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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)656-664
Number of pages9
JournalClinical pediatrics
Volume58
Issue number6
DOIs
StatePublished - Jun 1 2019

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Keywords

  • cholesterol
  • lipid clinic
  • obesity
  • pediatrics
  • universal screening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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