TY - JOUR
T1 - Implementation of lipid screening guidelines in children by primary pediatric providers
AU - Dixon, Damon B.
AU - Kornblum, Annabel P.
AU - Steffen, Lyn M.
AU - Zhou, Xia
AU - Steinberger, Julia
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2014/3
Y1 - 2014/3
N2 - Objective To assess the awareness and implementation of lipid guidelines among primary pediatric providers. Study design An online survey was administered to primary pediatric providers (n = 1488): pediatricians, family medicine/general practitioners, and advanced practitioners (nurse practitioners/physician assistants) in Minnesota. The survey was conducted over 12 weeks in 2012-2013. A multiple-choice questionnaire was used to evaluate the participants' knowledge, screening, and management attitudes regarding pediatric lipid guidelines. Results The overall response rate was 39% (n = 548 of 1402 successful e-mails). Respondents were primarily pediatricians and family medicine practitioners (37% each), followed by general practitioners (11%) and advanced practitioners (nurse practitioners, 5.5%; physician assistants, 1.6%). Although 74% of providers reportedly believed that lipid screening and treatment would reduce future cardiovascular risk, 34% performed no screening, 50% screened selectively, and only 16% performed universal screening. Pediatricians were more likely to screen, with 30% performing universal screening and 41% performing selective screening. Among perceived barriers to screening, providers reported uneasiness addressing lipid disorders (43%), and unfamiliarity with screening guidelines (31%). The majority (83%) were uncomfortable managing lipid disorders, and 57% were opposed to the use of lipid-lowering medications in children. Conclusion These findings underscore the need to further educate providers and supply easily accessible information on the screening and treatment of childhood lipid disorders.
AB - Objective To assess the awareness and implementation of lipid guidelines among primary pediatric providers. Study design An online survey was administered to primary pediatric providers (n = 1488): pediatricians, family medicine/general practitioners, and advanced practitioners (nurse practitioners/physician assistants) in Minnesota. The survey was conducted over 12 weeks in 2012-2013. A multiple-choice questionnaire was used to evaluate the participants' knowledge, screening, and management attitudes regarding pediatric lipid guidelines. Results The overall response rate was 39% (n = 548 of 1402 successful e-mails). Respondents were primarily pediatricians and family medicine practitioners (37% each), followed by general practitioners (11%) and advanced practitioners (nurse practitioners, 5.5%; physician assistants, 1.6%). Although 74% of providers reportedly believed that lipid screening and treatment would reduce future cardiovascular risk, 34% performed no screening, 50% screened selectively, and only 16% performed universal screening. Pediatricians were more likely to screen, with 30% performing universal screening and 41% performing selective screening. Among perceived barriers to screening, providers reported uneasiness addressing lipid disorders (43%), and unfamiliarity with screening guidelines (31%). The majority (83%) were uncomfortable managing lipid disorders, and 57% were opposed to the use of lipid-lowering medications in children. Conclusion These findings underscore the need to further educate providers and supply easily accessible information on the screening and treatment of childhood lipid disorders.
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U2 - 10.1016/j.jpeds.2013.10.027
DO - 10.1016/j.jpeds.2013.10.027
M3 - Article
C2 - 24252785
AN - SCOPUS:84894368604
SN - 0022-3476
VL - 164
SP - 572
EP - 576
JO - Journal of Pediatrics
JF - Journal of Pediatrics
IS - 3
ER -