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Prevalence of high risk for cardiovascular disease among the Brazilian adult population, according to different risk calculators: a comparative study

Ciência & saude coletiva, 2021-04, Vol.26 (4), p.1221-1231 [Peer Reviewed Journal]

COPYRIGHT 2021 Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO ;Copyright © 2021. This work is licensed under https://creativecommons.org/licenses/by/4.0/deed.en (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 1413-8123 ;EISSN: 1678-4561 ;DOI: 10.1590/1413-81232021264.01592021 ;PMID: 33886752

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  • Title:
    Prevalence of high risk for cardiovascular disease among the Brazilian adult population, according to different risk calculators: a comparative study
  • Author: Malta, Deborah Carvalho ; Pinheiro, Pedro Cisalpino ; Azeredo, Renato Teixeira ; Santos, Filipe Malta ; Ribeiro, Antonio Luiz Pinho ; Brant, Luisa Campos Caldeira
  • Subjects: Calculators ; Cardiology ; Cardiovascular disease ; Chemotherapy ; Comparative studies ; Heart ; Heart diseases ; Hypertension ; Mathematical analysis ; Risk
  • Is Part Of: Ciência & saude coletiva, 2021-04, Vol.26 (4), p.1221-1231
  • Description: This study compares the proportion of the Brazilian adult population classified as being at high risk of cardiovascular disease (CVD) based on six different CVD risk calculators in order to assess the agreement across different tools. A cross-sectional study was conducted using laboratory data from the National Health Survey (NHS). The prevalence rates of high 10-year risk of CVD among individuals aged between 45 and 64 years were as follows: Brazilian Society of Cardiology (BSC) global risk score (GRS) - 38.1%; American College of Cardiology/American Heart Association (ACC/AHA) score - 44.1%; Framingham Heart Study/GRS - 19.4%; European Society of Cardiology SCORE - 14.6%; World Health Organization/International Society of Hypertension (WHO/ISH) score - 3.1%; and Lim et al. - 2.5%. The CVD calculators showed poor agreement for the identification of high-risk individuals and a high level of agreement for the identification of low/moderate risk individuals, except for the ACC/AHA risk score. The findings show that the proportion of individuals classified as eligible for preventive drug therapy varies from tool to tool, which could lead to the misinterpretation of risk, poor cost-effectiveness of therapy and difficulty implementing public policies.
  • Publisher: Brazil: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO
  • Language: Portuguese;English
  • Identifier: ISSN: 1413-8123
    EISSN: 1678-4561
    DOI: 10.1590/1413-81232021264.01592021
    PMID: 33886752
  • Source: ProQuest Central
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