当前位置： SCI文献检索 > JOURNAL OF VASCULAR SURGERY期刊下所有文献 > Effect of a clinical pharmacy service on lipid control in patients with peripheral arterial disease.

Effect of a clinical pharmacy service on lipid control in patients with peripheral arterial disease.

Abstract：

OBJECTIVE:Our group and others have previously established that patients with peripheral artery disease (PAD) are significantly undertreated with respect to overall cardiovascular risk factor management, despite national guidelines to the contrary. In an effort to maximize risk factor control in our patients with PAD, we established a pharmacist-managed, physician-monitored algorithmic approach to the outpatient management of lipids in patients with PAD. The purpose of this study was to determine the effect of this service on lipid screening and control in patients with PAD. METHODS:We analyzed the records of patients treated at a large, group-model, not-for-profit regional managed care system serving approximately 405,000 members. An electronic medical record provided full examination, laboratory, and pharmacy data for all patients. Pharmacy data were analyzed to determine prescriptions for lipid-lowering agents. Lipid control was assessed through fasting lipid data. Patients with validated PAD and the absence of clinical coronary artery disease (CAD) were offered the service between May 2003 and September 2004 and followed up for a minimum of 6 months. RESULTS:We administratively identified 5159 active patients with a diagnosis of PAD. Of these, 1075 could be validated with a noninvasive arterial study. The exclusion of 384 patients with a diagnosis of CAD resulted in a cohort of 691 patients. Of these, 90 patients were enrolled in the lipid service (study group), and 601 received standard care. Mean follow-up was 17.1 months. Screening fasting lipid profiles were found in 95.6% (86/90) of patients in the study group and only 66.9% (402/601) of the standard care patients (P < .0001). Low-density lipoprotein cholesterol (LDL-C) control was improved in the pharmacist-managed group, with 79.1% (68/86) achieving an LDL-C of less than 100 mg/dL in comparison to the standard care group (54.8% [219/400]; P < .0001). An LDL-C value of more than 130 mg/dL was noted in 1.2% and 14.0% (56/400) in the treatment and control groups, respectively (P < .001). Statin use was present in 51.9% (312/601) of the control group patients and 84.4% (76/90) of the pharmacist-managed group (P < .001). CONCLUSIONS:Despite national consensus of PAD as a CAD equivalent, patients are currently undertreated with regard to atherosclerotic risk factor modification. Initiation of a pharmacist-managed, physician-monitored lipid service provides improved compliance with national guidelines.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Rehring TF,Stolcpart RS,Sandhoff BG,Merenich JA,Hollis HW Jr

doi

10.1016/j.jvs.2006.02.019

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

1205-10

issue

6

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(06)00278-3

journal_volume

43

pub_type

杂志文章

相关文献

JOURNAL OF VASCULAR SURGERY文献大全
  • The effect of eversion and conventional-patch technique in carotid surgery on postoperative hypertension.

    abstract：OBJECTIVE:Postcarotid endarterectomy hypertension (HTN) is associated with neurological and cardiac complications. The purpose of this study was to assess the influence of eversion carotid endarterectomy (E-CEA) and conventional carotid endarterectomy (C-CEA) on postoperative blood pressure in the first 4 days after su...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2010.11.106

    authors： Demirel S,Bruijnen H,Attigah N,Hakimi M,Böckler D

    更新日期：2011-07-01 00:00:00

  • Three isolated superior mesenteric artery dissections: update of previous case reports, diagnostics, and treatment options.

    abstract：:Isolated superior mesenteric artery dissection is a relatively rare vascular pathology. However, the number of recent case reports has shown an increasing incidence with the widespread use of computed tomography imaging for abdominal pain. Here we report three cases of isolated superior mesenteric artery dissection. T...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2007.08.052

    authors： Morris JT,Guerriero J,Sage JG,Mansour MA

    更新日期：2008-03-01 00:00:00

  • Randomized trial of vein versus Dacron patching during carotid endarterectomy: influence of patch type on postoperative embolization.

