personalized risk assessments via mail.

"It is important to get high priority preventive care messages to patients in a variety of ways," said Stephen Persell, MD, assistant professor of general internal medicine and geriatrics at Feinberg, and first author on the paper. "Sending a mailed message that depicts one's actual cardiovascular risk may lead some patients to action even though talking about treating cholesterol with their physician did not."

The paper was published in the Journal of General Internal Medicine.

CVD remains the number one cause of death globally, and is the leading cause of death for both men and women in the United States. High blood pressure, high LDL cholesterol and smoking are well-known key risk factors for heart disease, and about half of Americans (49 percent) have at least one of these three risk factors.

However, according to the study's authors, risk assessment is not performed often in primary care, and doctors may have inaccurate perceptions of patients' risks.

Persell and the Northwestern team believed the use of EHRs to automatically identify candidates for risk-reducing interventions would result in better care delivered directly to patients. They enrolled 29 physicians and 435 eligible patients in the study, and assigned 14 physicians with 218 eligible patients to the test, or intervention, group.

"This is the first study that took a population-wide approach to identifying all patients who might benefit from this kind of an intervention in a primary care setting," said Persell. "Prior studies have only tried this kind of approach with select groups of patients."

Working with the Northwestern Medical Enterprise Data Warehouse, a sophisticated EHR data repository developed jointly by Northwestern University, Northwestern Memorial Hospital, and the Northwestern Memorial Faculty Foundation, researchers identified a pool of at-risk patients who were not being treated with cholesterol-lowering drugs.

Physicians in the test group received automated notification of these high-risk patients, who were then mailed personalized risk assessments. The assessments encouraged them to discuss risk-lowering options with their physicians.

Ultimately, those in the test group were twice as likely as the control group to receive a prescription for lipid-lowering medication, and after extended follow-up 18 months later, 22 percent had lowered their cholesterol significantly (by 30 mg/dl or more) vs. 16.1 percent of controls.

Though these tactics improved results compared to usual care with no follow-up messages, Persell believes there is still room for improvement.

"Many patients who had increased cardiovascular risk and got the risk message sent to them still did not get their cholesterol lowered. Future studies can examine if repeated exposure to these messages leads to bigger changes over time," he said.

Persell said an ongoing study is currently testing whether a similar approach combined with telephone outreach can help patients in federally qualified community health centers control their cardiovascular disease risk.

Approaches like this can also be tested to speed adoption of the new preventive cardiology guidelines from the National Institutes of Health once the guidelines are released.

Feinberg's Donald Lloyd-Jones, MD, senior associate dean for clinical and translational research and chair of preventive medicine, and David Baker, chief of medicine-general internal medicine and geriatrics, were also co-authors on the study.


'/>"/>

Contact: Marla Paul
marla-paul@northwestern.edu
312-503-8928
Northwestern University
Source:Eurekalert

Related medicine news :

1. US Drug Watchdog Now Offers To Get A Free Legal Review For All DePuy ASR Recipients Who Received A Letter From Broadspire About Their Recalled DePuy Hip Implant
2. Study finds doctors have exaggerated fears when starting patients on insulin
3. Doctors Detail High Costs of Fighting Malpractice Claims
4. Callahan honored for improving older adults health in their doctors offices
5. A fish a day keeps the doctor away?
6. Doctors Urge Routine Skin Screenings
7. AMA committee recommendations on doctor fees set by Medicare are followed 9 times out of 10
8. Doctors Restore Some Hand Function to Quadriplegic Patient
9. Men Can Still Ask for PSA Test, and Some Should, Doctors Say
10. Female Doctors Earn Less Than Male Counterparts: Study
11. Male doctors make $12K more per year than female doctors
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/23/2017)... (PRWEB) , ... February 23, 2017 , ... ... organization devoted exclusively to funding innovative lymphoma research and serving the lymphoma community ... will return to the La Gorce Country Club in Miami Beach to host ...
(Date:2/23/2017)... ... 2017 , ... Los Angeles-based weight loss surgeon Michael Feiz, M.D., F.AC.S. will ... to Hot,” which will begin airing on February 24, 2017. The show chronicles the ... 2012 reality television series, “Here Comes Honey Boo Boo.” The earlier series from TLC ...
(Date:2/23/2017)... IPSWICH, Mass. (PRWEB) , ... February 23, 2017 ... ... chosen as an approved content provider for the National Institute for Health ... care and social care-related organizations in the National Health Service (NHS) to search, ...
(Date:2/23/2017)... Denver, Colorado (PRWEB) , ... February 23, 2017 ... ... Dialog Magazine, an exciting, new, interactive publication where generations converge and explore the ... to expand their worldview, Dialog Magazine enables readers to gain understanding, increase empathy, ...
(Date:2/23/2017)... ... 23, 2017 , ... Healthcare Research & Analytics® (HRA®) in ... against cancer, has produced a seminal study that asked cancer survivors and their ... in a webinar, Defining Compassionate Care Through the Voices of Patients and Advocates ...
Breaking Medicine News(10 mins):
(Date:2/23/2017)... , Feb 23, 2017 Research and ... Devices Market Analysis & Trends - Industry Forecast to 2025" ... ... grow at a CAGR of around 9.2% over the next decade ... report analyzes the market estimates and forecasts for all the given ...
(Date:2/23/2017)... SAN DIEGO , Feb. 23, 2017 /PRNewswire/ ... MBVX), a clinical-stage oncology drug development company, announces ... Food and Drug Administration (FDA) authorizing the initiation ... a therapeutic treatment for pancreatic cancer. MVT-1075 ( ... antibody radioimmunotherapy (RIT). MabVax plans to initiate the ...
(Date:2/23/2017)... Orthopedic and cardiac devices will continue ... patterns lead to an increasing prevalence of musculoskeletal ... injuries, chronic back problems, heart valve replacement, and ... future of medical implants faces many uncertainties. ... more: - What types of medical implants ...
Breaking Medicine Technology: