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August 16, 2024American Journal of Preventive Cardiology10 citationsOpen Access

Low Prevalence of Testing for Apolipoprotein B and Lipoprotein (a) in the Real World

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DMDana J. MurdockKMKeran MollRSRobert J. Sanchez

Key Points

  • Real-world testing rates for apolipoprotein B and lipoprotein (a) remain low among insured individuals, despite recommendations for comprehensive cardiovascular risk assessment.
  • Analysis of 2019 healthcare data evaluated the prevalence of lipid panel components alongside apolipoprotein B and lipoprotein (a) testing among insured populations in the USA.
  • Highlights divergence between clinical practice and cardiovascular disease risk guidelines, indicating an opportunity to optimize lipid biomarker testing in routine care.

Abstract

Apolipoprotein B (ApoB) and lipoprotein (a) (Lpa) are predictors of cardiovascular disease (CVD) risk; therefore, current recommendations for CVD risk assessment and management advocate that patients receive testing for ApoB and Lp(a) in addition to the standard lipid panel. However, US guidelines around ApoB and Lp(a) testing have evolved over time and vary slightly by expert committee. The objective of this analysis was to estimate the number of insured individuals in the USA who received any component of a lipid test, or ApoB and/or Lp(a) testing, during 2019.

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Cite This Study

Murdock et al. (2024) studied this question.

synapsesocial.com/papers/68e5be81b6db6435875569d1https://doi.org/10.1016/j.ajpc.2024.100721
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