PREVALENCE OF DYSLIPIDEMIA IN NEWFOUNDLAND ADULTS: APPROACHES TO ESTIMATION USING ELECTRONIC MEDICAL RECORDS
Introduction Dyslipidemia is a leading risk factor for cardiovascular disease (CVD). Newfoundland and Labrador (NL) has a higher level of CVD mortality than any other province in Canada. This high level may be partially explained by the lipid profiles of people in this province. To our knowledge, th...
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crjcrbmj:10.1136/jech-2013-202386.4 2024-06-23T07:54:46+00:00 PREVALENCE OF DYSLIPIDEMIA IN NEWFOUNDLAND ADULTS: APPROACHES TO ESTIMATION USING ELECTRONIC MEDICAL RECORDS Oake, Justin Asghari, Shabnam Godwin, Marshall Collins, Kayla Aubrey, Kris 2013 http://dx.doi.org/10.1136/jech-2013-202386.4 https://syndication.highwire.org/content/doi/10.1136/jech-2013-202386.4 en eng BMJ Journal of Epidemiology and Community Health volume 67, issue 4, page e1.4-e1 ISSN 0143-005X 1470-2738 journal-article 2013 crjcrbmj https://doi.org/10.1136/jech-2013-202386.4 2024-06-06T04:16:00Z Introduction Dyslipidemia is a leading risk factor for cardiovascular disease (CVD). Newfoundland and Labrador (NL) has a higher level of CVD mortality than any other province in Canada. This high level may be partially explained by the lipid profiles of people in this province. To our knowledge, there is no study in NL or Canada to use electronic medical records (EMR) to assess the prevalence of dyslipidemia. Objectives First, to assess the prevalence of dyslipidemia in NL using Canadian Primary Care Sentinel Surveillance Network (CPCSSN) EMR data. Second, to develop an algorithm that will provide a more accurate estimation of dyslipidemia using EMR data. Methods This is a secondary, cross-sectional analysis of existing data in our province. The study population included all patients aged 20 years or older who lived in NL. The most recent lipid profile (triglyceride, total cholesterol, high density lipoprotein (HDL-C), low density lipoprotein (LDL-C)) available on patients between 1 January 2009 and 31 December 2010 was identified. Independent variables included sex, age, lipid lowering medication use, and presence of comorbid conditions and other risk factors, such as hypertension and diabetes. The sensitivity, specificity, positive predictive value, negative predictive value and κ agreement, were calculated to compare different algorithms (ICD-9 code, laboratory result and lipid lowering medication use) for estimating the prevalence of dyslipidemia. Results This study included 4424 primary healthcare patients. Approximately 42% of patients were considered to have high total cholesterol, almost 36% had unhealthy levels of LDL-C, 25% had low HDL-C, and nearly 25% had high triglycerides. For adults with multiple dyslipidemias, elevated total cholesterol and LDL-C was the most common combination (32.9%), followed by elevated total cholesterol and triglycerides (13.1%). A combination of lipid lowering medication use and laboratory results revealed a sensitivity of 99.4%, and the κ agreement was 0.99 compared with ... Article in Journal/Newspaper Newfoundland The BMJ Canada Newfoundland Journal of Epidemiology and Community Health 67 4 e1.4 e1 |
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The BMJ |
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crjcrbmj |
language |
English |
description |
Introduction Dyslipidemia is a leading risk factor for cardiovascular disease (CVD). Newfoundland and Labrador (NL) has a higher level of CVD mortality than any other province in Canada. This high level may be partially explained by the lipid profiles of people in this province. To our knowledge, there is no study in NL or Canada to use electronic medical records (EMR) to assess the prevalence of dyslipidemia. Objectives First, to assess the prevalence of dyslipidemia in NL using Canadian Primary Care Sentinel Surveillance Network (CPCSSN) EMR data. Second, to develop an algorithm that will provide a more accurate estimation of dyslipidemia using EMR data. Methods This is a secondary, cross-sectional analysis of existing data in our province. The study population included all patients aged 20 years or older who lived in NL. The most recent lipid profile (triglyceride, total cholesterol, high density lipoprotein (HDL-C), low density lipoprotein (LDL-C)) available on patients between 1 January 2009 and 31 December 2010 was identified. Independent variables included sex, age, lipid lowering medication use, and presence of comorbid conditions and other risk factors, such as hypertension and diabetes. The sensitivity, specificity, positive predictive value, negative predictive value and κ agreement, were calculated to compare different algorithms (ICD-9 code, laboratory result and lipid lowering medication use) for estimating the prevalence of dyslipidemia. Results This study included 4424 primary healthcare patients. Approximately 42% of patients were considered to have high total cholesterol, almost 36% had unhealthy levels of LDL-C, 25% had low HDL-C, and nearly 25% had high triglycerides. For adults with multiple dyslipidemias, elevated total cholesterol and LDL-C was the most common combination (32.9%), followed by elevated total cholesterol and triglycerides (13.1%). A combination of lipid lowering medication use and laboratory results revealed a sensitivity of 99.4%, and the κ agreement was 0.99 compared with ... |
format |
Article in Journal/Newspaper |
author |
Oake, Justin Asghari, Shabnam Godwin, Marshall Collins, Kayla Aubrey, Kris |
spellingShingle |
Oake, Justin Asghari, Shabnam Godwin, Marshall Collins, Kayla Aubrey, Kris PREVALENCE OF DYSLIPIDEMIA IN NEWFOUNDLAND ADULTS: APPROACHES TO ESTIMATION USING ELECTRONIC MEDICAL RECORDS |
author_facet |
Oake, Justin Asghari, Shabnam Godwin, Marshall Collins, Kayla Aubrey, Kris |
author_sort |
Oake, Justin |
title |
PREVALENCE OF DYSLIPIDEMIA IN NEWFOUNDLAND ADULTS: APPROACHES TO ESTIMATION USING ELECTRONIC MEDICAL RECORDS |
title_short |
PREVALENCE OF DYSLIPIDEMIA IN NEWFOUNDLAND ADULTS: APPROACHES TO ESTIMATION USING ELECTRONIC MEDICAL RECORDS |
title_full |
PREVALENCE OF DYSLIPIDEMIA IN NEWFOUNDLAND ADULTS: APPROACHES TO ESTIMATION USING ELECTRONIC MEDICAL RECORDS |
title_fullStr |
PREVALENCE OF DYSLIPIDEMIA IN NEWFOUNDLAND ADULTS: APPROACHES TO ESTIMATION USING ELECTRONIC MEDICAL RECORDS |
title_full_unstemmed |
PREVALENCE OF DYSLIPIDEMIA IN NEWFOUNDLAND ADULTS: APPROACHES TO ESTIMATION USING ELECTRONIC MEDICAL RECORDS |
title_sort |
prevalence of dyslipidemia in newfoundland adults: approaches to estimation using electronic medical records |
publisher |
BMJ |
publishDate |
2013 |
url |
http://dx.doi.org/10.1136/jech-2013-202386.4 https://syndication.highwire.org/content/doi/10.1136/jech-2013-202386.4 |
geographic |
Canada Newfoundland |
geographic_facet |
Canada Newfoundland |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
Journal of Epidemiology and Community Health volume 67, issue 4, page e1.4-e1 ISSN 0143-005X 1470-2738 |
op_doi |
https://doi.org/10.1136/jech-2013-202386.4 |
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Journal of Epidemiology and Community Health |
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67 |
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4 |
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e1.4 |
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1802647027718291456 |