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Defining Gaps in the Management of Familial Hypercholesterolaemia Using Electronic Health Records in Rural General Practice
Journal article   Open access   Peer reviewed

Defining Gaps in the Management of Familial Hypercholesterolaemia Using Electronic Health Records in Rural General Practice

Kyle Selga, Maverick Daniel, Samuel Moffatt, Louis Steyn, Benjamin Whittaker, Jennene Greenhill and Ian Hamilton-Craig
Heart, lung & circulation, Vol.34(7), pp.730-732
07/2025
DOI: https://doi.org/10.1016/j.hlc.2025.03.004
PMID: 40312178
Appears in  Recent Faculty of Health Publications
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Abstract

Electronic health records Familial hypercholesterolaemia Rural general practice Suboptimal lipid lowering therapy
Familial hypercholesterolaemia (FH) affects around 1:250 of the general population and, if untreated, results in premature cardiovascular disease (CVD) due to elevated levels of low-density lipoprotein cholesterol (LDL-C) [1]. Only 10% of FH patients are diagnosed, with the majority undertreated, resulting in poor achievement of target LDL-C levels [1]. Most Australian general practices have around 50–100 FH patients, the majority of whom can be detected using electronic health records (EHR) [2,3]. In a previous study of rural patients with severe hypercholesterolaemia, we found 2% of 17,612 patients had cholesterol levels >7.5 mmol/L and were likely to have FH [4]. Greater gaps in management of CVD risk factors occur in rural and remote compared with metropolitan areas [5]. Our aim was to investigate the management of FH in rural general practice as part of the Advanced Studies projects of third-year medical students during their rural attachments in the Flinders Rural Health SA program of Flinders University Medical School, SA, Australia.

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