This paper reviews the evidence that elevation of serum cholesterol (hypercholesterolemia) is an independent risk factor for cardiovascular disease in the elderly and that the detection and treatment of hypercholesterolemia in an elderly individual who does not have clinically apparent heart disease will diminish overall morbidity or mortality. It also estimates health care expenditures associated with screening and treatment of hypercholesterolemia in the elderly.
This paper reviews both new and previously published data on the proportions of elderly currently receiving a variety of preventive health services; we examine factors associated with whether the elderly receive these services; and we analyze the likely implications for Medicare if preventive health services were offered as covered benefits.
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