התמחויות

Community Based Collaborative Health Care Program Appears Effective For Lowering Cholesterol Levels

06/07/2002
By Veronica Rose

Cholesterol management can be improved in high-risk patients through community-based intervention programs, say Canadian researchers.

 Although evidence existed relative to the efficacy of lowering cholesterol levels, practical application was rather less efficient.

Clinicians and pharmacists across Canada and in Iowa, United States, designed a study to determine the efficacy of a community-based intervention program involving pharmacists, physicians and patients at high risk for cardiovascular incidents.

 During the years 1998-2000, a randomised controlled trial was undertaken in 58 community pharmacies, involving 675 patients with atherosclerotic disease, diabetes mellitus and another risk factor with potential for cardiovascular events.

Those randomised to pharmacist intervention received education in addition to a brochure on risk factors. They also were given point of care cholesterol measurement, referral to their physician and regular follow-up for a period of 16 weeks.

Additionally, the patients’ primary care physicians received a faxed form, identifying risk factors and giving any suggestions. Patients who were recipient of normal care received the same brochure, general advice and minimal follow-up.

The result of a fasting cholesterol panel defined the primary end point with the addition to or increased dose of cholesterol lowering medication.

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