Evidence map›Paper›PMID 24704195›Full record

ArticleAtencion primaria2015

[Diagnosis and treatment of familial hypercholesterolemia in Spain: consensus document].

Pedro Mata, Rodrigo Alonso, Antonio Ruiz, Jose R Gonzalez-Juanatey, Lina Badimón, Jose L Díaz-Díaz, María Teresa Muñoz, Ovidio Muñiz, Enrique Galve, Luis Irigoyen and 4 more

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in Atencion primaria, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Genetics of Dyslipidemia.Arquivos brasileiros de cardiologia · 2016
    Article
  11. [Severe aortic stenosis and familial hypercholesterolemia].Archivos peruanos de cardiologia y cirugia cardiovascular
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 11 institutions in 1 country.

Pedro MataMedicina Interna, Presidente de la Fundación Hipercolesterolemia Familiar, Madrid, España. Electronic address: pmata@colesterolfamiliar.org.
Rodrigo AlonsoClínica de Lípidos, Medicina Interna, Fundación Jiménez Díaz, Madrid, España.
Antonio RuizAtención Primaria, Unidad de Lípidos y Prevención Cardiovascular, Centro de Salud Pinto, Pinto, Madrid, España.
Jose R Gonzalez-JuanateyServicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España.
Lina BadimónInstituto Catalán de Ciencias Cardiovasculares (ICCC), IIB-Sant Pau, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
Jose L Díaz-DíazServicio de Medicina Interna, Hospital Universitario A Coruña, A Coruña, España.
María Teresa MuñozServicio de Endocrinología, Hospital Infantil Universitario Niño Jesús, Departamento de Pediatría, Universidad Autónoma, Madrid, España.
Ovidio MuñizUCERV, UCAMI, Servicio de Medicina Interna, Hospital Virgen del Rocío, Sevilla, España.
Enrique GalveUnitat d'Insuficiència Cardiaca, Servei de Cardiologia, Àrea del Cor, Hospital Vall d'Hebron, Barcelona, España.
Luis IrigoyenDepartamento de Endocrinología, Hospital Universitario Araba, Vitoria-Gasteiz, España.
Francisco Fuentes-JiménezIMIBIC/Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, España.
Jaime DalmauPediatría, Hospital Infantil La Fe, Valencia, España.
Francisco Pérez-JiménezIMIBIC/Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, España.
otros colaboradores
Complejo Hospitalario Universitario de Santiago · ESComplexo Hospitalario Universitario A Coruña · ESHospital de Sant Pau · ESHospital Infantil Universitario Niño Jesús · ESHospital Materno-Infantil · ESHospital Universitario Araba · ESHospital Universitario Fundación Jiménez Díaz · ESHospital Universitario Reina Sofía · ESHospital Universitario Virgen del Rocío · ESUniversity of Córdoba · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Familial hypercholesterolemia (FH) is a common genetic disorder, clinically manifested since birth, and associated with very high levels of plasma LDL-cholesterol (LDL-c), xanthomas, and premature coronary heart disease. Its early detection and treatment reduces coronary morbidity and mortality. Despite effective treatment being available, FH is under-diagnosed and under-treated. Identification of index cases and cascade screening using LDL-c levels and genetic testing are the most cost-effective strategies for detecting new cases and starting early treatment. Long-term treatment with statins has decreased the vascular risk to the levels of the general population. LDL-c targets are < 130 mg/dL for children and young adults, <100mg/dL for adults, and < 70 mg/dL for adults with known coronary heart disease or diabetes. Most patients do not to reach these goals, and combined treatments with ezetimibe or other drugs may be necessary. When the goals are not achieved with the maximum tolerated drug treatment, a reduction ≥ 50% in LDL-c levels can be acceptable. Lipoprotein apheresis can be useful in homozygous, and in treatment-resistant severe heterozygous, cases. This Consensus Paper gives recommendations on the diagnosis, screening, and treatment of FH in children and adults, and specific advice to specialists and general practitioners with the objective of improving the clinical management of these patients, in order to reduce the high burden of coronary heart disease.

Indexed as

AlgorithmsHumansHyperlipoproteinemia Type IIPractice Guidelines as TopicSpainCardiovascular diseaseCascade screeningChildren-adolescentsCribado en cascadaDiagnóstico genéticoEnfermedad cardiovascularFamilial hypercholesterolemiaGenetic testingHipercolesterolemia familiarHipercolesterolemia familiar homocigotaHomozygous familial hypercholesterolemiaNiños-adolescentesTratamientoTreatment

Identifiers

PMID24704195
PMCPMC6983801
OpenAlexW2133118644

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.