{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:51:05Z","timestamp":1753887065544,"version":"3.41.2"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2020,5,5]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">The American Heart Association and American College of Cardiology guidelines defined patient\u2010management groups that would benefit from lowering of low\u2010density lipoprotein cholesterol (LDL\u2010C). We assessed gaps in dyslipidemia care among employees and spouses with health benefits.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              We studied 17\u00a0889 employees and spouses who were covered by an employer\u2010sponsored health plan and participated in an annual health assessment. Using medical claims, laboratory tests, and risk assessment questionnaires, we found that 43% of participants were in one of 4 patient\u2010management groups: secondary prevention, severe hypercholesterolemia (\n              <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\n              \u2010C \u2265190\u00a0mg\/dL at least once in the preceding 5\u00a0years), diabetes mellitus, or elevated 10\u2010year risk of cardiovascular disease. To assess gaps in dyslipidemia care, we used\n              <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\n              \u2010C \u226470\u00a0mg\/dL as the goal for both the secondary prevention group and those in the elevated 10\u2010year risk group with &gt;20% risk; LDL\u2010C \u2264100\u00a0mg\/dL was used for the other groups. Among those in patient\u2010management groups, 27.3% were in the secondary prevention group, 7.4% were in the severe hypercholesterolemia group, 29.9% were in the diabetes mellitus group, and 35.4% were in the elevated 10\u2010year risk group. About 74% of those in patient\u2010management groups had above\u2010goal\n              <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\n              \u2010C levels, whereas only 31% had evidence of a lipid\u2010lowering therapy in the past 6\u00a0months: 45% in the secondary prevention group, 31% in the severe hypercholesterolemia group, 36% in the diabetes mellitus group, and 17% in the elevated 10\u2010year risk group.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              The substantial gaps in\n              <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\n              \u2010C treatment and goal attainment among members of an employer\u2010sponsored medical plan who were mostly aware of their\n              <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\n              \u2010C levels indicate the need for gap\u2010closure initiatives.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.119.015807","type":"journal-article","created":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T09:12:06Z","timestamp":1587546726000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Gaps in Dyslipidemia Care Among Working\u2010Aged Individuals With Employer\u2010Sponsored Health Care"],"prefix":"10.1161","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1845-7397","authenticated-orcid":false,"given":"Dov","family":"Shiffman","sequence":"first","affiliation":[{"name":"Quest Diagnostics Nichols Institute San Juan Capistrano CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judy Z.","family":"Louie","sequence":"additional","affiliation":[{"name":"Quest Diagnostics Nichols Institute San Juan Capistrano CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James J.","family":"Devlin","sequence":"additional","affiliation":[{"name":"Quest Diagnostics Nichols Institute San Juan Capistrano CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua W.","family":"Knowles","sequence":"additional","affiliation":[{"name":"Stanford Cardiovascular Medicine and Cardiovascular Institute and the FH Foundation Stanford CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"McPhaul","sequence":"additional","affiliation":[{"name":"Quest Diagnostics Nichols Institute San Juan Capistrano CA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60367-5"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61368-4"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000625"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000437738.63853.7a"},{"key":"e_1_3_1_6_2","author":"O'hara B","year":"2010","unstructured":"O'hara B, Caswell K. 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