Documenting family history in children with hypercholesterolaemia: A lost opportunity
Aim To determine whether information about a family history of hypercholesterolaemia or early cardiovascular disease was documented by paediatricians in children and adolescents with elevated low‐density lipoprotein (LDL)‐cholesterol levels. Methods Retrospective chart review of all children with a...
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| Veröffentlicht in: | Journal of paediatrics and child health 2017-05, Vol.53 (5), p.470-473 |
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| container_title | Journal of paediatrics and child health |
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| creator | Sorubarajan, Tharmarajah Lewis, Barry D Burnett, John R Martin, Andrew C |
| description | Aim
To determine whether information about a family history of hypercholesterolaemia or early cardiovascular disease was documented by paediatricians in children and adolescents with elevated low‐density lipoprotein (LDL)‐cholesterol levels.
Methods
Retrospective chart review of all children with a LDL‐cholesterol level ≥95th percentile (3.4 mmol/L) and ≥99th percentile (3.8 mmol/L) at a tertiary paediatric hospital in 2014.
Results
Of 86 children with a LDL‐cholesterol level ≥3.4 mmol/L, only 18 (20.9%) had documentation of a family history of hypercholesterolaemia or early cardiovascular disease. In those 18, 13 (72.2%) had a family history of hypercholesterolaemia and 11 (61.1%) a family history of early cardiovascular disease. Increasing the LDL‐cholesterol cut‐off level to ≥3.8 mmol/L (n = 46) did not improve documentation of a family history (9/46, 19.6%).
Conclusions
In patients with elevated LDL‐cholesterol levels, paediatricians rarely document a positive or negative family history of hypercholesterolaemia or early cardiovascular disease. This represents a lost opportunity to diagnose children and adolescents with familial hypercholesterolaemia. |
| doi_str_mv | 10.1111/jpc.13457 |
| format | Article |
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To determine whether information about a family history of hypercholesterolaemia or early cardiovascular disease was documented by paediatricians in children and adolescents with elevated low‐density lipoprotein (LDL)‐cholesterol levels.
Methods
Retrospective chart review of all children with a LDL‐cholesterol level ≥95th percentile (3.4 mmol/L) and ≥99th percentile (3.8 mmol/L) at a tertiary paediatric hospital in 2014.
Results
Of 86 children with a LDL‐cholesterol level ≥3.4 mmol/L, only 18 (20.9%) had documentation of a family history of hypercholesterolaemia or early cardiovascular disease. In those 18, 13 (72.2%) had a family history of hypercholesterolaemia and 11 (61.1%) a family history of early cardiovascular disease. Increasing the LDL‐cholesterol cut‐off level to ≥3.8 mmol/L (n = 46) did not improve documentation of a family history (9/46, 19.6%).
Conclusions
In patients with elevated LDL‐cholesterol levels, paediatricians rarely document a positive or negative family history of hypercholesterolaemia or early cardiovascular disease. This represents a lost opportunity to diagnose children and adolescents with familial hypercholesterolaemia.</description><identifier>ISSN: 1034-4810</identifier><identifier>EISSN: 1440-1754</identifier><identifier>DOI: 10.1111/jpc.13457</identifier><identifier>PMID: 28045210</identifier><language>eng</language><publisher>Australia: John Wiley & Sons Australia, Ltd</publisher><subject>Adolescent ; Biomarkers - blood ; Cardiovascular disease ; Cardiovascular Diseases - blood ; Cardiovascular Diseases - diagnosis ; Child ; Child, Preschool ; children ; Cholesterol ; Cholesterol, LDL - blood ; Documentation - statistics & numerical data ; Documentation - utilization ; familial hypercholesterolaemia ; family history ; Family medical history ; Female ; Follow-Up Studies ; Health risk assessment ; Humans ; Hyperlipoproteinemia Type II - blood ; Hyperlipoproteinemia Type II - diagnosis ; Infant ; Infant, Newborn ; Low density lipoprotein ; Male ; Medical History Taking - statistics & numerical data ; Pediatrics ; Practice Patterns, Physicians' - statistics & numerical data ; Retrospective Studies ; Western Australia</subject><ispartof>Journal of paediatrics and child health, 2017-05, Vol.53 (5), p.470-473</ispartof><rights>2017 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)</rights><rights>2017 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).