How often should lipids be checked in persons with CKD and dyslipidemia?
There is no recognized clinical benefit of measuring lipids annually in most people with CKD, especially if they are already on a statin.
Possible reasons for remeasuring lipids include:
1. Assessing treatment adherence by ensuring an appropriate decrease in LDL cholesterol levels, although this can be achieved through questionnaires, pill counts, and verifying prescription refills.
2. Reevaluating the 10-year CVD risk in persons younger than 50 years of age who are not being treated with a statin.
3. Determining the need for a greater treatment intensity to achieve target lipid goals (at least 30% reduction in LDL cholesterol) after initial treatment is begun.