在博茨瓦纳接受蛋白酶抑制剂治疗的hiv感染者中,胆固醇筛查和他汀类药物处方较低。

The Open AIDS Journal Pub Date : 2017-06-30 eCollection Date: 2017-01-01 DOI:10.2174/1874613601711010045
M Mosepele, V Letsatsi, L Mokgatlhe, F P Hudson, R Gross
{"title":"在博茨瓦纳接受蛋白酶抑制剂治疗的hiv感染者中,胆固醇筛查和他汀类药物处方较低。","authors":"M Mosepele,&nbsp;V Letsatsi,&nbsp;L Mokgatlhe,&nbsp;F P Hudson,&nbsp;R Gross","doi":"10.2174/1874613601711010045","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Little is known about the use of statin for cardiovascular disease (CVD) risk reduction among HIV-infected patients on protease inhibitors (PI`s) in sub-Saharan Africa (SSA).</p><p><strong>Objective: </strong>Cholesterol screening and statin use were retrospectively assessed among HIV-infected participants on PI`s between 2008 and 2012 at a large urban HIV clinic in Botswana.</p><p><strong>Methods: </strong>Proportion of participants screened per year was calculated and statin indication was assessed using atherosclerosis CVD (ASCVD) and Framingham risk (FRS) scores as of the year 2012 guidelines.</p><p><strong>Results: </strong>Cholesterol screening ranged between 19% and 30% per year (2008-2011) but increased to 80% after study enrollment. The rate of hypercholesterolemia (> 5.0 mmol/L) was 31% in 2012. Fewer than 1% participants were on statin therapy but 14.3% and 9.4% had statins indicated by ASCVD and FRS respectively.</p><p><strong>Conclusion: </strong>The high proportion of participants indicated for, but not prescribed statins highlights a substantial gap in the care to reduce CVD risk among these patients.</p>","PeriodicalId":515834,"journal":{"name":"The Open AIDS Journal","volume":"11 ","pages":"45-51"},"PeriodicalIF":0.0000,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5543697/pdf/","citationCount":"8","resultStr":"{\"title\":\"Cholesterol Screening and Statin Prescription is Low Among HIV-Infected Patients on Protease-Inhibitor Regimens in Botswana.\",\"authors\":\"M Mosepele,&nbsp;V Letsatsi,&nbsp;L Mokgatlhe,&nbsp;F P Hudson,&nbsp;R Gross\",\"doi\":\"10.2174/1874613601711010045\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Little is known about the use of statin for cardiovascular disease (CVD) risk reduction among HIV-infected patients on protease inhibitors (PI`s) in sub-Saharan Africa (SSA).</p><p><strong>Objective: </strong>Cholesterol screening and statin use were retrospectively assessed among HIV-infected participants on PI`s between 2008 and 2012 at a large urban HIV clinic in Botswana.</p><p><strong>Methods: </strong>Proportion of participants screened per year was calculated and statin indication was assessed using atherosclerosis CVD (ASCVD) and Framingham risk (FRS) scores as of the year 2012 guidelines.</p><p><strong>Results: </strong>Cholesterol screening ranged between 19% and 30% per year (2008-2011) but increased to 80% after study enrollment. The rate of hypercholesterolemia (> 5.0 mmol/L) was 31% in 2012. Fewer than 1% participants were on statin therapy but 14.3% and 9.4% had statins indicated by ASCVD and FRS respectively.</p><p><strong>Conclusion: </strong>The high proportion of participants indicated for, but not prescribed statins highlights a substantial gap in the care to reduce CVD risk among these patients.</p>\",\"PeriodicalId\":515834,\"journal\":{\"name\":\"The Open AIDS Journal\",\"volume\":\"11 \",\"pages\":\"45-51\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-06-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5543697/pdf/\",\"citationCount\":\"8\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Open AIDS Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2174/1874613601711010045\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2017/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Open AIDS Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/1874613601711010045","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2017/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 8

摘要

背景:在撒哈拉以南非洲(SSA)使用蛋白酶抑制剂(PI’s)的hiv感染患者中,使用他汀类药物降低心血管疾病(CVD)风险的情况知之甚少。目的:回顾性评估2008年至2012年在博茨瓦纳一家大型城市HIV诊所接受PI检查的HIV感染者的胆固醇筛查和他汀类药物使用情况。方法:计算每年筛查的参与者比例,并根据2012年指南使用动脉粥样硬化CVD (ASCVD)和Framingham风险(FRS)评分评估他汀类药物适应症。结果:每年(2008-2011年)胆固醇筛查率在19% - 30%之间,但在研究入组后增加到80%。2012年高胆固醇血症(> 5.0 mmol/L)发生率为31%。不到1%的参与者接受他汀类药物治疗,但14.3%和9.4%的参与者分别接受ASCVD和FRS适应症的他汀类药物治疗。结论:高比例的参与者表示,但没有开他汀类药物,这表明在降低这些患者心血管疾病风险的护理方面存在巨大差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Cholesterol Screening and Statin Prescription is Low Among HIV-Infected Patients on Protease-Inhibitor Regimens in Botswana.

Cholesterol Screening and Statin Prescription is Low Among HIV-Infected Patients on Protease-Inhibitor Regimens in Botswana.

Background: Little is known about the use of statin for cardiovascular disease (CVD) risk reduction among HIV-infected patients on protease inhibitors (PI`s) in sub-Saharan Africa (SSA).

Objective: Cholesterol screening and statin use were retrospectively assessed among HIV-infected participants on PI`s between 2008 and 2012 at a large urban HIV clinic in Botswana.

Methods: Proportion of participants screened per year was calculated and statin indication was assessed using atherosclerosis CVD (ASCVD) and Framingham risk (FRS) scores as of the year 2012 guidelines.

Results: Cholesterol screening ranged between 19% and 30% per year (2008-2011) but increased to 80% after study enrollment. The rate of hypercholesterolemia (> 5.0 mmol/L) was 31% in 2012. Fewer than 1% participants were on statin therapy but 14.3% and 9.4% had statins indicated by ASCVD and FRS respectively.

Conclusion: The high proportion of participants indicated for, but not prescribed statins highlights a substantial gap in the care to reduce CVD risk among these patients.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信