A service evaluation: impact of nurse-led regional familial hypercholesterolaemia service on a hospital adult lipid clinic.

Wilkinson, Benjamin, George, Elaine, Horton, Sally, Bellaby, Judith, Min, San San and Gama, Rousseau (2020) A service evaluation: impact of nurse-led regional familial hypercholesterolaemia service on a hospital adult lipid clinic. British journal of nursing (Mark Allen Publishing), 29 (20). pp. 1206-1208. ISSN 0966-0461. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: https://www.magonlinelibrary.com/doi/abs/10.12968/...

Abstract

The authors evaluated the impact of genetic screening for familial hypercholesterolaemia (FH) in a lipid clinic cohort of patients with definite and possible FH as defined by the Simon Broome Register (SBR) criteria.

METHODS

Patients with a lipid clinic diagnosis of definite and possible FH based on the SBR criteria were referred to a nurse-led regional service for FH genetic testing.

FINDINGS

140 patients were referred for genetic testing. Six had SBR-definite FH due to the presence of tendon xanthomata and 134 had SBR-possible FH. A monogenic FH mutation was detected in all six patients (100%) with SBR-definite FH and in 34 (25%) of patients with possible FH.

CONCLUSION

The appropriate use of molecular genetics in a lipid clinic will greatly facilitate the management of hyperlipidaemia and cardiovascular risk since the management of FH patients (National Institute for Health and Care Excellence (NICE) Clinical Guideline 71) is different from non-FH patients (NICE Clinical Guideline 181).

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: W Public health. Health statistics. Occupational health. Health education
WD Diseases and disorders of systemic, metabolic or environmental origin > WD10 Diet and nutrition
Divisions: Clinical Support
Related URLs:
Depositing User: Mrs Yolande Brookes
Date Deposited: 13 Nov 2020 17:27
Last Modified: 13 Nov 2020 17:27
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3671

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