• Patrick G O'Malley, Michael J Arnold, Cathy Kelley, Lance Spacek, Andrew Buelt, Sundar Natarajan, Mark P Donahue, Elena Vagichev, Jennifer Ballard-Hernandez, Amanda Logan, Lauren Thomas, Joan Ritter, Brian E Neubauer, and John R Downs.
• Uniformed Services University of the Health Sciences, Bethesda, Maryland (P.G.O., M.J.A., B.E.N.).
• Ann. Intern. Med. 2020 Nov 17; 173 (10): 822-829.

DescriptionIn June 2020, the U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) released a joint update of their clinical practice guideline for managing dyslipidemia to reduce cardiovascular disease risk in adults. This synopsis describes the major recommendations.MethodsOn 6 August to 9 August 2019, the VA/DoD Evidence-Based Practice Work Group (EBPWG) convened a joint VA/DoD guideline development effort that included clinical stakeholders and conformed to the Institute of Medicine's tenets for trustworthy clinical practice guidelines. The guideline panel developed key questions, systematically searched and evaluated the literature (English-language publications from 1 December 2013 to 16 May 2019), and developed 27 recommendations and a simple 1-page algorithm. The recommendations were graded by using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system.RecommendationsThis synopsis summarizes key features of the guideline in 7 crucial areas: targeting of statin dose (not low-density lipoprotein cholesterol goals), additional tests for risk prediction, primary and secondary prevention, laboratory testing, physical activity, and nutrition.

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