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Letters |15 December 1996

American College of Physicians Guidelines on Cholesterol Screening

Mark R. Goldstein, MD

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  • Crozer-Chester Medical Center, Upland, PA 19013.
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TO THE EDITOR:
The 1 March 1996 issue included three papers on cholesterol screening that totaled 21 pages [1-3]. It is obvious that the topic is controversial and will continue to stimulate debate. However, cholesterol screening is not the real issue.
In these days of managed care and automated laboratory testing, we rarely have a choice about whether to screen patients for cholesterol levels. Some automated biochemical profiles may contain values for 25 items, including not only total cholesterol levels but levels of high-density lipoprotein cholesterol, triglycerides, and low-density lipoprotein cholesterol. We get these values whether we want them or not, in the young and old, in women and men. Given the way in which automated profiles are structured, it costs more not to get these already-included items.
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Goldstein MR. American College of Physicians Guidelines on Cholesterol Screening. Ann Intern Med. ;125:1007. doi: 10.7326/0003-4819-125-12-199612150-00016

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Published: Ann Intern Med. 1996;125(12):1007.

DOI: 10.7326/0003-4819-125-12-199612150-00016

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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