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British Journal of General Practice

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Research Article

Hyperlipidaemia in general practice: three year follow up of an opportunistic screening project.

J I Mann, B Morgan, M Ball, D Mant, L Jones and I Robertson
British Journal of General Practice 1990; 40 (339): 418-422.
J I Mann
University of Otago, Dunedin, New Zealand.
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B Morgan
University of Otago, Dunedin, New Zealand.
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M Ball
University of Otago, Dunedin, New Zealand.
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D Mant
University of Otago, Dunedin, New Zealand.
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L Jones
University of Otago, Dunedin, New Zealand.
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I Robertson
University of Otago, Dunedin, New Zealand.
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Abstract

As part of the national lipid screening project 927 people with a plasma cholesterol level greater than 6.5 mM were detected by screening 4006 men and women aged 25-59 years. Three years later 801 of the 878 patients eligible for a follow-up study (91%) had been followed up at least once. The median number of follow-up visits was two. The bulk of the workload fell on the nursing staff. The mean decrease in cholesterol level was 8-14% in those receiving dietary advice only, 15-25% in those receiving additional drug treatment and 12% for all patients. A proportion of this decrease must be attributable to regression to the mean, loss to follow up when patients were doing well, and the patients' knowledge of their follow-up date. Data on a group of patients not attending for regular follow up suggest that regression to the mean could account for up to 7% of the cholesterol reduction observed. Screening for hyperlipidaemia in general practice is feasible when the necessary infrastructure is provided, but even with a fairly conservative protocol 3% of those screened received drug treatment.

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British Journal of General Practice: 40 (339)
British Journal of General Practice
Vol. 40, Issue 339
October 1990
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Hyperlipidaemia in general practice: three year follow up of an opportunistic screening project.
J I Mann, B Morgan, M Ball, D Mant, L Jones, I Robertson
British Journal of General Practice 1990; 40 (339): 418-422.

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Hyperlipidaemia in general practice: three year follow up of an opportunistic screening project.
J I Mann, B Morgan, M Ball, D Mant, L Jones, I Robertson
British Journal of General Practice 1990; 40 (339): 418-422.
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Print ISSN: 0960-1643
Online ISSN: 1478-5242