Characteristics of Children Referred to a Lipid Clinic Before and After the Universal Screening Guidelines

Kavitha Selvaraj; Alicia Olave-Pichon; Irwin Benuck; Adolfo J. Ariza; Helen J. Binns

doi:10.1177/0009922819834282

Characteristics of Children Referred to a Lipid Clinic Before and After the Universal Screening Guidelines

Kavitha Selvaraj^*, Alicia Olave-Pichon, Irwin Benuck, Adolfo J. Ariza, Helen J. Binns

^*Corresponding author for this work

Pediatrics

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

In 2011, universal lipid screening was recommended for children aged 9 to 11 years; the impact of this recommendation on the lipid clinic setting is unknown. We examined the rate of primary and secondary dyslipidemia diagnoses in a lipid clinic before (2010-2011) and after (2012-2015) the guideline recommendation. We conducted a retrospective study of new clinic patients aged 0 to 20 years seen between April 2010 and April 2015. Chi-square testing was applied. The 345 subjects were 58% males; 48% ≥13 years; 56% Hispanic; and 59% obese. There was no difference in the rate of dyslipidemia diagnoses between periods (before: primary 23%, secondary 73%, no dyslipidemia 4% vs after: 22%, 72%, 6%, respectively; P =.616). There was no significant difference between periods in subject demographics for the total sample, but among those with primary dyslipidemia, pre- to post-guideline percentage of subjects with public insurance decreased (71% to 39%; P =.006). Additional strategies to increase identification of children with dyslipidemia are needed.

Original language	English (US)
Pages (from-to)	656-664
Number of pages	9
Journal	Clinical pediatrics
Volume	58
Issue number	6
DOIs	https://doi.org/10.1177/0009922819834282
State	Published - Jun 1 2019

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Drs Ariza and Binns’ research time was supported by a Cooperative Research Agreement between Ann & Robert H. Lurie Children’s Hospital of Chicago and the Williams Heart Foundation.

Keywords

cholesterol
lipid clinic
obesity
pediatrics
universal screening

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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abstract = "In 2011, universal lipid screening was recommended for children aged 9 to 11 years; the impact of this recommendation on the lipid clinic setting is unknown. We examined the rate of primary and secondary dyslipidemia diagnoses in a lipid clinic before (2010-2011) and after (2012-2015) the guideline recommendation. We conducted a retrospective study of new clinic patients aged 0 to 20 years seen between April 2010 and April 2015. Chi-square testing was applied. The 345 subjects were 58% males; 48% ≥13 years; 56% Hispanic; and 59% obese. There was no difference in the rate of dyslipidemia diagnoses between periods (before: primary 23%, secondary 73%, no dyslipidemia 4% vs after: 22%, 72%, 6%, respectively; P =.616). There was no significant difference between periods in subject demographics for the total sample, but among those with primary dyslipidemia, pre- to post-guideline percentage of subjects with public insurance decreased (71% to 39%; P =.006). Additional strategies to increase identification of children with dyslipidemia are needed.",

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AU - Binns, Helen J.

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Characteristics of Children Referred to a Lipid Clinic Before and After the Universal Screening Guidelines

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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