Management of dyslipidemia in diabetic patients: The situation in primary health care units

Fonseca, Débora; Lamas, Joana; Duarte, Leonor Luz

doi:10.1016/j.repc.2021.02.013

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…No entanto é realizado de forma insatisfatória em instituições de saúde. Assim, é essencial que se procure incentivar a procura da melhor forma de controle lipídico, como sensibilizar os doentes para aumentar a adesão à terapêutica, de forma a reduzir o risco cardiovascular (FONSECA et al, 2022).…”

Section: Introductionunclassified

Revisão Da Literatura: Impacto Do Controle Lipídico E Glicêmico Sobre a Saúde Cardiovascular

Cardoso¹,

Pacheco²,

Batista³

et al. 2023

RECIMA21

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Pacientes com dislipidemia e diabetes mellitus (DM) do tipo 2 apresentam níveis de triglicerídeos acima do recomendado, e baixos níveis de lipoproteínas de alta densidade (HDL-C) e elevado número de lipoproteínas de baixa densidade (LDL-C). O controle desses percentuais é importante para o controle e prevenção de doenças cardiovasculares. Com isso, o estudo realizou uma pesquisa qualitativa, através da revisão narrativa da literatura não sistemática, em base de dados científicas: Biblioteca Virtual de Saúde (BVS), PUBMED e Science direct. Sendo incluídos 11 estudos que englobam artigos, documentos oficiais e diretrizes sobre a temática, no período de 2017 a 2022. O adoecimento cardiovascular em pacientes com DM aumenta de acordo com as medidas aplicadas, sendo necessário estratégias e tratamento específico para cada indivíduo. Dessa forma, é essencial o tratamento concomitante da hipertensão arterial sistêmica, DM e dislipidemias para diminuir a morbimortalidade ligada às doenças cardiovasculares.

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Section: Introductionunclassified

Revisão Da Literatura: Impacto Do Controle Lipídico E Glicêmico Sobre a Saúde Cardiovascular

Cardoso¹,

Pacheco²,

Batista³

et al. 2023

RECIMA21

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Quality indicators for the primary prevention of cardiovascular disease in primary care: A systematic review

Bam,

Olaiya,

Cadilhac

et al. 2024

PLoS ONE

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Background Primary care is usually the entry point for preventing cardiovascular disease (CVD). Quality indicators can be used to assess and monitor the quality of care provided in a primary care setting. In this systematic review, we aimed to identify, summarise, and assess the methodological quality of indicators reported in the articles for the primary prevention of CVD in primary care. Methods We searched Ovid MEDLINE, Ovid EMBASE, CINAHL Plus, SCOPUS, and grey literature for articles containing quality indicators published in English language. Quality indicators were categorised using the Donabedian framework: Structure (organisation of care), Process (assessment of metabolic risk factors, global risk assessment, lifestyle management, prescription of medications, risk communication/advice, referral), and Outcome (attainment of risk factor targets). Articles were reviewed by two authors, using the Appraisal of Indicators through Research and Evaluation (AIRE) instrument, where a score of ≥50% for each domain indicated strong methodological quality (e.g., stakeholder involvement). Results We identified 282 articles for full-text review; 57 articles were included for extraction. A total of 726 (681 unique) quality indicators were extracted. Three out of four (76%) were process indicators (56 articles), followed by 15% outcome indicators (40 articles), and 9% structure indicators (12 articles). One-third of process indicators were related to the assessment of metabolic risk factors (222/726 indicators, 41 articles), followed by lifestyle management (153/726 indicators, 39 articles), prescription of medications (122/726 indicators, 37 articles), and global risk assessment (27/726, 14 articles). Few indicators were related to risk communication/advice (20/726 indicators, 7 articles) and referral (9/726 indicators, 6 articles). Only 26/57 (46%) articles were found to have strong methodological quality. Conclusion We summarised and appraised the methodological quality of indicators for the primary prevention of CVD. The next step requires prioritising a minimum set of quality indicators to encourage standardised collection and monitoring across countries.

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Management of dyslipidemia in diabetic patients: The situation in primary health care units

Cited by 2 publications

References 5 publications

Revisão Da Literatura: Impacto Do Controle Lipídico E Glicêmico Sobre a Saúde Cardiovascular

Revisão Da Literatura: Impacto Do Controle Lipídico E Glicêmico Sobre a Saúde Cardiovascular

Quality indicators for the primary prevention of cardiovascular disease in primary care: A systematic review

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