Synopsis of an integrated guidance for enhancing the care of familial hypercholesterolaemia: an Australian perspective
| Autor: | Nicholas Pachter, Annette Pedrotti, Allison C Morton, Michael M. Page, David R. Sullivan, Ann Marie Woodward, Amanda J Hooper, Stjepana Maticevic, Luke Elias, Peter M Clifton, Shubha Srinivasan, Zanfina Ademi, Natalie C Ward, Gemma A. Figtree, Christian R Hamilton-Craig, Christina A Bursill, Kathryn E Waddell-Smith, Trevor A Mori, John R Burnett, Catherine Spinks, Elif I Ekinci, John Irvin, Jing Pang, Sam Mirzaee, Ronald J. Trent, Peter Brett, Carl J Schultz, Paul Lacaze, Anthony C Keech, David M Colquhoun, Russell S Scott, Ari Horton, Ingrid Winship, Justin J Ardill, Gerald F. Watts, Nicola K. Poplawski, Peter J Psaltis, Edward D Janus, Charlotte Hespe, Andrew Wilson, Christopher Semsarian, Joanna C Moullin, Jan Radford, Jacqueline Dm Ryan, Jacquie Garton-Smith, Clara K Chow, Frank van Bockxmeer, Clare Heal, Alex Brown, Stephen J. Nicholls, Stephen Ch Li, Dorothy F Graham, Andrew B Kirke, David L Hare, Lawrence J Beilin, Timothy R Bates, Brett H Forge, Nadarajah Kangaharan, Laurence G. Howes, Leon A Simons, Tom Brett, Damon A. Bell, Elizabeth N Robertson, Mitchell Sarkies, Warrick Bishop, Robert N. Justo, Nicola J Reid, Jodie Ingles, Paul J. Nestel, Harvey D White, Wendy Barnett, Richard C O'Brien, Kirsten Lambert, Karam Kostner, Campbell V Kyle, J Andrew Black, Alison Colley, Ian Hamilton-Craig, Brendan M McQuillan, W. L. Malan, Andrew Tonkin, Kristen J. Nowak, Leonard Kritharides, Andrew J. Martin |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Care Health care medicine Adults Diseases of the circulatory (Cardiovascular) system PCSK9 Inhibitors Children Genetic testing Government medicine.diagnostic_test business.industry Prevention PCSK9 Public health Service design Perspective (graphical) General Medicine Management Practice Guideline Family medicine RC666-701 Guidance Public aspects of medicine RA1-1270 business Familial hypercholesterolaemia Corrigendum |
| Zdroj: | Am J Prev Cardiol American Journal of Preventive Cardiology, Vol 6, Iss, Pp 100151-(2021) American Journal of Preventive Cardiology |
| ISSN: | 2666-6677 |
| Popis: | Summary Introduction Familial hypercholesterolaemia (FH) is a common, heritable and preventable cause of premature coronary artery disease, with significant potential for positive impact on public health and healthcare savings. New clinical practice recommendations are presented in an abridged guidance to assist practitioners in enhancing the care of all patients with FH. Main recommendations Core recommendations are made on the detection, diagnosis, assessment and management of adults, children and adolescents with FH. There is a key role for general practitioners (GPs) working in collaboration with specialists with expertise in lipidology. Advice is given on genetic and cholesterol testing and risk notification of biological relatives undergoing cascade testing for FH; all healthcare professionals should develop skills in genomic medicine. Management is under-pinned by the precepts of risk stratification, adherence to healthy lifestyles, treatment of non-cholesterol risk factors, and appropriate use of low-density lipoprotein (LDL)-cholesterol lowering therapies, including statins, ezetimibe and proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors. Recommendations on service design are provided in the full guidance. Potential impact on care of FH These recommendations need to be utilised using judicious clinical judgement and shared decision making with patients and families. Models of care need to be adapted to both local and regional needs and resources. In Australia new government funded schemes for genetic testing and use of PCSK9 inhibitors, as well as the National Health Genomics Policy Framework, will enable adoption of these recommendations. A broad implementation science strategy is, however, required to ensure that the guidance translates into benefit for all families with FH. |
| Databáze: | OpenAIRE |
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