['Cholesterol' guidelines (first revision) of the Dutch College of Family Physicians; response from internal medicine].
The deviations of the revised standard 'Cholesterol' of the Dutch College of General Practitioners from other recent Dutch and European consensus guidelines are disputable in that it advises, only to measure serum lipids if the person will be eligible for treatment with statins according to the risk tables and to omit repeated measurements, since there exist more reasons for serum cholesterol assay: adequate risk estimation for primary prevention without drug treatment, relation between degree of lipid lowering and reduction in risk, estimation of response and compliance during drug treatment and estimation of type of lipid disturbance. Also, repeated serum cholesterol determination improves detection of persons with hereditary hyperlipaemia. Finally, by refraining in advance from treating older persons the possible gains in individual cases are lost.
Stalenhoef
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Universitair Medisch Centrum St. Radboud, afd. Algemeen Interne Geneeskunde, HB Nijmegen.
D000328:Adult; D000367:Age Factors; D000368:Aged; D000924:Anticholesteremic Agents / Q000627:therapeutic use*; D002784:Cholesterol / Q000097:blood*; D006801:Humans; D006937:Hypercholesterolemia / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy*; D006938:Hyperlipoproteinemia Type II / Q000175:diagnosis / Q000188:drug therapy; D007388:Internal Medicine / Q000592:standards*; D008403:Mass Screening / Q000592:standards; D009426:Netherlands; D017410:Practice Guidelines as Topic / Q000592:standards; D018570:Risk Assessment
D000924:Anticholesteremic Agents; D002784:Cholesterol