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ABSTRACT: Background
Advanced practice providers (APPs) can fill care gaps created by physician shortages and improve adherence/compliance with preventive ASCVD interventions.Hypothesis
APPs utilizing guideline-based algorithms will more frequently escalate ASCVD risk factor therapies.Methods
We retrospectively reviewed data on 595 patients enrolled in a preventive cardiology clinic (PCC) utilizing APPs compared with a propensity-matched cohort (PMC) of 595 patients enrolled in primary-care clinics alone. PCC patients were risk-stratified using Framingham Risk Score (FRS) and coronary artery calcium scoring (CACS).Results
Baseline demographics were balanced between the groups. CACS was more commonly obtained in PCC patients (P?ConclusionsAPPs within a PCC effectively risk-stratify and aggressively manage ASCVD risk factors, resulting in a reduction in post-intervention FRS.
SUBMITTER: Fentanes E
PROVIDER: S-EPMC6489740 | biostudies-literature | 2018 Jun
REPOSITORIES: biostudies-literature
Fentanes Emilio E Vande Hei Anthony G AG Holuby R Scott RS Suarez Norma N Slim Yousif Y Slim Jennifer N JN Slim Ahmad M AM Thomas Dustin D
Clinical cardiology 20180605 6
<h4>Background</h4>Advanced practice providers (APPs) can fill care gaps created by physician shortages and improve adherence/compliance with preventive ASCVD interventions.<h4>Hypothesis</h4>APPs utilizing guideline-based algorithms will more frequently escalate ASCVD risk factor therapies.<h4>Methods</h4>We retrospectively reviewed data on 595 patients enrolled in a preventive cardiology clinic (PCC) utilizing APPs compared with a propensity-matched cohort (PMC) of 595 patients enrolled in pri ...[more]