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M. Moran, B. Naughton, S. Hughes (1992)
Elderly veterans at risk for nutrition-related cardiovascular disease.Journal of the American Dietetic Association, 92 7
M. Mogadam, Susan Ahmed, A. Mensch, I. Godwin (1990)
Within-person fluctuations of serum cholesterol and lipoproteins.Archives of internal medicine, 150 8
R. Debusk, N. Miller, H. Superko, C. Dennis, Randal Thomas, H. Lew, W. Berger, R. Heller, J. Rompf, D. Gee, Helena Kraemer, A. Bandura, G. Ghandour, M. Clark, R. Shah, Lynda Fisher, C. Taylor (1994)
A Case-Management System for Coronary Risk Factor Modification after Acute Myocardial InfarctionAnnals of Internal Medicine, 120
Watson Je (1988)
The National Cholesterol Education Program: the role of nursing.Cardio-vascular nursing, 24 3
K. Fix, A. Oberman (1992)
Barriers to following National Cholesterol Educational Program guidelines. An appraisal of poor physician compliance.Archives of internal medicine, 152 12
D. Gemson, R. Sloan, P. Messeri, I. Goldberg (1990)
A public health model for cardiovascular risk reduction. Impact of cholesterol screening with brief nonphysician counseling.Archives of internal medicine, 150 5
Fitzsimmons L Shively M (1991)
Research connections: treating hyperlipidemia.J Cardiovasc Nurs, 5
W. Rosser, W. Palmer (1993)
Dissemination of guidelines on cholesterol. Effect on patterns of practice of general practitioners and family physicians in Ontario. Ontario Task Force on the Use and Provision of Medical Services.Canadian family physician Medecin de famille canadien, 39
B. Guido, F. Mocogni (1989)
Hypercholesterolemia as a cardiovascular risk factor: Nursing implicationsCritical Care Nursing Quarterly, 12
Greenland P Maiman LA (1991)
Patterns of physicians' treatments for referral patients from public screening.Am J Prev Med, 7
B. Wolfson, S. Neidlinger (1991)
Nurse entrepreneurship: opportunities in acute care hospitals.Nursing economic$, 9 1
C. Bradshaw, J. Spencer (1990)
Nurse‐run Diabetic Clinics in General PracticeDiabetic Medicine, 7
J. Huebsch (1991)
Educational and behavioral strategies for successful cholesterol management.The Journal of cardiovascular nursing, 5 2
Watson Je (1989)
Nutritional intervention in hyperlipidemia.Progress in Cardiovascular Nursing, 4
C. Finney (1991)
Measurement issues in cholesterol screening: an overview for nurses.The Journal of cardiovascular nursing, 5 2
Veterans Administration Department of Medicine and Surgery (1989)
Cardiovascular Risk Factors Clinics Program
Lesperance J Waters D (1991)
Regression of coronary atherosclerosis: an achievable goal? review of results from recent trials.Am J Med, 91
D. Richlie, S. Winters, A. Prochazka (1991)
Dyslipidemia in veterans. Multiple risk factors may break the bank.Archives of internal medicine, 151 7
G. Seabrook, Donna Karp, D. Schmitt, D. Bandyk, J. Towne (1990)
An outpatient anticoagulation protocol managed by a vascular nurse-clinician.American journal of surgery, 160 5
Timothy Blair, F. Bryant, Stephen Bocuzzi (1988)
Treatment of hypercholesterolemia by a clinical nurse using a stepped-care protocol in a nonvolunteer population.Archives of internal medicine, 148 5
Greg Brown, J. Albers, L. Fisher, Susan Schaefer, Jiin-Tarng Lin, Cheryl Kaplan, X. Zhao, Brad Bisson, V. Fitzpatrick, H. Dodge (1990)
Regression of coronary artery disease as a result of intensive lipid-lowering therapy in men with high levels of apolipoprotein B.The New England journal of medicine, 323 19
W. Friedewald, R. Levy, D. Fredrickson (1972)
Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge.Clinical chemistry, 18 6
(1988)
The Expert Panel. Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults.Arch Intern Med, 148
Memmer Mk (1989)
Hypercholesterolemia. Prevention and control.Progress in Cardiovascular Nursing, 4
D. Hyman, J. Flora, K. Reynolds, M. Johannsson, J. Farquhar (1991)
The impact of public cholesterol screening on diet, general well-being, and physician referral.American journal of preventive medicine, 7 5
Wayne Giles, R. Anda, Diane Jones, M. Serdula, Robert Merritt, Frank DeStefano (1993)
Recent trends in the identification and treatment of high blood cholesterol by physicians. Progress and missed opportunities.JAMA, 269 9
J. Kane, M. Malloy, T. Ports, N. Phillips, James Diehl, R. Havel (1990)