</rights><rights>2017 Paediatrics and Child Health Division (Royal Australasian College of Physicians)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3537-9c41972ef1709a79822c37aca942eba0bda7dd3a1b7480b5a8ab62067058e4763</citedby><cites>FETCH-LOGICAL-c3537-9c41972ef1709a79822c37aca942eba0bda7dd3a1b7480b5a8ab62067058e4763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjpc.13457$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjpc.13457$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28045210$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sorubarajan, Tharmarajah</creatorcontrib><creatorcontrib>Lewis, Barry D</creatorcontrib><creatorcontrib>Burnett, John R</creatorcontrib><creatorcontrib>Martin, Andrew C</creatorcontrib><title>Documenting family history in children with hypercholesterolaemia: A lost opportunity</title><title>Journal of paediatrics and child health</title><addtitle>J Paediatr Child Health</addtitle><description>Aim
To determine whether information about a family history of hypercholesterolaemia or early cardiovascular disease was documented by paediatricians in children and adolescents with elevated low‐density lipoprotein (LDL)‐cholesterol levels.
Methods
Retrospective chart review of all children with a LDL‐cholesterol level ≥95th percentile (3.4 mmol/L) and ≥99th percentile (3.8 mmol/L) at a tertiary paediatric hospital in 2014.
Results
Of 86 children with a LDL‐cholesterol level ≥3.4 mmol/L, only 18 (20.9%) had documentation of a family history of hypercholesterolaemia or early cardiovascular disease. In those 18, 13 (72.2%) had a family history of hypercholesterolaemia and 11 (61.1%) a family history of early cardiovascular disease. Increasing the LDL‐cholesterol cut‐off level to ≥3.8 mmol/L (n = 46) did not improve documentation of a family history (9/46, 19.6%).
Conclusions
In patients with elevated LDL‐cholesterol levels, paediatricians rarely document a positive or negative family history of hypercholesterolaemia or early cardiovascular disease. This represents a lost opportunity to diagnose children and adolescents with familial hypercholesterolaemia.</description><subject>Adolescent</subject><subject>Biomarkers - blood</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - blood</subject><subject>Cardiovascular Diseases - diagnosis</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Cholesterol</subject><subject>Cholesterol, LDL - blood</subject><subject>Documentation - statistics & numerical data</subject><subject>Documentation - utilization</subject><subject>familial hypercholesterolaemia</subject><subject>family history</subject><subject>Family medical history</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Hyperlipoproteinemia Type II - blood</subject><subject>Hyperlipoproteinemia Type II - diagnosis</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Low density lipoprotein</subject><subject>Male</subject><subject>Medical History Taking - statistics & numerical data</subject><subject>Pediatrics</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Western Australia</subject><issn>1034-4810</issn><issn>1440-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1P3DAQQC0EKlvaA3-gssSlPWQZO3bscFttPwCtBIfuOXIcb-OVEwc70Sr_HrdLOSAxl5nD09PoIXRJYEnSXO8HvSQ54-IELQhjkBHB2Wm6IWcZkwTO0ccY9wBAOZcf0DmVwDglsEDb715PnelH2__BO9VZN-PWxtGHGdse69a6JpgeH-zY4nYeTNCtdyaOJninTGfVDV5h5-OI_TD4ME69HedP6GynXDSfX_YF2v788Xt9m20eft2tV5tM5zwXWakZKQU1OyKgVKKUlOpcKK1KRk2toG6UaJpckVowCTVXUtUFhUIAl4aJIr9AX4_eIfinKX1VdTZq45zqjZ9iRSTnUBQgZEKv3qB7P4U-fZeokkMqRnmivh0pHXyMweyqIdhOhbkiUP1tXaXW1b_Wif3yYpzqzjSv5P-4Cbg-AgfrzPy-qbp_XB-Vz8nbiDQ</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Sorubarajan, Tharmarajah</creator><creator>Lewis, Barry D</creator><creator>Burnett, John R</creator><creator>Martin, Andrew C</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201705</creationdate><title>Documenting family history in children with hypercholesterolaemia: A lost opportunity</title><author>Sorubarajan, Tharmarajah ; Lewis, Barry D ; Burnett, John R ; Martin, Andrew