Adult patients with dyslipidemia diagnosed since <2 years were eligible for this study. Demographic, diagnosis and disease characteristics, and treatment procedures were collected.\n\nResults. – Three thousand six hundred and twenty-four patients were enrolled by 1226 physicians, and data from 3268 patients meeting the selection criteria were analyzed. Mean age was 57 years old, 64% were
male. More than 45% of the patients were overweight, 26% were obese. Only 12% of the patients had no cardiovascular risk factor at the time of dyslipidemia diagnosis. The most frequent cardiovascular risk factors constisted in arterial hypertension (50%), smoking (43%), family antecedents of coronary disease (28%). HDL-cholesterol less than 0.4 gfL (20%); 15% of the patients had personal antecedents of cardiovascular disease.\n\nInitial management CHIR-99021 research buy of dyslipidemia included implementation of lifestyle changes for 98% of the patients. More than 90% of the patients GW4869 mw were treated with a statin. The median time for implementation
of hypolipemiant treatment was 2.9 months. The hypolipemiant treatment was initiated more than 3 months after dyslipidemia diagnosis for 43% of the patients.\n\nThe main determinant factor of an early implementation of hypolipemiant treatment (<= 3 months) was secondary prevention (OR=2.2). The number of cardiovascular risk factors had no significant impact.\n\nConclusion. – This study highlights the lack of awareness towards the number of cardiovascular risk factors in the management of dyslipidemia, in primary prevention. (C) 2011 Elsevier Masson SAS. All rights reserved.”
“Background: Pulmonary function testing is a key procedure in the work-up
of patients who are suspected of having asthma and chronic obstructive lung disease (COPD). Therein, clinical visits and pulmonary function tests (PFTs) are the major contributors to the overall financial costs.\n\nThe aim of this study was to assess whether a specific diagnostic test protocol contributes to the optimization of the work-up of patients who are suspected JNK-IN-8 chemical structure of having asthma and COPD.\n\nMethods: A prospective, single-blind, and randomized controlled study was performed. In the control group (CG), all of the PFTs that were ordered by the lung specialist were carried out. In the experimental group (EG), specific PFTs were selected according to our protocol. The primary end point was the total cost of achieving a final diagnosis.\n\nResults: One hundred and seventy-nine patients were included into this study: 86 in the CG and 93 in the EG. The mean number of tests to diagnosis was 3.8 in the CG versus 2.9 in the EG (P < 0.001). The mean number of redundant PFTs before diagnosis was 1.2 in the CG versus 0.08 in the EG (P < 0.001). The number of patients who required an additional outpatient visit to complete diagnosis was higher in the CG in comparison to the EG (P = 0.02).