Lipid Disorders

Does your patient wish to be referred?

Minimum referral criteria

Does your patient meet the minimum referral criteria?

Category 1

Appointment within 30 days is desirable

  • Total triglyceride > 20mmol/L in patient having had episode of pancreatitis in the previous 3 months (consider referring to Endocrinology if local services are available)

Category 2

Appointment within 90 days is desirable

  • Patients with prior ACS and:
    • LDL>5.0mmol/L; or
    • DLNC Score > 6 (ie likely heterozygous family history)

Category 3

Appointment within 365 days is desirable

  • Significantly raised LDL (>4 mmol/L) in high CVD risk patients
  • Difficult to control LDL (>3.3 mmol/L) In CHD patients with familial hypercholesterolemia
  • Severe mixed dyslipidemia (TC and TG totalling more than 10 mmol/L)

If your patient does not meet the minimum referral criteria

Consider other treatment pathways or an alternative diagnosis.

If you still need to refer your patient:

  • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Other important information for referring practitioners

Not an exhaustive list

  • Consider commencing statins depending on other cardiac risk factors
  • The Heart Foundation’s Lipid Management Guidelines provide some additional guidance for patient management
  • The QRISK®2 calculator is helpful in assessing cardiovascular disease risk
  • Patients with moderate hyperlipidaemia (total cholesterol 5 – 10mmol/L and/or triglycerides < 4mmol/L) may be referred to a general physician rather than a cardiologist depending on local services.
  • Refer to HealthPathways for assessment and management information if available

Referral requirements

A referral may be rejected without the following information.

  • Details of all treatments offered and efficacy
  • Relevant previous medical history and co-morbidities (especially cardiovascular disease)
  • BP
  • ELFTs, HbA1c, TSH,
  • Recent (within 3 months) fasting lipid results (cholesterol/ triglyceride/ HDL-cholesterol/ LDL-cholesterol)

Additional Referral Information (Useful for processing the referral)

  • Previous lipid results (serial if available)
  • CK results
  • Any imaging confirming presence of cardiovascular disease
  • Family history of hyperlipidaemia
  • Coronary artery calcium score
  • Smoking and alcohol history
  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander
  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can’t order, or the patient can’t afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary
  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use
  • Full name (including aliases)
  • Date of birth
  • Residential and postal address
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature
  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Send referral

Hotline: 1300 364 938

Fax: 1300 364 952

Electronic: eReferral system

Mail: Metro North Central Patient Intake
Aspley Community Centre
776  Zillmere Road

Health pathways

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