    abstract：PURPOSE:A recent overview indicated that although routine patching is safer than routine primary closure after carotid endarterectomy (CEA), there is no systematic evidence that patch type influences outcome. However, most surgeons still believe that prosthetic patches are probably more thrombogenic than vein patches. ...

    journal_title：Journal of vascular surgery

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1067/mva.2001.115005

    authors： Hayes PD,Allroggen H,Steel S,Thompson MM,London NJ,Bell PR,Naylor AR

    更新日期：2001-05-01 00:00:00

  • Endovascular vs open repair of acute abdominal aortic aneurysms--a systematic review and meta-analysis.

    abstract：OBJECTIVE:To compare the results of emergency open repair of acute (ruptured or symptomatic intact) abdominal aortic aneurysms with that of endovascular repair. METHODS:A systematic literature search was performed to identify series that reported comparative outcomes. PubMed, Embase, the randomized controlled trial (R...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.jvs.2007.11.028

    authors： Sadat U,Boyle JR,Walsh SR,Tang T,Varty K,Hayes PD

    更新日期：2008-07-01 00:00:00

  • Lower extremity edema from bladder compression of the iliac veins.

    abstract：:Two elderly men were referred to our vascular clinic for the management of bilateral lower extremity edema of 2 to 3 months' duration. Their evaluation included phlebograms, which demonstrated external compression of their iliac veins. CT scans of the pelvis suggested that large bladders caused the compression. Each p...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：10.1067/mva.1988.avs0070778

    authors： Kopesky K,Schwartz R,Silver D

    更新日期：1988-06-01 00:00:00

  • Multicenter randomized trial comparing compression with elastic stocking versus bandage after surgery for varicose veins.

    abstract：OBJECTIVES:Postoperative limb compression is widely used after venous surgery to prevent thromboembolism and to reduce hemorrhage, edema, hematoma, and pain. Only limited studies have been published regarding the most adequate postoperative compression therapy after varicose vein surgery. This study evaluated the effec...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jvs.2010.08.033

    authors： Mariani F,Marone EM,Gasbarro V,Bucalossi M,Spelta S,Amsler F,Agnati M,Chiesa R

    更新日期：2011-01-01 00:00:00

  • Acute aortic occlusion--a multifaceted catastrophe.

    abstract：:Eighteen patients whose mean age was 61 years were referred to us with acute aortic occlusion from 1977 to 1985. Ten patients had cardiac emboli (group I) and eight had aortoiliac occlusive disease (group II). Fourteen of these patients had paresis or paralysis. Diagnosis was prompt but the time lapse from onset of sy...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：

    authors： Littooy FN,Baker WH

    更新日期：1986-09-01 00:00:00

  • Double osteotomy of mandibula in the treatment of carotid body tumors with skull base extension.

    abstract：:We report two patients with a carotid body paraganglioma that extended to the skull base, a position that is surgically inaccessible by means of a traditional lateral cervical approach. In both patients we were able to remove the lesion by performing a double mandibular osteotomy. Both patients underwent preoperative ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2012.11.086

    authors： Prouse G,Mazzaccaro D,Settembrini F,Carmo M,Biglioli F,Settembrini PG

    更新日期：2013-08-01 00:00:00

  • Influence of endothelial cell seeding on platelet deposition and patency in small-diameter Dacron arterial grafts.

    abstract：:Serial platelet deposition, surface topography, and patency were evaluated in control (N = 28) and endothelial cell-seeded (N = 28) small-diameter (4 mm inner diameter) USCI Dacron grafts implanted in the carotid and femoral arteries of dogs. All dogs received aspirin (325 mg) daily for 2 weeks starting 24 hours prior...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：

    authors： Allen BT,Long JA,Clark RE,Sicard GA,Hopkins KT,Welch MJ

    更新日期：1984-01-01 00:00:00

  • Concurrence of anaphylaxis and acute heparin-induced thrombocytopenia in a patient with heparin-induced antibodies.

