RT Journal A1 Gaziano J, Gaziano TA T1 SImplifying the approach to the management of dyslipidemia JF JAMA JO JAMA YR 2009 FD November 18 VO 302 IS 19 SP 2148 OP 2149 DO 10.1001/jama.2009.1685 UL http://dx.doi.org/10.1001/jama.2009.1685 AB In this issue of JAMA, Kuklina and colleagues1 report trends over the last decade in cholesterol levels and treatment. While the decreasing prevalence of “high” low-density lipoprotein cholesterol (LDL-C) levels and increasing use of lipid-lowering medications in appropriate individuals are encouraging, the most sobering message in this article is the disappointing rates of screening, awareness, and treatment. Among those with high LDL-C levels, one-third had not been screened, and one-fourth were unaware that their levels were high. About two-thirds of those who were high risk were not receiving medication, although the vast majority of these individuals would likely benefit from lipid-lowering therapy.