Lipid Management Guidelines from the Departments of Veteran Affairs and Defense: A Critique [Review]
Lipid Management Guidelines from the Departments of Veteran Affairs and Defense: A Critique [Review]
- 2016
Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - present
Copyright © 2016 Elsevier Inc. All rights reserved. In December 2014, the US Department of Veterans Affairs and Department of Defense (VA/DoD) published an independent clinical practice guideline for the management of dyslipidemia and cardiovascular disease risk, adding to the myriad of recently published guidelines on this topic. The VA/DoD guidelines differ from major US guidelines published by the American College of Cardiology/American Heart Association in 2013 in the following ways: recommending moderate-intensity statins for the majority of patients with statin indications regardless of atherosclerotic cardiovascular disease risk; advocating for limited on-treatment lipid monitoring; and deemphasizing ancillary data, such as coronary artery calcium testing, to improve atherosclerotic cardiovascular disease risk estimation. In the context of manifold treatment recommendations from numerous guideline committees, the VA/DoD recommendations may generate further confusion and mixed messages among healthcare providers about the optimal treatment of dyslipidemia. In this review, we critically appraise the VA/DoD recommendations with a focus on the evidence base for each area where the VA/DoD guidelines differ from the American College of Cardiology/American Heart Association guidelines. We also call for harmonization of lipid treatment guidelines to ensure high-quality and consistent care for patients with, and at risk for, atherosclerotic cardiovascular disease.
English
0002-9343
*Dyslipidemias/pc [Prevention & Control]
*Hydroxymethylglutaryl-CoA Reductase Inhibitors/tu [Therapeutic Use]
*Practice Guidelines as Topic
*United States Department of Defense/st [Standards]
*United States Department of Veterans Affairs/st [Standards]
Biomarkers/an [Analysis]
Calcium/an [Analysis]
Cardiovascular Diseases/pc [Prevention & Control]
Coronary Vessels/ch [Chemistry]
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors/ad [Administration & Dosage]
Lipids/bl [Blood]
United States
MedStar Franklin Square Medical Center
Medicine
Journal Article
Review
Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - present
Copyright © 2016 Elsevier Inc. All rights reserved. In December 2014, the US Department of Veterans Affairs and Department of Defense (VA/DoD) published an independent clinical practice guideline for the management of dyslipidemia and cardiovascular disease risk, adding to the myriad of recently published guidelines on this topic. The VA/DoD guidelines differ from major US guidelines published by the American College of Cardiology/American Heart Association in 2013 in the following ways: recommending moderate-intensity statins for the majority of patients with statin indications regardless of atherosclerotic cardiovascular disease risk; advocating for limited on-treatment lipid monitoring; and deemphasizing ancillary data, such as coronary artery calcium testing, to improve atherosclerotic cardiovascular disease risk estimation. In the context of manifold treatment recommendations from numerous guideline committees, the VA/DoD recommendations may generate further confusion and mixed messages among healthcare providers about the optimal treatment of dyslipidemia. In this review, we critically appraise the VA/DoD recommendations with a focus on the evidence base for each area where the VA/DoD guidelines differ from the American College of Cardiology/American Heart Association guidelines. We also call for harmonization of lipid treatment guidelines to ensure high-quality and consistent care for patients with, and at risk for, atherosclerotic cardiovascular disease.
English
0002-9343
*Dyslipidemias/pc [Prevention & Control]
*Hydroxymethylglutaryl-CoA Reductase Inhibitors/tu [Therapeutic Use]
*Practice Guidelines as Topic
*United States Department of Defense/st [Standards]
*United States Department of Veterans Affairs/st [Standards]
Biomarkers/an [Analysis]
Calcium/an [Analysis]
Cardiovascular Diseases/pc [Prevention & Control]
Coronary Vessels/ch [Chemistry]
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors/ad [Administration & Dosage]
Lipids/bl [Blood]
United States
MedStar Franklin Square Medical Center
Medicine
Journal Article
Review