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Paediatric familial hypercholesterolaemia screening in Europe: public policy background and recommendations

SS. Gidding, A. Wiegman, U. Groselj, T. Freiberger, N. Peretti, KI. Dharmayat, M. Daccord, N. Bedlington, J. Sikonja, KK. Ray, RD. Santos, M. Halle, L. Tokgözoğlu, I. Gutiérrez-Ibarluzea, FJ. Pinto, M. Geanta

. 2022 ; 29 (18) : 2301-2311. [pub] 2022Dec21

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc22032119

Familial hypercholesterolaemia (FH) is under-recognized and under-treated in Europe leading to significantly higher risk for premature heart disease in those affected. As treatment beginning early in life is highly effective in preventing heart disease and cost-effective in these patients, screening for FH is crucial. It has therefore now been recognized by the European Commission Public Health Best Practice Portal as an effective strategy. Model programmes exist in Europe to identify young individuals with FH, which are based on cascade screening of first-degree relatives of affected individuals, universal screening for high cholesterol, opportunistic screening of high-risk individuals, or a combination of the above approaches. Recommendations presented herein to improve identification of FH emphasize that every country should have an FH screening programme. These programmes should be adapted from existing strategies to best fit the individual country's healthcare system, governments should provide financial support for these programmes and related care, and further research to optimize care and implementations should be conducted.

Cardiovascular Department CCUL CAML Lisbon School of Medicine University of Lisbon Portugal

Centre for Cardiovascular Surgery and Transplantation Pekařská 53 656 91 Brno Czech Republic

Department of Cardiology Hacettepe University Ankara Turkey

Department of Endocrinology Diabetes and Metabolic Diseases University Children's Hospital University Medical Centre Ljubljana Bohoričeva ulica 20 Ljubljana Slovenia

Department of Paediatrics Amsterdam University Medical Centers University of Amsterdam Meibergdreef 9 1105 AZ Amsterdam The Netherlands

Department of Pediatric Gastroenterology Hepatology and Nutrition Hospices Civil de Lyon HCL Hôpital Femme Mere Enfant HFME Bron France

Department of Prevention and Sports Medicine Faculty of Medicine University Hospital 'Klinikum rechts der Isar' Technical University Munich Munich Germany

DZHK partner site Munich Munich Heart Alliance Munich Germany

Head of Knowledge Management and Health Technology Assessment Basque Foundation for Health Innovation and Research Basque Country Spain

Heart Institute University of Sao Paulo Medical School Hospital Sao Paulo Brazil

Imperial Centre for Cardiovascular Disease Prevention Department of Primary Care and Public Health Imperial College London St Dunstan's Road London W6 8RP UK

International Atherosclerosis Society Milan Italy

Medical Faculty Masaryk University Kamenice 5 625 00 Brno Czech Republic

Preventive Medicine Centre and Cardiology Program Hospital Israelita Albert Einstein Sao Paulo Brazil

The European FH Patient Network Star House Star Hill Rochester Kent ME1 1UX UK

Univ Lyon CarMeN Laboratory INSERM U1060 INRAE U1397 Université Claude Bernard Lyon 1 Oullins Lyon France

World Heart Federation Geneva Switzerland

Citace poskytuje Crossref.org

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$a Familial hypercholesterolaemia (FH) is under-recognized and under-treated in Europe leading to significantly higher risk for premature heart disease in those affected. As treatment beginning early in life is highly effective in preventing heart disease and cost-effective in these patients, screening for FH is crucial. It has therefore now been recognized by the European Commission Public Health Best Practice Portal as an effective strategy. Model programmes exist in Europe to identify young individuals with FH, which are based on cascade screening of first-degree relatives of affected individuals, universal screening for high cholesterol, opportunistic screening of high-risk individuals, or a combination of the above approaches. Recommendations presented herein to improve identification of FH emphasize that every country should have an FH screening programme. These programmes should be adapted from existing strategies to best fit the individual country's healthcare system, governments should provide financial support for these programmes and related care, and further research to optimize care and implementations should be conducted.
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