Regression of coronary atherosclerosis during treatment of familial hypercholesterolemia with combined drug regimens.JAMA, 264 23
Veterans Administration Department of Medicine and Surgery (1988)
Use of Cholesterol-Lowering Drugs
D. Goodman, S. Hulley, L. Clark, C. Davis, V. Fuster, J. Larosa, A. Oberman, E. Schaefer, D. Steinberg, W. Brown, S. Grundy, D. Becker, E. Bierman, J. Sooter-Bochenek, R. Mullis, N. Stone, D. Hunninghake, J. Dunbar, H. Ginsberg, D. Illingworth, Harold Sadin, G. Schonfeld, J. Cleeman, H. Brewer, N. Ernst, W. Friedewald, J. Hoeg, B. Rifkind, D. Gordon (1988)
Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. The Expert Panel.Archives of internal medicine, 148 1
Durrington PN (1990)
Secondary hyperlipidemia.Br Med Bull, 46
J. LaROSA (1991)
An update from the National Cholesterol Education Program: implications for nurses.The Journal of cardiovascular nursing, 5 2
Grossman RS Levine MA (1992)
Dietary counseling of hypercholesterolemic patients by internal medicine residents.J Gen Intern Med, 7
D. Jewell, J. Hope (1988)
Evaluation of a nurse-run hypertension clinic in general practice.The Practitioner, 232 1447
Abstract Background: The Cincinnati (Ohio) Department of Veterans Affairs Medical Center Lipid Clinic was established as a collaborative practice to treat patients with substantially elevated serum cholesterol levels referred from the General Internal Medicine Clinic. The Lipid Clinic team (led by a clinical nurse), included a clinical pharmacist, nurse practitioner, dietitian, and clinical psychologist. A consultant cardiologist reviewed all laboratory tests and confirmed therapeutic decisions at a weekly preclinic meeting. Objective: To compare the success of a limited term of treatment in the Lipid Clinic with that of standard physician-based care in the General Internal Medicine Clinic in achieving the goals recommended by the National Cholesterol Education Program I for low-density lipoprotein cholesterol. Methods: A convenience sample of age-matched patients with total cholesterol levels greater than 6.85 mmol/L (265 mg/dL) was selected from each clinic (Lipid Clinic, n=60; General Internal Medicine Clinic, n=60). Fasting lipid profiles were drawn in the free-living state and in the sitting position, and matched by month. Treatment of patients in the Lipid Clinic group consisted of evaluation and treatment of secondary causes of hyperlipidemia, goal setting, and treatment according to the National Cholesterol Education Program I algorithm. Counseling and education were individualized. Outcomes were determined after four visits (12 and 18 months for the Lipid Clinic and General Internal Medicine Clinic groups, respectively). Patients in the two groups had comparable risk factors, including presence of coronary heart disease. Results: After four clinic visits, patients in the Lipid Clinic group were four times more likely to reach a National Cholesterol Education Program I goal of a low-density lipoprotein cholesterol level less than 3.36 mmol/L (130 mg/dL) than were comparable patients in the General Internal Medicine Clinic group (relative risk, 4.1; 95% confidence interval, 1.4 to 12.7; P<.001). Conclusion: These results support multidisciplinary, goal-oriented collaborative practice as an efficacious model of preventive medicine and health care provision.(Arch Intern Med. 1995;155:2330-2335) References 1. The Expert Panel. Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Arch Intern Med . 1988;148:36-69.Crossref 2. Durrington PN. Secondary hyperlipidemia. Br Med Bull . 1990;46:1005-1024. 3. Mogadam M, Ahmed SW, Mensch AH, Godwin MD. Within-person fluctuations of serum cholesterol and lipoproteins. Arch Intern Med . 1990;150:1645-1648.Crossref 4. Friedwald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem . 1972;18:499-502. 5. Veterans Administration Department of Medicine and Surgery. Use of Cholesterol-Lowering Drugs . Cincinnati, Ohio: Dept of Veterans Affairs Medical Center; November 28, 1988. Circular 10-88-145. 6. Veterans Administration Department of Medicine and Surgery. Cardiovascular Risk Factors Clinics Program . Cincinnati, Ohio: Dept of Veterans Affairs Medical Center; May 17, 1989. Clinical Affairs Letter IL 11-89-06. 