Archives of the Turkish Society of Cardiology
Evaluation of Perceptions, Knowledge and Compliance with tHE Guidelines in Real Life Practice: A survey on the Under-treatment of HypercholeSterolemia [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-39293 | DOI: 10.5543/tkda.2019.39293

Evaluation of Perceptions, Knowledge and Compliance with tHE Guidelines in Real Life Practice: A survey on the Under-treatment of HypercholeSterolemia

volkan doğan1, ozcan basaran1, BÜLENT ÖZLEK1, oğuzhan çelik1, EDA ÖZLEK1, CEM ÇİL1, ibrahim halil özdemir2, Ibrahim Rencüzoğulları3, FATMA ÖZPAMUK KARADENİZ4, lütfü bekar5, mujdat aktas6, Mubariz Murat Resulzade7, Macit Kalçık5, gökhan aksan8, Göksel Çinier9, Kadriye Halli akay10, Kadir ugur mert11, MURAT BİTEKER1, Meral Kayikcioglu12
1Department of Cardiology, Muğla Sıtkı Koçman University Faculty of Medicine, Muğla, Turkey
2Department Of Cardiology, Nizip State Hospital, Gaziantep, Turkey
3Department Of Cardiology, Kafkas University Faculty Of Medicine, Kars, Turkey
4Department Of Cardiology, Erzurum Regional Training And Research Hospital, Erzurum, Turkey
5Department Of Cardiology, Hitit University Faculty Of Medicine, Çorum, Turkey
6Department Of Cardiology, Kocaeli University Faculty Of Medicine Regional Training And Research Hospital, Kocaeli, Turkey
7Department Of Cardiology, Private Hospitalpark Hospital Kocaeli, Turkey
8Department Of Cardiology, Sıslı Hamıdıye Etfal Research And Training Hospital, Istanbul, Turkey
9Department Of Cardiology, Dr. Siyami Ersek Thoracic And Cardiovascular Surge... Istanbul, Turkey
10Department Of Cardiology, Kocaeli State Hospital,kocaeli, Turkey
11Department Of Cardiology, Eskişehir Osmangazi University Faculty Of Medicine, Eskişehir, Turkey
12Department of Cardiology, Ege University Faculty of Medicine, İzmir, Turkey


OBJECTIVE
Few studies have directly assessed the suboptimal management of dyslipidemia in Turkey. This study was conducted to assess patients’ understanding and perception of high cholesterol and physcians’ knowledge and awareness on cholesterol regarding lipid
management strategies.

METHODS
The study is an observational and multicenter study (NCT02608645). Consecutive patients admitted to the cardiology clinics who were at least 18 years of age and and who are in the secondary prevention (SP) group and very high, high-risk primary prevention (PP) group were enrolled.

RESULTS
The study population included 1868 patients from 40 sites in Turkey.Two thirds (67.5%) of patients had been prescribed statin in the SP group, whereas only 30.1 % of the PP patients received statin therapy (p <0.001). The percentage of patients who were at the low-density lipoprotein cholesterol (LDL-C) recommended level was 10.6 % for those on PP, 18% for those on SP (p<0.001). The patient-specific survey revealed that almost half of the patients in the PP and in the SP groups were aware that their cholesterol levels were high. Negative information about statin treatment disseminated by media programs (9.4%) was the most common reason for treatment discontinuation.

CONCLUSIONS
Perceptions, knowledge, and compliance with the guidelines for PP and SP in real-life practice have increased, but it is far below the desired levels. Patients and physcians should have more information about the treatment of hyperlipidemia. Also, controlling media programs can prevent patients from misinforming.

Keywords: Lipid, statin therapy, Turkey.

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Corresponding Author: volkan doğan, Türkiye
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