    abstract：:We report the occurrence of acute heparin-induced thrombocytopenia in a patient with anaphylaxis that began immediately after an intravenous bolus dose of unfractionated heparin. This case report is the first to document the concurrence of these 2 reactions to heparin. An abrupt fall in platelet count was documented i...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(98)70146-6

    authors： Hewitt RL,Akers DL,Leissinger CA,Gill JI,Aster RH

    更新日期：1998-09-01 00:00:00

  • The effects of extremely low shear stress on cellular proliferation and neointimal thickening in the failing bypass graft.

    abstract：OBJECTIVE:Previous studies demonstrating a correlation between low shear stress (tau = 5-15 dyne/cm(2)) and experimental vein graft neointimal thickening (NIT) support the role of low tau in vein graft failure. However, a simple linear relationship between low tau and NIT would underestimate the degree of NIT evident i...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.2001.114819

    authors： Meyerson SL,Skelly CL,Curi MA,Shakur UM,Vosicky JE,Glagov S,Schwartz LB,Christen T,Gabbiani G

    更新日期：2001-07-01 00:00:00

  • Acute upper limb ischemia resulting from cleidocranial dysostosis.

    abstract：:A case is reported of a woman with an ischemic arm as a result of damage to the subclavian artery by the clavicular anomaly associated with cleidocranial dysostasis. Only one similar case has been reported previously. ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(97)70105-8

    authors： Qureshi KN,Lees TA,Holdsworth J

    更新日期：1997-11-01 00:00:00

  • Is duplex scanning sufficient evaluation before carotid endarterectomy?

    abstract：:Recent reports have suggested that cerebral angiography may not be necessary before carotid endarterectomy is performed in selected patients. To determine if arteriography provides additional information that might influence the decision to operate or the conduct of the operation, a retrospective review was performed ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：

    authors： Geuder JW,Lamparello PJ,Riles TS,Giangola G,Imparato AM

    更新日期：1989-02-01 00:00:00

  • The effect of carbon coating and porosity on early patency of expanded polytetrafluoroethylene grafts: an experimental study.

    abstract：PURPOSE:Synthetic vascular grafts have never achieved long-term patency comparable to autologous saphenous vein. Changes in graft wall porosity and carbon coating of the luminal surface have both been suggested to improve patency. METHODS:Forty-two mongrel dogs, weighing 20 to 30 kg, underwent bilateral aortoiliac gra...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.1993.41708

    authors： Akers DL,Du YH,Kempczinski RF

    更新日期：1993-07-01 00:00:00

  • Open, percutaneous, and hybrid deep venous arterialization technique for no-option foot salvage.

    abstract：OBJECTIVE:Deep venous arterialization (DVA) is a technique aimed at providing an option for chronic limb-threatening ischemia patients with no options except amputation. In patients with no outflow distal targets permitting bypass, DVA involves creating a connection between a proximal arterial inflow and a distal venou...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.jvs.2019.10.085

    authors： Ho VT,Gologorsky R,Kibrik P,Chandra V,Prent A,Lee J,Dua A

    更新日期：2020-06-01 00:00:00

  • Increased hospital volume is associated with reduced mortality after thoracoabdominal aortic aneurysm repair.

    abstract：OBJECTIVE:Contemporary data on outcomes in open thoracoabdominal aortic aneurysm (TAAA) repair are limited to reports from major aortic referral centers showing excellent outcomes. This study aimed to characterize the national experience of open TAAA repair using national outcomes data, with a primary focus on the asso...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2020.05.027

    authors： Polanco AR,D'Angelo AM,Shea NJ,Allen P,Takayama H,Patel VI

    更新日期：2021-02-01 00:00:00

  • Clinical consequence of bare metal stent and stent graft failure in femoropopliteal occlusive disease.

