Closing the Gaps in Care of Dyslipidemia: Revolutionizing Management with Digital Health and Innovative Care Models

被引:3
作者
Apple, Samuel J. [1 ]
Clark, Rachel [2 ]
Daich, Jonathan [2 ]
Gonzalez, Macarena Lopez [2 ]
Ostfeld, Robert J. [2 ]
Toth, Peter P. [3 ,4 ]
Bittner, Vera [5 ]
Martin, Seth S. [6 ]
Rana, Jamal S. [7 ]
Nasir, Khurram [8 ]
Shapiro, Michael D. [9 ]
Virani, Salim S. [10 ,11 ]
Slipczuk, Leandro [2 ]
机构
[1] New York City Hlth & Hosp, Albert Einstein Coll Med, Jacobi Med Ctr, Dept Med, Bronx, NY 10461 USA
[2] Albert Einstein Coll Med, Montefiore Med Ctr, Div Cardiol, Bronx, NY 10467 USA
[3] CGH Med Ctr, Sterling, IL USA
[4] Johns Hopkins Univ, Div Cardiol, Sch Med, Baltimore, MD 61081 USA
[5] Univ Alabama Birmingham, Div Cardiovasc Dis, Birmingham, AL 35294 USA
[6] Johns Hopkins Sch Med, Ciccarone Ctr Prevent Cardiovasc Dis, Div Cardiol, Digital Hlth Lab, Baltimore, MD 21287 USA
[7] Kaiser Permanente, Div Cardiol, Permanente Med Grp, Oakland, CA 94611 USA
[8] Houston Methodist DeBakey Heart & Vasc Ctr, Div Cardiovasc Prevent & Wellness, Houston, TX 77030 USA
[9] Wake Forest Univ, Ctr Prevent Cardiovasc Dis, Sch Med, Sect Cardiovasc Med, Winston Salem, NC USA
[10] Aga Khan Univ, Off Vice Provost Res, Karachi 74800, Pakistan
[11] Baylor Coll Med, Texas Heart Inst, Div Cardiol, Houston, TX 77030 USA
关键词
dyslipidemia; gaps in care; atherosclerotic cardiovascular disease; atherosclerosis; technology; telehealth; lipid-lowering; therapy; DENSITY-LIPOPROTEIN CHOLESTEROL; ATHEROSCLEROTIC CARDIOVASCULAR-DISEASE; INTENSITY STATIN THERAPY; LIPID-LOWERING THERAPY; CORONARY-HEART-DISEASE; LDL-CHOLESTEROL; MYOCARDIAL-INFARCTION; PRIMARY PREVENTION; SCIENTIFIC STATEMENT; AMERICAN-COLLEGE;
D O I
10.31083/j.rcm2412350
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Although great progress has been made in the diagnostic and treatment options for dyslipidemias, unawareness, underdiagnosis and undertreatment of these disorders remain a significant global health concern. Growth in digital applications and newer models of care provide novel tools to improve the management of chronic conditions such as dyslipidemia. In this review, we discuss the evolving landscape of lipid management in the 21st century, current treatment gaps and possible solutions through digital health and new models of care. Our discussion begins with the history and development of value-based care and the national establishment of quality metrics for various chronic conditions. These concepts on the level of healthcare policy not only inform reimbursements but also define the standard of care. Next, we consider the advances in atherosclerotic cardiovascular disease risk score calculators as well as evolving imaging modalities. The impact and growth of digital health, ranging from telehealth visits to online platforms and mobile applications, will also be explored. We then evaluate the ways in which machine learning and artificial intelligence-driven algorithms are being utilized to address gaps in lipid management. From an organizational perspective, we trace the redesign of medical practices to incorporate a multidisciplinary team model of care, recognizing that atherosclerotic cardiovascular disease risk is multifaceted and requires a comprehensive approach. Finally, we anticipate the future of dyslipidemia management, assessing the many ways in which atherosclerotic cardiovascular disease burden can be reduced on a population-wide scale.
引用
收藏
页数:20
相关论文
共 167 条
  • [1] Popular Media and Cardiovascular Medicine: "with Great Power There Must Also Come Great Responsibility"
    Agarwala, Anandita
    Kohli, Payal
    Virani, Salim S.
    [J]. CURRENT ATHEROSCLEROSIS REPORTS, 2019, 21 (11)
  • [2] Successful Implementation of Healthful Nutrition Initiatives into Hospitals
    Aggarwal, Monica
    Grady, Ariel
    Desai, Daya
    Hartog, Katrina
    Correa, Lilian
    Ostfeld, Robert J.
    Freeman, Andrew M.
    McMacken, Michelle
    Gianos, Eugenia
    Reddy, Koushik
    Batiste, Columbus
    Wenger, Christopher
    Blankstein, Ron
    Williams, Kim
    Allen, Kathleen
    Seifried, Rebecca M.
    Aspry, Karen
    Barnard, Neal D.
    [J]. AMERICAN JOURNAL OF MEDICINE, 2020, 133 (01) : 19 - 25
  • [3] Mobile Apps to Improve Medication Adherence in Cardiovascular Disease: Systematic Review and Meta-analysis
    Al-Arkee, Shahd
    Mason, Julie
    Lane, Deirdre A.
    Fabritz, Larissa
    Chua, Winnie
    Haque, M. Sayeed
    Jalal, Zahraa
    [J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2021, 23 (05)
  • [4] Physicians and pharmacists' clinical knowledge of statin therapy and monitoring parameters, and the barriers to guideline implementation in clinical practice
    Al-Ashwal, Fahmi Y.
    Sulaiman, Syed Azhar Syed
    Sheikh Ghadzi, Siti Maisharah
    Kubas, Mohammed Abdullah
    Halboup, Abdulsalam
    [J]. PLOS ONE, 2023, 18 (01):
  • [5] Lipid Clinics Network. Rationale and design of the EAS global project
    Alieva, Asiiat S.
    Tokgozoglu, Lale
    Ray, Kausik K.
    Catapano, Alberico L.
    [J]. ATHEROSCLEROSIS SUPPLEMENTS, 2020, 42 : E6 - E8
  • [6] Amarenco P, 2006, NEW ENGL J MED, V355, P549
  • [7] Arnett DK, 2019, CIRCULATION, V140, pE563, DOI [10.1161/CIR.0000000000000677, 10.1161/CIR.0000000000000678, 10.1016/j.jacc.2019.03.009, 10.1016/j.jacc.2019.03.010]
  • [8] HISTORY OF MEDICINE Donabedian's Lasting Framework for Health Care Quality
    Ayanian, John Z.
    Markel, Howard
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2016, 375 (03) : 205 - 207
  • [9] Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170 000 participants in 26 randomised trials
    Baigent, C.
    Blackwell, L.
    Emberson, J.
    Holland, L. E.
    Reith, C.
    Bhala, N.
    Peto, R.
    Barnes, E. H.
    Keech, A.
    Simes, J.
    Collins, R.
    [J]. LANCET, 2010, 376 (9753) : 1670 - 1681
  • [10] Clinical Inertia in a Randomized Trial of Telemedicine-Based Chronic Disease Management: Lessons Learned
    Barton, Anna Beth
    Okorodudu, Daniel E.
    Bosworth, Hayden B.
    Crowley, Matthew J.
    [J]. TELEMEDICINE AND E-HEALTH, 2018, 24 (10) : 742 - 748