OBJECTIVES: To assess quality of management and determinants in lipid control for secondary prevention of @entity65 ( @entity65 ) using multilevel regression models. DESIGN: Cross-sectional study. SETTING: Inner London borough, with a primary care registered population of 378   000 (2013). @entity1 : 48/49 participating general practices with 7869 @entity1 on @entity299 / @entity64 registers were included. OUTCOME MEASURES: (1) Recording of current total @entity165 levels and lipid control according to national evidence-based standards. (2) Assessment of quality by age, sex, ethnicity, deprivation, presence of other risks or comorbidity in meeting both lipid measurement and control standards. RESULTS: Some process standards were not met. @entity1 with a current @entity165 measurement >5   mmol/L were less likely to have a current statin prescription (adjusted OR=3.10; 95% CI 2.70 to 3.56). They were more likely to have clustering of other @entity65 risk factors. @entity1 were significantly more likely to have raised @entity165 after adjustment for other factors (adjusted OR=1.74; 95% CI 1.53 to 1.98). CONCLUSIONS: In this study, the key factor that explained poor lipid control in @entity1 with @entity65 was having no current prescription record of a statin. @entity1 were more likely to have poorly controlled @entity165 (independent of comorbid risk factors and after adjusting for age, ethnicity, deprivation index and practice-level variation). @entity1 with @entity65 should be offered statin prescription and may require higher statin dosage for improved control.

Evaluating quality and its determinants in lipid control for secondary prevention of XXXX and @entity64 in primary care: a study in an inner London Borough.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'Women', 'PARTICIPANTS', 'people'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity299 :: ('MESH:D006331', 'Disease') :: ['heart disease'] @entity65 :: ('MESH:D002318', 'Disease') :: ['CVD', 'cardiovascular disease'] @entity165 :: ('MESH:D002784', 'Chemical') :: ['cholesterol']
@entity299 :: (MESH:D006331,Disease) :: ['heart disease']
