title: Simplified lipid guidelines: Prevention and management of cardiovascular disease in primary care.
abstract: OBJECTIVE
  To develop clinical practice guidelines for a simplified approach to primary prevention of cardiovascular disease (CVD), concentrating on CVD risk estimation and lipid management for primary care clinicians and their teams; we sought increased contribution from primary care professionals with little or no conflict of interest and focused on the highest level of evidence available.
  
  
  METHODS
  Nine health professionals (4 family physicians, 2 internal medicine specialists, 1 nurse practitioner, 1 registered nurse, and 1 pharmacist) and 1 nonvoting member (pharmacist project manager) comprised the overarching Lipid Pathway Committee (LPC). Member selection was based on profession, practice setting, and location, and members disclosed any actual or potential conflicts of interest. The guideline process was iterative through online posting, detailed evidence review, and telephone and online meetings. The LPC identified 12 priority questions to be addressed. The Evidence Review Group answered these questions. After review of the answers, key recommendations were derived through consensus of the LPC. The guidelines were drafted, refined, and distributed to a group of clinicians (family physicians, other specialists, pharmacists, nurses, and nurse practitioners) and patients for feedback, then refined again and finalized by the LPC.
  
  
  CONCLUSIONS
  Recommendations are provided on screening and testing, risk assessments, interventions, follow-up, and the role of acetylsalicylic acid in primary prevention.
  
  
  CONCLUSIONS
  These simplified lipid guidelines provide practical recommendations for prevention and treatment of CVD for primary care practitioners. All recommendations are intended to assist with, not dictate, decision making in conjunction with patients.
authors.affiliation: Professor and Director of Evidence-based Medicine in the Department of Family Medicine at the University of Alberta in Edmonton and Director of the Evidence and CPD program of the Alberta College of Family Physicians. mgallan@ualberta.ca.
authors.forename: G Michael
authors.initials: GM
authors.lastname: Allan
authors.affiliation: Knowledge Translation and Evidence Coordinator for the Alberta College of Family Physicians and Associate Clinical Professor in the Department of Family Medicine at the University of Alberta.
authors.forename: Adrienne J
authors.initials: AJ
authors.lastname: Lindblad
authors.affiliation: Primary Care Manager and a nurse practitioner for the Edmonton Southside Primary Care Network.
authors.forename: Ann
authors.initials: A
authors.lastname: Comeau
authors.affiliation: Clinical Assistant Professor in the Department of Family Medicine in the Cumming School of Medicine at the University of Calgary in Alberta.
authors.forename: John
authors.initials: J
authors.lastname: Coppola
authors.affiliation: Family physician in Grande Prairie, Alta.
authors.forename: Brianne
authors.initials: B
authors.lastname: Hudson
authors.affiliation: Assistant Clinical Professor and Clinic Preceptor in the Department of Family Medicine at the University of Alberta.
authors.forename: Marco
authors.initials: M
authors.lastname: Mannarino
authors.affiliation: Clinical Practice Leader in Pharmacy Services for Alberta Health Services in Wainwright, Alta.
authors.forename: Cindy
authors.initials: C
authors.lastname: McMinis
authors.affiliation: Associate Professor in Clinical Epidemiology, Clinical Pharmacology, and General Internal Medicine and Director of the Hypertension Clinic at the University of Alberta.
authors.forename: Raj
authors.initials: R
authors.lastname: Padwal
authors.affiliation: Virtual care nurse for MyHome Health pilot project in the Sherwood Park-Strathcona County Primary Care Network in Alberta.
authors.forename: Christine
authors.initials: C
authors.lastname: Schelstraete
authors.affiliation: Associate Professor of Medicine and Head of the Division of General Internal Medicine in the Faculty of Medicine at the University of Calgary and Section Chief of General Internal Medicine for the Alberta Health Services Calgary Zone.
authors.forename: Kelly
authors.initials: K
authors.lastname: Zarnke
authors.affiliation: Associate Professor in the Department of Family Medicine at the University of Alberta.
authors.forename: Scott
authors.initials: S
authors.lastname: Garrison
authors.affiliation: Clinical pharmacist at Saint-Vincent Hospital in Ottawa, Ont.
authors.forename: Candra
authors.initials: C
authors.lastname: Cotton
authors.affiliation: Associate Professor in the Department of Family Medicine at the University of Alberta.
authors.forename: Christina
authors.initials: C
authors.lastname: Korownyk
authors.affiliation: Professor in the Faculty of Pharmaceutical Sciences at the University of British Columbia in Vancouver.
authors.forename: James
authors.initials: J
authors.lastname: McCormack
authors.affiliation: Coordinator of the Evidence and CPD program of the Alberta College of Family Physicians.
authors.forename: Sharon
authors.initials: S
authors.lastname: Nickel
authors.affiliation: Associate Professor in the Department of Family Medicine at the University of Alberta.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Kolber
mesh_terms: D002318:Cardiovascular Diseases / Q000517:prevention & control* / Q000628:therapy*; D019468:Disease Management; D006801:Humans; D008055:Lipids / Q000097:blood*; D008403:Mass Screening; D011320:Primary Health Care / Q000592:standards*; D012307:Risk Factors; D013038:Specialization
chemical_list: D008055:Lipids