    abstract：OBJECTIVE:The optimal role for bare metal stents (BMS) or stent grafts (SG) in femoropopliteal occlusive disease (FPOD) is as of yet undefined. Understanding the clinical consequences of failure can help guide initial treatment decisions. The goal of this study was to define the nature, frequency, and risk factors for ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2013.05.094

    authors： Vartanian SM,Johnston PC,Walker JP,Runge SJ,Eichler CM,Reilly LM,Hiramoto JS,Conte MS

    更新日期：2013-12-01 00:00:00

  • Blunt popliteal artery trauma: one hundred consecutive injuries.

    abstract：:An institutional experience with 100 consecutive blunt popliteal artery injuries over a 20-year period was reviewed. The overall amputation rate was 15%; however, during the past 7 years this has declined from 23% to 6%. Minimizing delay in the revascularization of ischemic limbs, routine systemic heparinization, prim...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.1988.avs0070736

    authors： Wagner WH,Calkins ER,Weaver FA,Goodwin JA,Myles RA,Yellin AE

    更新日期：1988-05-01 00:00:00

  • Decreased mortality with local versus general anesthesia in endovascular aneurysm repair for ruptured abdominal aortic aneurysm in the Vascular Quality Initiative database.

    abstract：BACKGROUND:Endovascular aneurysm repair (EVAR) is an accepted approach for patients presenting with ruptured abdominal aortic aneurysm (rAAA) and suitable anatomy. The effect of anesthesia modality on mortality outcomes in rAAA has not been well described. Using the Vascular Quality Initiative database, this study comp...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2018.10.090

    authors： Faizer R,Weinhandl E,El Hag S,Le Jeune S,Apostolidou I,Shafii SM,Lee CJ,Rosenberg MS,Reed A,Fanola CL

    更新日期：2019-07-01 00:00:00

  • Lower extremity minor amputations: the roles of diabetes mellitus and timing of revascularization.

    abstract：INTRODUCTION:Despite the frequent performance of minor foot amputations in patients with lower extremity vascular disease, little is known regarding the rate of conversion to major amputations and the role of bypass graft timing in relation to amputation. METHODS:Between January 1990 and December 2001, 670 patients un...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2005.05.003

    authors： Sheahan MG,Hamdan AD,Veraldi JR,McArthur CS,Skillman JJ,Campbell DR,Scovell SD,Logerfo FW,Pomposelli FB Jr

    更新日期：2005-09-01 00:00:00

  • Geometric changes over time in bridging stents after branched and fenestrated endovascular repair for thoracoabdominal aneurysm.

    abstract：OBJECTIVE:The objective of this study was to assess long-term durability of bridging stents in branched and combined branched and fenestrated endovascular aneurysm repair (B/F-EVAR) for thoracoabdominal aortic aneurysm (TAAA) and pararenal abdominal aortic aneurysm. METHODS:A retrospective database analysis was perfor...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2018.12.023

    authors： de Niet A,Post RB,Reijnen MMPJ,Zeebregts CJ,Tielliu IFJ

    更新日期：2019-09-01 00:00:00

  • Endovascular treatment of spontaneous dissections of the superior mesenteric artery.

    abstract：BACKGROUND:Spontaneous dissection of the superior mesenteric artery (SMA) is exceedingly rare. Treatment options range from observation to anticoagulation to open surgery or endovascular repair. We present our experience to date in the management of isolated SMA dissections. METHODS:A retrospective review of the vascu...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.jvs.2009.07.019

    authors： Gobble RM,Brill ER,Rockman CB,Hecht EM,Lamparello PJ,Jacobowitz GR,Maldonado TS

    更新日期：2009-12-01 00:00:00

  • The distribution and size of ischemic lesions after carotid artery angioplasty and stenting: evidence for microembolization to terminal arteries.

    abstract：BACKGROUND:Much of the brain is perfused by penetrating arteries that are the "single source" of blood to their surrounding tissues. These tissues should be equally vulnerable to ischemia from embolic occlusion, but there are questions about whether emboli have access to the penetrating arteries serving the deep brain ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2010.10.091

    authors： Zhu L,Wintermark M,Saloner D,Fandel M,Pan XM,Rapp JH

    更新日期：2011-04-01 00:00:00

  • Transthoracic repair of innominate and common carotid artery disease: immediate and long-term outcome for 100 consecutive surgical reconstructions.

