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The percentage of patients with diabetes whose last measured total cholesterol within the previous 15 months is 5mmol/l or less
Library Reference Number/Identifier
QOF DM 17
Subject
QOF Clinical domain : Diabetes mellitus
Category
Ongoing management
Detailed Descriptor
The percentage of patients with diabetes whose last measured total cholesterol within the previous 15 months is 5mmol/l or less
Rationale
If total cholesterol is greater than 5.0mmol/l, statin therapy to reduce cholesterol should be initiated and titrated as necessary to reduce total cholesterol to less than 5mmol/l. There is ongoing debate concerning the intervention levels of serum cholesterol in diabetic patients who do not apparently have cardiovascular disease. Further National Guidance is awaited.
The age when a statin should be initiated is unclear. It is pragmatically suggested that the prescription of a statin should be considered for all diabetic patients over the age of 40, particularly if their cholesterol is greater than 5.0mmol/l. Below the age of 40 a decision needs to be reached between the doctor and the patient and may involve assessment of other risk factors and the actual age of the patient.
Definition
This indicator has a numerator and a denominator which give a measure of underlying achievement in respect of relevant patients. Practices are awarded points depending on level of underlying achievement. Practices do not need to reach 100% underlying achievement to achieve 100% of points available for this indicator.
Source
Quality Outcomes Framework
Creator / Producer
NHS Employers/Department of Health (DH)
Quality
QOF indicators are based on best available clinical evidence
Update frequency
Annual publication (October in 2010) based on previous financial year end
Accessibility
NHS Information Centre for Health and Social Care website: http://www.qof.ic.nhs.uk/ spreadsheets, bulletin, on-line database. Available at practice, PCT, SHA and national level
Publisher / Owner
NHS Information Centre for Health and Social Care
Other related PI's (relation)
QOF DM 17
Additional Information
There is currently no information for this item.