Closing the Gaps in Care of Dyslipidemia: Revolutionizing Management with Digital Health and Innovative Care Models
Although great progress has been made in the diagnostic and treatment options for dyslipidemias, unawareness, underdiagnosis and undertreatment of these disorders remain a significant global health concern. Growth in digital applications and newer models of care provide novel tools to improve the ma...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
IMR Press
2023-12-01
|
| Series: | Reviews in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/RCM/24/12/10.31083/j.rcm2412350 |
| _version_ | 1797365281202372608 |
|---|---|
| author | Samuel J Apple Rachel Clark Jonathan Daich Macarena Lopez Gonzalez Robert J Ostfeld Peter P Toth Vera Bittner Seth S Martin Jamal S Rana Khurram Nasir Michael D. Shapiro Salim S Virani Leandro Slipczuk |
| author_facet | Samuel J Apple Rachel Clark Jonathan Daich Macarena Lopez Gonzalez Robert J Ostfeld Peter P Toth Vera Bittner Seth S Martin Jamal S Rana Khurram Nasir Michael D. Shapiro Salim S Virani Leandro Slipczuk |
| author_sort | Samuel J Apple |
| collection | DOAJ |
| description | Although great progress has been made in the diagnostic and treatment options for dyslipidemias, unawareness, underdiagnosis and undertreatment of these disorders remain a significant global health concern. Growth in digital applications and newer models of care provide novel tools to improve the management of chronic conditions such as dyslipidemia. In this review, we discuss the evolving landscape of lipid management in the 21st century, current treatment gaps and possible solutions through digital health and new models of care. Our discussion begins with the history and development of value-based care and the national establishment of quality metrics for various chronic conditions. These concepts on the level of healthcare policy not only inform reimbursements but also define the standard of care. Next, we consider the advances in atherosclerotic cardiovascular disease risk score calculators as well as evolving imaging modalities. The impact and growth of digital health, ranging from telehealth visits to online platforms and mobile applications, will also be explored. We then evaluate the ways in which machine learning and artificial intelligence-driven algorithms are being utilized to address gaps in lipid management. From an organizational perspective, we trace the redesign of medical practices to incorporate a multidisciplinary team model of care, recognizing that atherosclerotic cardiovascular disease risk is multifaceted and requires a comprehensive approach. Finally, we anticipate the future of dyslipidemia management, assessing the many ways in which atherosclerotic cardiovascular disease burden can be reduced on a population-wide scale. |
| first_indexed | 2024-03-08T16:46:53Z |
| format | Article |
| id | doaj.art-3bcb3656a8dc433ba24a64e36bed728a |
| institution | Directory Open Access Journal |
| issn | 1530-6550 |
| language | English |
| last_indexed | 2024-03-08T16:46:53Z |
| publishDate | 2023-12-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Reviews in Cardiovascular Medicine |
| spelling | doaj.art-3bcb3656a8dc433ba24a64e36bed728a2024-01-05T09:04:31ZengIMR PressReviews in Cardiovascular Medicine1530-65502023-12-01241235010.31083/j.rcm2412350S1530-6550(23)01176-6Closing the Gaps in Care of Dyslipidemia: Revolutionizing Management with Digital Health and Innovative Care ModelsSamuel J Apple0Rachel Clark1Jonathan Daich2Macarena Lopez Gonzalez3Robert J Ostfeld4Peter P Toth5Vera Bittner6Seth S Martin7Jamal S Rana8Khurram Nasir9Michael D. Shapiro10Salim S Virani11Leandro Slipczuk12Department of Medicine, New York City Health and Hospitals/Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USADivision of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10467, USADivision of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10467, USADivision of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10467, USADivision of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10467, USACGH Medical Center, Sterling, IL, and Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD 61081, USADivision of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL 35294, USADigital Health Lab, Ciccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology, Johns Hopkins School of Medicine, Baltimore, MD 21287, USADivision of Cardiology, The Permanente Medical Group, Kaiser Permanente, Oakland, CA 94611, USADivision of Cardiovascular Prevention and Wellness, Houston Methodist DeBakey Heart & Vascular Surgery, Houston, TX 77030, USACenter for Prevention of Cardiovascular Disease, Section