2018
Real-life LDL-C treatment goals achievement in patients with heterozygous familial hypercholesterolemia in the Czech Republic and Slovakia: Results of the PLANET registry
VRABLIK, Michal; Katarina RASLOVA; Branislav VOHNOUT; Vladimir BLAHA; Martin SATNY et. al.Základní údaje
Originální název
Real-life LDL-C treatment goals achievement in patients with heterozygous familial hypercholesterolemia in the Czech Republic and Slovakia: Results of the PLANET registry
Autoři
VRABLIK, Michal; Katarina RASLOVA; Branislav VOHNOUT; Vladimir BLAHA; Martin SATNY; Ondřej KYSELÁK; Martina VACLOVA; Robin URBANEK; Jana MASKOVA; Vladimír SOŠKA a Tomáš FREIBERGER ORCID
Vydání
Atherosclerosis, Clare, ELSEVIER SCI IRELAND LTD, 2018, 0021-9150
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30230 Other clinical medicine subjects
Stát vydavatele
Irsko
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 4.255
Kód RIV
RIV/00216224:14110/18:00105337
Organizační jednotka
Lékařská fakulta
UT WoS
000445908000054
EID Scopus
2-s2.0-85052724403
Klíčová slova anglicky
Familial hypercholesterolemia; LDL-C goal attainment; Treatment pattern; LDL-Cholesterol; Statins; Ezetimibe
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 12. 3. 2019 16:03, Mgr. Pavla Foltynová, Ph.D.
Anotace
V originále
Background and aims: Despite the high prevalence of familial hypercholesterolemia (FH) and available effective lipid-lowering therapy, most of the individuals with this disorder remain undiagnosed and undertreated. The aim of the PLANET registry was to assess the real-life attainment of low-density lipoprotein cholesterol (LDL-C) therapeutic target level in patients with heterozygous FH, to characterize prescribed lipid-lowering therapy with assessment of its efficiency according to the attainment of the target LDL-C level, and to characterize cardiovascular events observed in this patient population again in relation to LDL-C target level attainment. Methods: PLANET registry was designed as a non-interventional, retrospective, cross-sectional, multicentre disease registry for adult patients with heterozygous FH in the Czech Republic and Slovakia. Results: Overall, 1755 patients were enrolled at 32 sites specialized in FH treatment. 15.4% of patients attained the target LDL-C value. The proportion of patients with LDL-C goal achievement increased to 17.3% in the subgroup of patients receiving high-intensity statin therapy (54.6% of study population). Out of 55 patients receiving inhibitors of proprotein convertase subtilisin/kexin type 9 (PCSK9), 61.8% reached the LDL-C treatment goal. Of all cardiovascular events reported, 14.0% occurred in patients attaining the LDL-C goal, while it was 86.0% in the not-at-target group. It was documented (p= 0.004) that the longer is the patient in care at the specialized FH centre, the higher is the probability that he/she will attain the target LDL-C level. Conclusions: Although target LDL-C level attainment remains relatively low, the likelihood of LDL-C goal attainment increases with duration of specialized care.