Table 2.
Features of different lipid screening strategies for adults43
| Test | Reliability | Accuracy | Patient Acceptability |
Feasibility for Providers |
|---|---|---|---|---|
| Nonfasting TC | Intermediate | Lower | Higher | Higher |
| Nonfasting TC/HDL |
Lower | Intermediate | Higher | Intermediate |
| LDL/HDL ratio requires fasting TC, HDL, triglicerides |
Higher | Intermediate | Lower | Intermediate |
| Nonfasting TC + HDL and NCEP guidelines |
Intermediate | Intermediate | Intermediate | Lower |
| Nonfasting TC + HDL with calculation of Framingham risk |
Intermediate | Higher | Intermediate | Lower |
TC: total cholesterol
HDL: high-density lipoproteins
LDL: low-density lipoproteins
NCEP: National Cholesterol Education Pane;
From: Helfand M, Carson S. Screening for lipid disorders in adults: selective update of 2001 US Preventive Services Task Force Review. AHRQ Publication. 2008;49.