Cited by 270Lipoproteins and Cardiovascular HealthHealth Promotion and Cardiovascular PreventionDiabetes, Cardiovascular Risks, and Lipoproteins

Results of the National Cholesterol Education (NCEP) Program Evaluation Project Utilizing Novel E-Technology (NEPTUNE) II Survey and Implications for Treatment Under the Recent NCEP Writing Group Recommendations

Davidson, Michael H., Maki, Kevin C., Pearson, Thomas A., Pasternak, Richard C., Deedwania, Prakash C., McKenney, James M., Fonarow, Gregg C., Maron, David J. +3 more·2005·The American Journal of Cardiology

Abstract

The most recent national survey of compliance with the National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP) guidelines was completed before ATP III and showed significant underachievement of low-density lipoprotein (LDL) cholesterol goals. The NCEP Evaluation ProjecT Utilizing Novel E-Technology (NEPTUNE) II was a national survey conducted in 2003. Of the 4,885 patients, 67% achieved their LDL cholesterol treatment goal, including 89%, 76%, and 57%, respectively, in the 0 or 1 risk factor, > or = 2 risk factors or coronary heart disease (CHD), and CHD risk equivalent categories. The percentage with triglyceride concentrations > or = 200 mg/dl (2.25 mmol/L) in each risk category who achieved their LDL cholesterol and non-high-density lipoprotein cholesterol goals was 64%, 52%, and 27%, respectively. Patients with diabetes (55%) and other CHD risk equivalents (40%) were less likely to have achieved their LDL cholesterol targets than those with CHD (62%). Of the 1,447 patients with cardiovascular disease, 75% could be classified as very high risk according to the new July 2004 NCEP Writing Group recommendations, and 17.8% of those at very high risk had an LDL cholesterol level of <70 mg/dl (<1.81 mmol/L). In conclusion, these results suggest improved lipid management compared with previous surveys. The largest treatment gaps were found for features new to ATP III as of July 2004, including goal achievement for patients with CHD risk equivalents and for non-high-density lipoprotein cholesterol targets. Most of those (75%) with cardiovascular disease in NEPTUNE II would be considered very high risk and candidates for aggressive therapy to reach the new optional treatment goals.

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Crossref · 10.1016/j.amjcard.2005.04.019

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  • In the NEPTUNE II survey, the proportion of individuals with triglyceride levels >=200 mg/dL who had achieved their non-HDL-C goal ranged from 64% with 0 to 1 risk factor to 52% with >=2 risk factors and only 27% with CVD risk equivalents.

    “For example, in the National Cholesterol Education Program Evaluation Project Utilizing Novel E-Technology (NEPTUNE) II survey, the proportion of individuals with triglyceride levels Ն200 mg/dL who had achieved their non-HDL-C goal ranged from 64% with 0 to 1 risk factor to 52% with Ն2 risk factors and only 27% with CVD risk equivalents.223”

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Authors
Davidson, M. H., Maki, K. C., Pearson, T. A., Pasternak, R. C., Deedwania, P. C., McKenney, J. M., Fonarow, G. C., Maron, D. J., Ansell, B. J., Clark, L. T., & Ballantyne, C. M.
Affiliations
  • University of Rochester Medicine (US)
  • Massachusetts General Hospital (US)
  • National Clinical Research (US)
  • University of California, Los Angeles (US)
  • Vanderbilt University (US)
  • SUNY Downstate Health Sciences University (US)
  • Baylor College of Medicine (US)
Corresponding author
Davidson, Michael H.
Venue
The American Journal of Cardiology
Publisher
Elsevier BV
Published
2005-08
Volume
96
Issue
4
Pages
556-563
ISSN
0002-9149 (ISSN-L)
OpenAlex
W1969054950
Cited by
270
References
6
Citations by year
2026: 1 · 2024: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 5 · 2018: 3 · 2017: 5 · 2016: 4 · 2015: 12 · 2014: 15 · 2013: 16 · 2012: 19
FWCI
28.64
Type
journal article
Language
en
Open access
closed
Locations
  • The American Journal of Cardiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
National Cholesterol Education Program, Adult Treatment Panel III, non-HDL cholesterol, cardiovascular risk stratification, very high-risk patients, coronary artery disease, diabetes mellitus, treatment gap, lipid control, aggressive lipid-lowering therapy
MeSH terms
Anticholesteremic Agents, Cholesterol, Coronary Artery Disease, Female, Follow-Up Studies, Health Surveys, Humans, Male, Middle Aged, Retrospective Studies, Risk Factors, Medical Laboratory Science, Hypertriglyceridemia, Program Evaluation, Treatment Outcome, Practice Guidelines as Topic

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