The gap between dyslipidemia control perceived by physicians and objective control patterns in Spain

Coronary Heart Disease and Dyslipidemia: A Cross‐Sectional Evaluation of Prevalence, Current Treatment, and Clinical Control in a Large Cohort of Spanish High‐Risk Patients: The PRINCEPS Study

“…In addition to problems associated with lipid‐lowering therapy, several other factors have been identified that increase the relative risk of patients with coronary heart disease (CHD) experiencing a secondary event. These generally relate to the care process and include lack of physician training (inadequate perception of the risks associated with dyslipidemia and the importance of optimal control), time constraints in everyday practice, lack of incentives for the physician, greater focus on acute problems, lack of resources and facilities, and poor understanding of the cost benefits of lipid‐lowering therapy 22,23 …”

“…These generally relate to the care process and include lack of physician training (inadequate perception of the risks associated with dyslipidemia and the importance of optimal control), time constraints in everyday practice, lack of incentives for the physician, greater focus on acute problems, lack of resources and facilities, and poor understanding of the cost benefits of lipid-lowering therapy. 22,23 In order to provide further information regarding CHD and patients at high risk for CHD, we performed a multicenter cross-sectional study in a large cohort of outpatients attended by primary or secondary care physicians across Spain. The main objective of the study was to collect information of patients with CHD and those at high risk for developing CHD according to the NCEP ⁄ ATP III guidelines, 12 with regard to lipid levels, lipid-lowering treatment, and the attainment of target LDL-C levels (<100 mg ⁄ dL).…”

Control del colesterol LDL en pacientes de muy alto riesgo vascular. Algoritmo simplificado para alcanzar objetivos de colesterol LDL «en dos pasos»

“…La falta de acuerdo con las recomendaciones y la falta de formación o habilidades para la aplicación de las recomendaciones pueden asociarse a este fenómeno 32 . Además, se ha observado que los médicos pueden sobreestimar el control de la dislipidemia en muchos de sus pacientes al percibir que tienen controlados más pacientes de los que realmente tienen, lo que puede contribuir a la falta de consecución de objetivos 38 .…”

Dislipidemias: un reto pendiente en prevención cardiovascular. Documento de consenso CEIPC/SEA

“…Sin embargo, só lo uno de cada tres dislipidé micos tratados está controlado de forma adecuada [10][11][12] , en contraste con la percepció n del mé dico (control subjetivo), que elevaba esta cifra hasta el 45% 11 . El grado de control disminuye conforme aumenta el RCV, en parte debido a que los objetivos son má s estrictos en las situaciones de alto RCV 10,12 .…”