on Cardiovascular Medicine, Wake Forest University School of Medicine, Winston-Salem, NC 27101, USAOffice of the Vice Provost (Research), The Aga Khan University, 74800 Karachi, PakistanDivision of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10467, USAAlthough great progress has been made in the diagnostic and treatment options for dyslipidemias, unawareness, underdiagnosis and undertreatment of these disorders remain a significant global health concern. Growth in digital applications and newer models of care provide novel tools to improve the management of chronic conditions such as dyslipidemia. In this review, we discuss the evolving landscape of lipid management in the 21st century, current treatment gaps and possible solutions through digital health and new models of care. Our discussion begins with the history and development of value-based care and the national establishment of quality metrics for various chronic conditions. These concepts on the level of healthcare policy not only inform reimbursements but also define the standard of care. Next, we consider the advances in atherosclerotic cardiovascular disease risk score calculators as well as evolving imaging modalities. The impact and growth of digital health, ranging from telehealth visits to online platforms and mobile applications, will also be explored. We then evaluate the ways in which machine learning and artificial intelligence-driven algorithms are being utilized to address gaps in lipid management. From an organizational perspective, we trace the redesign of medical practices to incorporate a multidisciplinary team model of care, recognizing that atherosclerotic cardiovascular disease risk is multifaceted and requires a comprehensive approach. Finally, we anticipate the future of dyslipidemia management, assessing the many ways in which atherosclerotic cardiovascular disease burden can be reduced on a population-wide scale.https://www.imrpress.com/journal/RCM/24/12/10.31083/j.rcm2412350dyslipidemiagaps in careatherosclerotic cardiovascular diseaseatherosclerosistechnologytelehealthlipid-lowering therapy |
| spellingShingle | Samuel J Apple Rachel Clark Jonathan Daich Macarena Lopez Gonzalez Robert J Ostfeld Peter P Toth Vera Bittner Seth S Martin Jamal S Rana Khurram Nasir Michael D. Shapiro Salim S Virani Leandro Slipczuk Closing the Gaps in Care of Dyslipidemia: Revolutionizing Management with Digital Health and Innovative Care Models Reviews in Cardiovascular Medicine dyslipidemia gaps in care atherosclerotic cardiovascular disease atherosclerosis technology telehealth lipid-lowering therapy |
| title | Closing the Gaps in Care of Dyslipidemia: Revolutionizing Management with Digital Health and Innovative Care Models |
| title_full | Closing the Gaps in Care of Dyslipidemia: Revolutionizing Management with Digital Health and Innovative Care Models |
| title_fullStr | Closing the Gaps in Care of Dyslipidemia: Revolutionizing Management with Digital Health and Innovative Care Models |
| title_full_unstemmed | Closing the Gaps in Care of Dyslipidemia: Revolutionizing Management with Digital Health and Innovative Care Models |
| title_short | Closing the Gaps in Care of Dyslipidemia: Revolutionizing Management with Digital Health and Innovative Care Models |
| title_sort | closing the gaps in care of dyslipidemia revolutionizing management with digital health and innovative care models |
| topic | dyslipidemia gaps in care atherosclerotic cardiovascular disease atherosclerosis technology telehealth lipid-lowering therapy |
| url | https://www.imrpress.com/journal/RCM/24/12/10.31083/j.rcm2412350 |
| work_keys_str_mv | AT samueljapple closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels AT rachelclark closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels AT jonathandaich closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels AT macarenalopezgonzalez closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels AT robertjostfeld closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels AT peterptoth closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels AT verabittner closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels AT sethsmartin closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels AT jamalsrana closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels AT khurramnasir closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels AT michaeldshapiro closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels AT salimsvirani closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels AT leandroslipczuk closingthegapsincareofdyslipidemiarevolutionizingmanagementwithdigitalhealthandinnovativecaremodels |