Evidence map›Paper›PMID 32021224›Full record

ReviewVascular health and risk management2020

Barriers to Early Diagnosis and Treatment of Familial Hypercholesterolemia: Current Perspectives on Improving Patient Care.

Rodrigo Alonso, Leopoldo Perez de Isla, Ovidio Muñiz-Grijalvo, Pedro Mata

Open access · goldAbstract readReview
In one paragraph

Review in Vascular health and risk management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Diagnosis of Familial Hypercholesterolemia in Children and Young Adults.International journal of molecular sciences · 2023
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

4 authors at 3 institutions in 2 countries.

Rodrigo AlonsoDepartment of Nutrition, Clínica Las Condes, Santiago, Chile.
Leopoldo Perez de IslaDepartment of Cardiology, Hospital San Carlos, Madrid, Spain.ORCID 0000-0002-9706-7783
Ovidio Muñiz-GrijalvoInternal Medicine Department, Hospital Virgen del Rocío, Sevilla, Spain.
Pedro MataFundación Hipercolesterolemia Familiar, Madrid, Spain.
Clínica Las Condes · CLHospital Clínico San Carlos · ESHospital Universitario Virgen del Rocío · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Familial hypercholesterolemia (FH) is a frequent disorder associated with premature atherosclerotic cardiovascular disease. Different clinical diagnosis criteria are available, and cost of genetic testing has been reduced in the last years; however, most cases are not diagnosed worldwide. Patients with FH are at high cardiovascular risk and the risk can be reduced with lifelong lifestyle and pharmacological treatment. Statins and ezetimibe are available as generic drugs in most countries reducing the cost of treatment. However, the use of high-intensity statins combined with ezetimibe and PCSK9 inhibitors, if necessary, is low for different reasons that contribute to a high number of patients not reaching LDL-C targets according to guidelines. On the other hand, cardiovascular risk varies greatly in families with FH; therefore, risk stratification strategies including cardiovascular imaging is another element to consider for improving care and management of FH. There are numerous barriers depending on the awareness, knowledge, perception of risk, management and care of patients living with FH that impact in the diagnosis and treatment of the disorder. In this contemporary review, we analyze different barriers in the diagnosis and care of patients to improve patients' care and prevention of atherosclerotic cardiovascular disease and describe recent advances and strategies to improve the gaps in the care of FH, including global collaboration and advocacy.

Indexed as

Delivery of Health Care, IntegratedMass ScreeningQuality ImprovementQuality Indicators, Health CareBiomarkersCardiovascular DiseasesCholesterolEarly DiagnosisGenetic Predisposition to DiseaseGenetic TestingHumansHyperlipoproteinemia Type IIPhenotypePredictive Value of TestsPrognosisRisk AssessmentBiomarkersCholesterolcardiovascular riskearly detectionfamilial hypercholesterolemiagenetic testingiPCSK9screening strategiesstatins

Identifiers

PMID32021224
PMCPMC6957097
OpenAlexW3000200356

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.