American College of Physicians Guidelines on Cholesterol Screening
Authors: Alan M. Garber
Journal: Annals of Internal Medicine (1996)

Letters15 December 1996American College of Physicians Guidelines on Cholesterol ScreeningAlan M. Garber, MD, PhD, Warren S. Browner, MD, MPH, and Stephen B. Hulley, MD, MPHAlan M. Garber, MD, PhDStanford University School of Medicine, Veterans Affairs Palo Alto Health Care System, Stanford, CA 94305.University of California, San Francisco, San Francisco Veterans Affairs Medical Center, San Francisco, CA 94143.Search for more papers by this author, Warren S. Browner, MD, MPHStanford University School of Medicine, Veterans Affairs Palo Alto Health Care System, Stanford, CA 94305.University of California, San Francisco, San Francisco Veterans Affairs Medical Center, San Francisco, CA 94143.Search for more papers by this author, and Stephen B. Hulley, MD, MPHStanford University School of Medicine, Veterans Affairs Palo Alto Health Care System, Stanford, CA 94305.University of California, San Francisco, San Francisco Veterans Affairs Medical Center, San Francisco, CA 94143.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-125-12-199612150-00021 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:As Dr. Fronduti surmises, the statement that screening is not recommended for persons 75 years of age and older applies only to primary prevention. The recommendation to do lipid analysis in all persons with known coronary heart disease or other vascular disease applies to men and women of all ages.In many practice settings, as Dr. Goldstein observes, the key issue is what to do with knowledge of a cholesterol level that may have been obtained incidentally as part of a blood chemistry panel. Recognizing that incidental abnormalities discovered in this way may be falsely positive or otherwise ...References1. Garber AM, Browner WS, Hulley SB. Cholesterol screening in asymptomatic adults, revisited. Ann Intern Med. 1996; 124:518-31. Google Scholar2. Asymptomatic hypercholesterolemia: a clinical policy review. Toronto Working Group on Cholesterol Policy. J Clin Epidemiol. 1990; 43:1029. Google Scholar3. Conseil d'evaluation des technologies de la sante du Quebec (CETS). Cholesterol and Coronary Disease: Intervention Stragtegies in the Light of Present Knowledge. Montreal: CETS; 1993. Google Scholar4. Cholesterol Testing and Treatment in Adults. Health services utilization and review commission. Saskatoon: Saskatchewan Health Services Utilization and Research Commission; 1995. Google Scholar5. Hanlon P, McEwen J, Carey L, Gilmour H, Tannahill C, Tannahill A, et al. Health checks and coronary risk: further evidence from a randomised controlled trial. BMJ. 1995; 311:1609-13. Google Scholar Author, Article, and Disclosure InformationAffiliations: Stanford University School of Medicine, Veterans Affairs Palo Alto Health Care System, Stanford, CA 94305.University of California, San Francisco, San Francisco Veterans Affairs Medical Center, San Francisco, CA 94143. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 15 December 1996Volume 125, Issue 12Page: 1009-1010KeywordsCholesterolCoronary heart diseaseHypercholesterolemiaMedical risk factorsMenopauseMortalityRandomized trialsRisk managementScreening guidelinesTreatment guidelines Issue Published: 15 December 1996 CopyrightCopyright © 1996 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...