An evaluation of the performance of SCORE Sweden 2015 in estimating cardiovascular risk
Background Risk prediction models for cardiovascular death are important for providing advice on lifestyle and in decision-making regarding primary preventive drug treatment. The latest Swedish version of the Systematic COronary Risk Evaluation (SCORE 2015) has yet not been tested in the population....
Published in: | European Journal of Preventive Cardiology |
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croxfordunivpr:10.1177/2047487316673142 2024-06-23T07:55:36+00:00 An evaluation of the performance of SCORE Sweden 2015 in estimating cardiovascular risk The Northern Sweden MONICA Study 1999–2014 Karjalainen, Tina Adiels, Martin Björck, Lena Cooney, Marie-Therèse Graham, Ian Perk, Joep Rosengren, Annika Söderberg, Stefan Eliasson, Mats 2016 http://dx.doi.org/10.1177/2047487316673142 http://journals.sagepub.com/doi/pdf/10.1177/2047487316673142 http://journals.sagepub.com/doi/full-xml/10.1177/2047487316673142 en eng Oxford University Press (OUP) http://journals.sagepub.com/page/policies/text-and-data-mining-license European Journal of Preventive Cardiology volume 24, issue 1, page 103-110 ISSN 2047-4873 2047-4881 journal-article 2016 croxfordunivpr https://doi.org/10.1177/2047487316673142 2024-06-11T04:21:51Z Background Risk prediction models for cardiovascular death are important for providing advice on lifestyle and in decision-making regarding primary preventive drug treatment. The latest Swedish version of the Systematic COronary Risk Evaluation (SCORE 2015) has yet not been tested in the population. Objective The objective of this study was to estimate the prevalence of high and very high risk of fatal cardiovascular disease (CVD) of the current population according to 2015 SCORE Sweden and to evaluate the predictive accuracy of the 2003 Swedish version of SCORE (2003 SCORE Sweden) and 2015 SCORE Sweden in a population with declining CVD mortality. Methods We estimated the high and very high risk group for cardiovascular death for individuals 40–65 years of age in the 2014 Northern Sweden MONICA population survey excluding subjects with known diabetes or previous CVD ( n = 813). Using the 1999 MONICA survey ( n = 3347) followed up for 10 years for CVD mortality, we assessed the calibration of both 2003 and 2015 SCORE Sweden. Results In 2014 2.6% of the population was considered at high or very high risk for fatal CVD, 95% were men and 76% were in the age group 60–65 years. Including subjects with a single markedly elevated risk factor, known diabetes or CVD, 12% of the population was at high or very high risk. During 10 years of follow-up of the 1999 cohort, 34 CVD deaths (24 men and 10 women) occurred. The 2003 SCORE overestimated the risk of death from CVD (ratio predicted/observed 2.3, P < 0.001) whereas the 2015 SCORE slightly overestimated the number of deaths (predicted/observed 1.3, P = 0.12). The 2015 SCORE predicted more accurately than the 2003 SCORE the number of deaths in the different risk and age categories. Conclusion The 2015 SCORE Sweden more adequately than 2003 SCORE Sweden predicts the number of deaths. In 2014, the proportion of high-risk individuals is small in northern Sweden. The main use of 2015 SCORE Sweden would therefore be as an educational tool between the physician and people ... Article in Journal/Newspaper Northern Sweden Oxford University Press European Journal of Preventive Cardiology 24 1 103 110 |
institution |
Open Polar |
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Oxford University Press |
op_collection_id |
croxfordunivpr |
language |
English |
description |
Background Risk prediction models for cardiovascular death are important for providing advice on lifestyle and in decision-making regarding primary preventive drug treatment. The latest Swedish version of the Systematic COronary Risk Evaluation (SCORE 2015) has yet not been tested in the population. Objective The objective of this study was to estimate the prevalence of high and very high risk of fatal cardiovascular disease (CVD) of the current population according to 2015 SCORE Sweden and to evaluate the predictive accuracy of the 2003 Swedish version of SCORE (2003 SCORE Sweden) and 2015 SCORE Sweden in a population with declining CVD mortality. Methods We estimated the high and very high risk group for cardiovascular death for individuals 40–65 years of age in the 2014 Northern Sweden MONICA population survey excluding subjects with known diabetes or previous CVD ( n = 813). Using the 1999 MONICA survey ( n = 3347) followed up for 10 years for CVD mortality, we assessed the calibration of both 2003 and 2015 SCORE Sweden. Results In 2014 2.6% of the population was considered at high or very high risk for fatal CVD, 95% were men and 76% were in the age group 60–65 years. Including subjects with a single markedly elevated risk factor, known diabetes or CVD, 12% of the population was at high or very high risk. During 10 years of follow-up of the 1999 cohort, 34 CVD deaths (24 men and 10 women) occurred. The 2003 SCORE overestimated the risk of death from CVD (ratio predicted/observed 2.3, P < 0.001) whereas the 2015 SCORE slightly overestimated the number of deaths (predicted/observed 1.3, P = 0.12). The 2015 SCORE predicted more accurately than the 2003 SCORE the number of deaths in the different risk and age categories. Conclusion The 2015 SCORE Sweden more adequately than 2003 SCORE Sweden predicts the number of deaths. In 2014, the proportion of high-risk individuals is small in northern Sweden. The main use of 2015 SCORE Sweden would therefore be as an educational tool between the physician and people ... |
format |
Article in Journal/Newspaper |
author |
Karjalainen, Tina Adiels, Martin Björck, Lena Cooney, Marie-Therèse Graham, Ian Perk, Joep Rosengren, Annika Söderberg, Stefan Eliasson, Mats |
spellingShingle |
Karjalainen, Tina Adiels, Martin Björck, Lena Cooney, Marie-Therèse Graham, Ian Perk, Joep Rosengren, Annika Söderberg, Stefan Eliasson, Mats An evaluation of the performance of SCORE Sweden 2015 in estimating cardiovascular risk |
author_facet |
Karjalainen, Tina Adiels, Martin Björck, Lena Cooney, Marie-Therèse Graham, Ian Perk, Joep Rosengren, Annika Söderberg, Stefan Eliasson, Mats |
author_sort |
Karjalainen, Tina |
title |
An evaluation of the performance of SCORE Sweden 2015 in estimating cardiovascular risk |
title_short |
An evaluation of the performance of SCORE Sweden 2015 in estimating cardiovascular risk |
title_full |
An evaluation of the performance of SCORE Sweden 2015 in estimating cardiovascular risk |
title_fullStr |
An evaluation of the performance of SCORE Sweden 2015 in estimating cardiovascular risk |
title_full_unstemmed |
An evaluation of the performance of SCORE Sweden 2015 in estimating cardiovascular risk |
title_sort |
evaluation of the performance of score sweden 2015 in estimating cardiovascular risk |
publisher |
Oxford University Press (OUP) |
publishDate |
2016 |
url |
http://dx.doi.org/10.1177/2047487316673142 http://journals.sagepub.com/doi/pdf/10.1177/2047487316673142 http://journals.sagepub.com/doi/full-xml/10.1177/2047487316673142 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
European Journal of Preventive Cardiology volume 24, issue 1, page 103-110 ISSN 2047-4873 2047-4881 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/2047487316673142 |
container_title |
European Journal of Preventive Cardiology |
container_volume |
24 |
container_issue |
1 |
container_start_page |
103 |
op_container_end_page |
110 |
_version_ |
1802648252467642368 |