Supplementary material: Evaluation of hypercholesterolemia management in at-risk patients by cardiologists in France: a case vignette-based study

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posted on 2024-04-12, 14:33 authored by Jean Ferrieres, Eric Bruckert, Michel Farnier, Michel Krempf, Jean-Jacques Mourad, Baptiste Roux, Francois Schiele

These are peer-reviewed supplementary materials for the article 'Evaluation of hypercholesterolemia management in at-risk patients by cardiologists in France: a case vignette-based study' published in the Journal of Comparative Effectiveness Research.

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Supplementary Table S1
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Aim: This online interactive survey investigated lipid-lowering approaches of French cardiologists in high and very high-cardiovascular risk patients with hypercholesterolemia. Materials & methods: Physicians assessed three hypothetical patients at three clinic visits, and selected the patients’ cardiovascular risk category, target low-density lipoprotein cholesterol (LDL-C) and treatment. Results: A total of 162 physicians completed 480 risk assessments; 58% of assessments correctly categorized the hypothetical patients. Most physicians chose the correct LDL-C target for one of the very high-risk patients, but higher than recommended targets were selected for the other very high-risk patient and the high-risk patient. Statins were the most commonly chosen treatment. Conclusion: French cardiologists often underestimate cardiovascular risk in patients with hypercholesterolemia, select a higher-than-recommended LDL-C target and prescribe less intensive treatment than that recommended by guidelines.