C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3537-9c41972ef1709a79822c37aca942eba0bda7dd3a1b7480b5a8ab62067058e4763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Biomarkers - blood</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - blood</topic><topic>Cardiovascular Diseases - diagnosis</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>children</topic><topic>Cholesterol</topic><topic>Cholesterol, LDL - blood</topic><topic>Documentation - statistics & numerical data</topic><topic>Documentation - utilization</topic><topic>familial hypercholesterolaemia</topic><topic>family history</topic><topic>Family medical history</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Hyperlipoproteinemia Type II - blood</topic><topic>Hyperlipoproteinemia Type II - diagnosis</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Low density lipoprotein</topic><topic>Male</topic><topic>Medical History Taking - statistics & numerical data</topic><topic>Pediatrics</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Western Australia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sorubarajan, Tharmarajah</creatorcontrib><creatorcontrib>Lewis, Barry D</creatorcontrib><creatorcontrib>Burnett, John R</creatorcontrib><creatorcontrib>Martin, Andrew C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of paediatrics and child health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sorubarajan, Tharmarajah</au><au>Lewis, Barry D</au><au>Burnett, John R</au><au>Martin, Andrew C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Documenting family history in children with hypercholesterolaemia: A lost opportunity</atitle><jtitle>Journal of paediatrics and child health</jtitle><addtitle>J Paediatr Child Health</addtitle><date>2017-05</date><risdate>2017</risdate><volume>53</volume><issue>5</issue><spage>470</spage><epage>473</epage><pages>470-473</pages><issn>1034-4810</issn><eissn>1440-1754</eissn><abstract>Aim
To determine whether information about a family history of hypercholesterolaemia or early cardiovascular disease was documented by paediatricians in children and adolescents with elevated low‐density lipoprotein (LDL)‐cholesterol levels.
Methods
Retrospective chart review of all children with a LDL‐cholesterol level ≥95th percentile (3.4 mmol/L) and ≥99th percentile (3.8 mmol/L) at a tertiary paediatric hospital in 2014.
Results
Of 86 children with a LDL‐cholesterol level ≥3.4 mmol/L, only 18 (20.9%) had documentation of a family history of hypercholesterolaemia or early cardiovascular disease. In those 18, 13 (72.2%) had a family history of hypercholesterolaemia and 11 (61.1%) a family history of early cardiovascular disease. Increasing the LDL‐cholesterol cut‐off level to ≥3.8 mmol/L (n = 46) did not improve documentation of a family history (9/46, 19.6%).
Conclusions
In patients with elevated LDL‐cholesterol levels, paediatricians rarely document a positive or negative family history of hypercholesterolaemia or early cardiovascular disease. This represents a lost opportunity to diagnose children and adolescents with familial hypercholesterolaemia.</abstract><cop>Australia</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>28045210</pmid><doi>10.1111/jpc.13457</doi><tpages>1</tpages></addata></record> |
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| ispartof | Journal of paediatrics and child health, 2017-05, Vol.53 (5), p.470-473 |
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| subjects | Adolescent Biomarkers - blood Cardiovascular disease Cardiovascular Diseases - blood Cardiovascular Diseases - diagnosis Child Child, Preschool children Cholesterol Cholesterol, LDL - blood Documentation - statistics & numerical data Documentation - utilization familial hypercholesterolaemia family history Family medical history Female Follow-Up Studies Health risk assessment Humans Hyperlipoproteinemia Type II - blood Hyperlipoproteinemia Type II - diagnosis Infant Infant, Newborn Low density lipoprotein Male Medical History Taking - statistics & numerical data Pediatrics Practice Patterns, Physicians' - statistics & numerical data Retrospective Studies Western Australia |
| title | Documenting family history in children with hypercholesterolaemia: A lost opportunity |
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