The rise of cholesterol testing: how much is unnecessary by Helen Doll, Brian Shine, Jonathan Kay, Tim James, and Paul Glasziou BJGP Volume 61(583):e81-e88.

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Presentation transcript:

The rise of cholesterol testing: how much is unnecessary by Helen Doll, Brian Shine, Jonathan Kay, Tim James, and Paul Glasziou BJGP Volume 61(583):e81-e88 February 1, 2011 ©2011 by British Journal of General Practice

Number of total cholesterol tests requested from 1987 to 2007 in Oxfordshire, UK and dates of key guidelines and statin trial publications. Helen Doll et al. Br J Gen Pract 2011;61:e81-e88 ©2011 by British Journal of General Practice

Number of total cholesterol, triglyceride, and high-density lipoprotein (HDL) cholesterol tests requested per year by primary care (open bar areas) and secondary care (shaded bar areas). Helen Doll et al. Br J Gen Pract 2011;61:e81-e88 ©2011 by British Journal of General Practice

Total number of tests performed per 3-year period, broken down within each bar by frequency of testing (1, 2, 3, 4, 5, ≥6 tests per person: the darker the shading the greater the test frequency). Helen Doll et al. Br J Gen Pract 2011;61:e81-e88 ©2011 by British Journal of General Practice

Mean total serum cholesterol levels, with standard deviation (SD) bars, for individuals with one to six or more tests during each 3-year period. Helen Doll et al. Br J Gen Pract 2011;61:e81-e88 ©2011 by British Journal of General Practice

Mean total serum cholesterol levels at each test for patients with one (circle) to 6 or more tests (subsequent test values joined by a solid line) during each 3-year period. Helen Doll et al. Br J Gen Pract 2011;61:e81-e88 ©2011 by British Journal of General Practice