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Lipoprotein(a) testing in an outpatient cardiology clinic: A quality improvement initiative
1Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, United States (Dr Gruen).
Background:
Elevated lipoprotein(a) [Lp(a)] is an independent and causal risk factor for atherosclerotic cardiovascular disease. Increasingly, prevention societies recommend testing Lp(a) at least once for all adults.
Objective:
A quality improvement (QI) initiative aimed to increase the rates of Lp(a) ordering for patients was piloted in the general cardiology fellows' clinic at an urban academic medical center.
Methods:
QI project interventions focused on provider education and inclusion of electronic health record-based tools.
Results:
Over a period of 10 months, the proportion of patients with an Lp(a) order increased from 10.1% to 20.9%, and the proportion of patients with an Lp(a) result increased from 7.0% to 11.2%.
Conclusion:
Ahead of results from ongoing clinical trials testing Lp(a)-targeted therapies, health systems can use QI methods to assess current Lp(a) ordering practices, identify patients who may benefit from future Lp(a)-targeted therapy, and plan for rapid expansion of Lp(a) testing.
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