    abstract：PURPOSE:This is a review of 100 consecutive supraaortic trunk reconstructions (SAT) performed over 16 years. METHODS:There were eight innominate endarterectomies and 92 bypass procedures based on the thoracic aorta (n = 86) or proximal innominate artery (n = 6) in 98 patients 24 to 79 years of age. Indications include...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(98)70289-7

    authors： Berguer R,Morasch MD,Kline RA

    更新日期：1998-01-01 00:00:00

  • New experiences with absolute ethanol sclerotherapy in the management of a complex form of congenital venous malformation.

    abstract：BACKGROUND:Complex forms of congenital venous malformation have defied proper classification and confounded therapy. Through a newly designed multidisciplinary approach, these venous defects were properly diagnosed and classified according to the Hamburg classification. Absolute ethanol was adopted as a new scleroagent...

    journal_title：Journal of vascular surgery

    pub_type： 评论,杂志文章

    doi：10.1067/mva.2001.112209

    authors： Lee BB,Kim DI,Huh S,Kim HH,Choo IW,Byun HS,Do YS

    更新日期：2001-04-01 00:00:00

  • Basic information for microcomputer data base management.

    abstract：:Paper-based information systems are cumbersome and inefficient. The microcomputer is an attractive, affordable, and powerful alternative to traditional paper-based record keeping. This article reviews fundamentals of data base management and microcomputer technology for the surgeon interested in microcomputer-based in...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.1984.avs0010585

    authors： Gordon RD

    更新日期：1984-07-01 00:00:00

  • Optimal therapy for advanced chronic venous insufficiency.

    abstract：INTRODUCTION:While definitive therapy awaits level I evidence, controversy persists regarding the optimal operation for treatment of advanced chronic venous insufficiency (CVI). We propose a pragmatic approach to the correction or amelioration of venous hypertension resulting from hydrodynamic and hydrostatic venous re...

    journal_title：Journal of vascular surgery

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1067/mva.2003.131

    authors： Tawes RL,Barron ML,Coello AA,Joyce DH,Kolvenbach R

    更新日期：2003-03-01 00:00:00

  • Impact of intraoperative adverse events during branched and fenestrated aortic stent grafting on postoperative outcome.

    abstract：OBJECTIVE:Fenestrated and branched endovascular devices are increasingly used for complex aortic diseases, and despite the challenging nature of these procedures, early experiences from pioneering centers have been encouraging. The objectives of this retrospective study were to report our experience of intraoperative a...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2014.02.065

    authors： Cochennec F,Kobeiter H,Gohel MS,Majewski M,Marzelle J,Desgranges P,Allaire E,Becquemin JP

    更新日期：2014-09-01 00:00:00

  • A census-based analysis of racial disparities in lower extremity amputation rates in Northern Illinois, 1987-2004.

    abstract：BACKGROUND:Given improvements in care for peripheral vascular disease and diabetes over the last two decades, it was of interest whether racial disparities in lower extremity amputation rates had changed. METHODS:Hospital data for 18 years (1987-2004) were used to compute above, below, and through foot amputation rate...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jvs.2007.11.072

    authors： Feinglass J,Abadin S,Thompson J,Pearce WH

    更新日期：2008-05-01 00:00:00

  • Aortoesophageal fistula: report of a successfully managed case and review of the literature.

    abstract：:Aortoesophageal fistula is a rare, frequently fatal cause of upper gastrointestinal bleeding. Although several causes have been described, it appears that the most common cause is rupture of a thoracic aortic aneurysm into the esophagus, occurring in approximately 12% of thoracic aneurysm ruptures. Although the entity...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：

    authors： Bogey WM Jr,Thomas JH,Hermreck AS

    更新日期：1992-07-01 00:00:00