지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1,266 - 1,272 (7page)
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초록· 키워드
오류제보하기
Participation in a screening program by itself may not improve clinical outcomes. Treatment gaps in the program may limit its full benefit. We evaluated statin prescription rates for subjects with sustained hypercholesterolemia to assess the treatment gaps in the National Health Screening Program (NHSP) in Korea. A retrospective, random cohort was established among National Health Insurance Corporation (NHIC) members. Finally, we examined 465,499 individuals who attended the NHSP from 2003 to 2010 without any history of dyslipidemia, statin prescription, or hospitalization for cardiovascular events until the end of 2002. The subsequent statin prescription rates were identified from the NHIC medical service claim database from 2003 to 2011. Descriptive data and odds ratio from multivariate logistic analyses on statin prescription rates and the corresponding correlations were evaluated. The NHSP detected 114,085 (24.5%) cases of newly diagnosed hypercholesterolemia. However, only 8.6% of these received statin prescription within 6 months of diagnosis. For cases of sustained hypercholesterolemia determined in the next screening visit by the NHSP, the statin prescription rate increased, but only to 12.2%. Statin prescriptions were more common among females, older individuals, and hypertension or diabetes patients. Furthermore, the statin prescription rates had increased over the study period. The NHSP exhibited low statin prescription rate which has been improving. For the NHSP to be effective, it would be worthwhile to decrease the gap between the diagnosis of hypercholesterolemia and the following treatment.
목차
등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
World Health Organization / 2011 / Global status report on noncommunicable diseases 2010
Lloyd-Jones DM / 1999 / Lifetime risk of developing coronary heart disease / Lancet 353:89~92
이기홍 / 2013 / New Horizons of Acute Myocardial Infarction: From the Korea Acute Myocardial Infarction Registry / Journal of Korean Medical Science 28(2):173~180
2001 / Expert Panel on Detection E, and Treatment of High Blood Cholesterol in Adults. Executive summary of the third report of The National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III) / JAMA 285:2486~2497
Ebrahim S / 2012 / Statins for all by the age of 50 years? / Lancet 380:545~547
Lloyd-Jones DM / 1999 / Lifetime risk of developing coronary heart disease / Lancet 353:89~92
이기홍 / 2013 / New Horizons of Acute Myocardial Infarction: From the Korea Acute Myocardial Infarction Registry / Journal of Korean Medical Science 28(2):173~180
2001 / Expert Panel on Detection E, and Treatment of High Blood Cholesterol in Adults. Executive summary of the third report of The National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III) / JAMA 285:2486~2497
Ebrahim S / 2012 / Statins for all by the age of 50 years? / Lancet 380:545~547
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