Impact of Implementation Strategies on Lp(a) Testing in Secondary Care Settings

Inclusion Criteria

• •1. Lp(a) testing is available in this center and reimbursed.
• •2. Capacity to increase Lp(a) testing in relevant patient groups (according to the defined patient eligibility criteria).
• •3. Low and/or inconsistent Lp(a) testing rate(number of eligible patients tested for Lp(a)/number of eligible patients seen) \<15%.
• •4. Willingness to fulfill research requirements, e.g., repurposing existing clinic data for research etc.
• •5. Seeing a defined number of eligible patients per year based on the sample size required for the study.
• •6. Availability of local infrastructure and data interoperability.
• •1\. CV specialists or other HCPs managing and accessing CV risk at their respective centers (cardiology units or equivalent).
• •Electronic records are eligible for assessment in this study if they meet all the following criteria:
• •1. ICF and/or ICF waiver will be sought prior to abstraction of electronic patient records.
• •2. Patients attending at least one SOC visit during the pre-defined time intervals (12 months prior to index date and 0-6 months, 7-12 months and 13-24 months post-index).
• •3. Previous Lp(a) testing:
• •1. Patients with an Lp(a) test recorded before the index date will be included in the baseline assessment, which covers the 12 months prior to the index date.
• •2. For post-index assessments at 6-, 12- and 24-months after the index date, patients with an Lp(a) test recorded before the index date will be excluded.
• •4. Over 18 years of age and qualify for Lp(a) testing according to local practice.