7. Moran MB, Naughton BJ, Hughes SL. Elderly veterans at risk for nutrition-related cardiovascular disease. J Am Diet Assoc . 1992;92:863-865. 8. Richlie DG, Winters S, Prochazka AV. Dyslipidemia in veterans: multiple risk factors may break the bank. Arch Intern Med . 1991;151:1433-1436.Crossref 9. Gemson DH, Sloan RP, Messeri P, Goldberg IJ. A public health model for cardiovascular risk reduction: impact of cholesterol screening with brief nonphysician counseling. Arch Intern Med . 1990;150:985-989.Crossref 10. Hyman DJ, Flora JA, Reynolds KD, Johannsson MB, Farquhar JW. The impact of public cholesterol screening on diet, general well-being, and physician referral. Am J Prev Med . 1991;7:268-272. 11. Waters D, Lesperance J. Regression of coronary atherosclerosis: an achievable goal? review of results from recent trials. Am J Med . 1991;91( (suppl 1B) ):1B-7S.Crossref 12. Kane JP, Malloy MJ, Ports TA, Phillips NR, Diethl JC, Havel RJ. Regression of coronary atherosclerosis during treatment of familial hypercholesterolemia with combined drug regimens. JAMA . 1990;264:3007-3012.Crossref 13. Brown GB, Albers JJ, Fisher LD, et al. Regression of coronary artery disease as a result of intensive lipid-lowering therapy in men with high levels of apolipoprotein B. N Engl J Med . 1990;323:1289-1298.Crossref 14. Giles WH, Anda RF, Jones DH, Serdula MK, Merritt RK, DeStefano F. Recent trends in the identification and treatment of high blood cholesterol by physicians: progress and missed opportunities. JAMA . 1993;269:1133-1138.Crossref 15. Rosser WW, Palmer WH. Dissemination of guidelines on cholesterol: effect on patterns of practice of general practitioners and family physicians in Ontario: Ontario Task Force on the Use and Provision of Medical Services. Can Fam Phys . 1993;39:280-284. 16. Levine MA, Grossman RS, Darden PM, et al. Dietary counseling of hypercholesterolemic patients by internal medicine residents. J Gen Intern Med . 1992; 7:511-516.Crossref 17. Maiman LA, Greenland P, Hildreth NG, Cox C. Patterns of physicians' treatments for referral patients from public screening. Am J Prev Med . 1991;7: 273-279. 18. Fix KW, Oberman A. Barriers to following national cholesterol educational program guidelines: an appraisal of poor physician compliance. Arch Intern Med . 1992;152:2385-2387.Crossref 19. Watson JE. The National Cholesterol Education Program: the role of nursing. Cardiovasc Nurs . 1988;24:13-18. 20. Watson JE. Nutritional intervention in hyperlipidemia. Prog Cardiovasc Nurs . 1989;4:131-137. 21. Guido BA, Mocogni F. Hypercholesterolemia as a cardiovascular risk factor: nursing implications. Crit Care Nurs Q . 1989;12:73-91.Crossref 22. Heubsch JA. Educational and behavioral strategies for successful cholesterol management. J Cardiovasc Nurs . 1991;5:44-54.Crossref 23. Wolfson B, Neidlinger SH. Nurse entrepreneurship opportunities in acute care hospitals. Nurs Econ . 1991;9:40-43. 24. Memmer MK. Hypercholesterolemia: prevention and control. Prog Cardiovasc Nurs . 1989;4:40-48. 25. LaRosa JH. An update from the national cholesterol education program: implications for nurses. J Cardiovasc Nurs . 1991;5:1-9.Crossref 26. Shively M, Fitzsimmons L, Verderber A. Research connections: treating hyperlipidemia. J Cardiovasc Nurs . 1991;5:55-57.Crossref 27. Finney CP. Measurement issues in cholesterol screening: an overview for nurses. J Cardiovasc Nurs . 1991;5:10-22.Crossref 28. Jewell D, Hope J. Evaluation of a nurse-run hypertension clinic in general practice. Practitioner . 1988:232:484-487. 29. Bradshaw C, Spencer J. Nurse-run diabetic clinics in general practice. Diabet Med . 1990;7:572-573.Crossref 30. Seabrook GR, Karp D, Schmitt DD, Bandyk DF, Towne JB. An outpatient anticoagulation protocol managed by a vascular nurse-clinician. Am J Surg . 1990; 160:501-505.Crossref 31. DeBusk RF, Miller NH, Superko HR, et al. A case management system for coronary risk factor modification after acute myocardial infarction. Ann Intern Med . 1994;120:721-729.Crossref 32. Blair TP, Bryant J, Bocuzzi S. Treatment of hypercholesterolemia by a clinical nurse using a stepped-care protocol in a nonvolunteer population. Arch Intern Med . 1988;148:1046-1048.Crossref
Archives of Internal Medicine – American Medical Association
Published: Nov 27, 1995
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