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Published on: March 6, 2012
Design of the Familial Hypercholesterolaemia Australasia Network Registry: Creating Opportunities for Greater
Matthew I Bellgard1, Caroline E Walker2, Kathryn R Napier1
1Centre for Comparative Genomics, Murdoch University, Murdoch.
Insights
Familial Hypercholesterolemia (FH), a genetic disorder causing high cholesterol and early heart disease, affects many undiagnosed Australians. Developing the FH Australasia Network Registry improves patient care through early detection and standardized treatment.
Area of Science:
- Cardiovascular Medicine
- Genetics
- Public Health
Background:
- Familial Hypercholesterolemia (FH) is a prevalent, serious monogenic disorder of lipoprotein metabolism.
- It significantly increases the risk of premature coronary heart disease, with an estimated 65,000 undiagnosed cases in Australia.
- Many FH patients are undertreated, highlighting the need for improved detection and management strategies.
Purpose of the Study:
- To describe the development and design of the FH Australasia Network Registry.
- To establish a standardized, high-quality, and cost-effective system of care for FH patients.
- To provide a blueprint for developing similar FH registries in other countries.
Main Methods:
- Collaborative development involving government, patient networks, clinical networks, and research groups.
- Utilized the open-source, web-based Rare Disease Registry Framework for its modularity, scalability, and security.
- Informed by extensive stakeholder engagement to meet diverse clinical demands.
Main Results:
- The FH Australasia Network Registry was successfully developed and implemented.
- The chosen framework ensures adaptability to evolving clinical needs and regional variations.
- The registry serves as a critical tool for enhancing FH care and research.
Conclusions:
- Early detection, cascade family testing, and adequate treatment are crucial for improving FH patient outcomes.
- Patient registries are essential for advancing FH knowledge and care globally.
- The FH Australasia Network Registry model offers valuable insights for establishing similar initiatives worldwide.
Abstract:
Familial Hypercholesterolemia (FH) is the most common and serious monogenic disorder of lipoprotein metabolism that leads to premature coronary heart disease. There are over 65,000 people estimated to have FH in Australia, but many remain undiagnosed. Patients with FH are often under-treated, but with early detection, cascade family testing and adequate treatment, patient outcomes can improve. Patient registries are key tools for providing new information on FH and enhancing care worldwide. The development and design of the FH Australasia Network Registry is a crucial component in the comprehensive model of care for FH, which aims to provide a standardized, high-quality and cost-effective system of care that is likely to have the highest impact on patient outcomes. Informed by stakeholder engagement, the FH Australasia Network Registry was collaboratively developed by government, patient and clinical networks and research groups. The open-source, web-based Rare Disease Registry Framework was the architecture chosen for this registry owing to its open-source standards, modular design, interoperability, scalability and security features; all these are key components required to meet the ever changing clinical demands across regions. This paper provides a high level blueprint for other countries and jurisdictions to help inform and map out the critical features of an FH registry to meet their particular health system needs.
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