Abstract
General practitioners are being encouraged to participate in preventive care, including preventing coronary heart disease. Now that they can measure cholesterol concentrations in their surgeries they need to decide which patients should be screened. Several reports on measuring cholesterol concentrations in the United Kingdom were reviewed to see if experts agreed about who ought to be screened. The results showed that currently no national consensus exists, making it difficult for general practitioners to plan policies for their patients.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anggard E. E., Land J. M., Lenihan C. J., Packard C. J., Percy M. J., Ritchie L. D., Shepherd J. Prevention of cardiovascular disease in general practice: a proposed model. Br Med J (Clin Res Ed) 1986 Jul 19;293(6540):177–180. doi: 10.1136/bmj.293.6540.177. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Broughton P. M., Bullock D. G., Cramb R. Quality of plasma cholesterol measurements in primary care. BMJ. 1989 Feb 4;298(6669):297–298. doi: 10.1136/bmj.298.6669.297. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fowler G. Coronary heart disease prevention: a general practice challenge. J R Coll Gen Pract. 1988 Sep;38(314):391–392. [PMC free article] [PubMed] [Google Scholar]
- Hart J. T. Reduction of blood cholesterol levels in the population: can it be done? J R Coll Gen Pract. 1986 Dec;36(293):538–539. [PMC free article] [PubMed] [Google Scholar]
- Kinlay S. High cholesterol levels: is mass screening the best option? Med J Aust. 1988 Jun 20;148(12):635–637. doi: 10.5694/j.1326-5377.1988.tb116339.x. [DOI] [PubMed] [Google Scholar]
- Natelson B. H., Tapp W. N., Munsif A., Burns W. Fluctuating serum cholesterol: implications for coronary prevention. Lancet. 1988 Aug 13;2(8607):404–405. doi: 10.1016/s0140-6736(88)92883-8. [DOI] [PubMed] [Google Scholar]
- Shepherd J., Betteridge D. J., Durrington P., Laker M., Lewis B., Mann J., Miller J. P., Reckless J. P., Thompson G. R. Strategies for reducing coronary heart disease and desirable limits for blood lipid concentrations: guidelines of the British Hyperlipidaemia Association. Br Med J (Clin Res Ed) 1987 Nov 14;295(6608):1245–1246. doi: 10.1136/bmj.295.6608.1245. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smith W. C., Kenicer M. B., Davis A. M., Evans A. E., Yarnell J. Blood cholesterol: is population screening warranted in the UK? Lancet. 1989 Feb 18;1(8634):372–373. doi: 10.1016/s0140-6736(89)91736-4. [DOI] [PubMed] [Google Scholar]