title: Adherence with the National Cholesterol Education Program guidelines in men with chronic spinal cord injury.
abstract: OBJECTIVE
  Describe the management of dyslipidemia and adherence to the National Cholesterol Educational Program (NCEP) guidelines in men with Spinal Cord Injury (SCI).
  
  
  METHODS
  Cross-sectional study of a consecutive sample of men with SCI presenting to a single site for coronary heart disease (CHD) risk assessment.
  
  
  METHODS
  Men age 45 to 70 with traumatic SCI (ASIA A, B, and C) at least 10 years prior to participation in the study with no prior history of clinical CHD. Medical history, blood-pressure, and fasting lipid panel were used to calculate risk for CHD using NCEP guidelines and the Framingham Risk Score (FRS). Adherence to treatment recommendations and adequacy of control were assessed based on the NCEP guidelines.
  
  
  RESULTS
  38 men were assessed; 15/38 (39.5%, 95% CI: 24.0-56.6%) had dyslipidemia, defined as an LDL-C above their LDL-C treatment threshold (n=6) or being on treatment for dyslipidemia (n=9, for a 60% treatment rate (9/15, 95% CI: 32.3-83.7%)). Of the 9 individuals on treatment, 6 (66.7%) met their treatment goals (for a 40% overall control rate (6/15, 95% CI: 16.3-67.7%)). Dyslipidemia was well controlled in low risk individuals, but control was less common in higher risk individuals.
  
  
  CONCLUSIONS
  Dyslipidemia is common in men age 45-70 with chronic SCI and no evidence of clinical cardiovascular disease. Rates of treatment and control of dyslipidemia in this population are far from optimal, especially among the intermediate- and high-risk groups.
authors.affiliation: Physical Medicine and Rehabilitation, Carolinas Rehabilitation, Charlotte, NC 28203, USA. Jesse.Lieberman@Carolinashealthcare.org
authors.forename: Jesse A
authors.initials: JA
authors.lastname: Lieberman
authors.forename: Flora M
authors.initials: FM
authors.lastname: Hammond
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Barringer
authors.forename: David C
authors.initials: DC
authors.lastname: Goff
authors.forename: H James
authors.initials: HJ
authors.lastname: Norton
authors.forename: William L
authors.initials: WL
authors.lastname: Bockenek
authors.forename: William M
authors.initials: WM
authors.lastname: Scelza
mesh_terms: D000368:Aged; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D050171:Dyslipidemias / Q000097:blood / Q000453:epidemiology* / Q000628:therapy*; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D008055:Lipids / Q000097:blood; D008074:Lipoproteins / Q000097:blood; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000592:standards* / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012307:Risk Factors; D013119:Spinal Cord Injuries / Q000453:epidemiology*
chemical_list: D008055:Lipids; D008074:Lipoproteins