Quel est le ressenti des médecins généralistes isérois sur la prise en charge de l'hypercholestérolémie chez les 40-65 ans en prévention primaire suite à la parution des recommandations de la haute autorité de santé en 2017 ?

Abstract : Introduction: For over twenty years, in France, there has been a controversy around statins, with broad media coverage. Yet, year after year, for hypercholesterolemia treatment, health autorities have been advocating to aim at always lower LDLc rate. In 2017, the HAS recommendations were able to restart the debate. The general practitioners, the main stakeholders involved in primary prevention, are the first to be impacted by theses polemics. Objective: This work tried to collect the feeling of Isere general practitioners in their management of hypercholesterolemia of patients aged between 40 and 65, in primary prevention following the publication of the 2017 HAS recommendations. Method: It is a qualitative study based upon semi-structured individual interviews held in Isere, conducted until data saturation, between 1st of july and 15 october 2018. Results: Fifteen general practitioners got interviewed. They acknowledged being suspicious about the controversy. However, the majority of them recognized adapting their pratices, interviewing their patients more thoroughly, and setting them at the center of care. The SCORE tool has hardly ever been used, and the LDLc objectives have been described as strict and difficult to apply, sometimes leading to a personal adaptation of the recommendations. Yet, the general trend was to prescribe fewer statins. Conclusion: Between polemics and new recommendations, general practitioners first found it difficult to manage their patient's hypercholesterolemia, but finally adapted their pratices shifting towards a shared medical decision, that led to a better caution in the introduction of statins treatment.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [37 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01948467
Contributor : Jean-Hugues Morneau <>
Submitted on : Friday, December 7, 2018 - 4:32:38 PM
Last modification on : Wednesday, February 27, 2019 - 10:58:02 PM

File

2018GREA5156_bravais_william(1...
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-01948467, version 1

Citation

Laure Allan-Pattoglia, William Bravais. Quel est le ressenti des médecins généralistes isérois sur la prise en charge de l'hypercholestérolémie chez les 40-65 ans en prévention primaire suite à la parution des recommandations de la haute autorité de santé en 2017 ?. Médecine humaine et pathologie. 2018. ⟨dumas-01948467⟩

Share

Metrics

Record views

61

Files downloads

742