Comparison of cardiovascular risk calculators in patients with diabetes
SUMMARY OBJECTIVE: Cardiovascular risk stratification is an important clinical practice to estimate the severity of cardiovascular disease in patients with type 2 diabetes. This study aimed to compare the stratification of global cardiovascular risk with the specific risk stratification for patients with type 2 diabetes, seen at specialized outpatient clinics, and to evaluate possible differences in diagnoses and treatments. METHODS: A total of 122 patients with type 2 diabetes treated at two specialized outpatient clinics, from 2017 to 2019, were studied. The cardiovascular risk stratification calculators, global risk score, Cardiovascular Risk Stratification Calculator, and United Kingdom Prospective Diabetes Study-Risk Engine, were used to calculate the risk of death from cardiovascular disease. The agreement between these calculators was analyzed using the kappa index. The indications for the use of statins and acetylsalicylic acid for the group studied were evaluated according to the Brazilian Diabetes Society Guideline. RESULTS: There was a low degree of agreement among the three risk calculators. The global risk score calculator showed insignificant agreement with the Cardiovascular Risk Stratification Calculator (kappa=0.0816; p=0.0671). There was no agreement between the global risk score calculator and United Kingdom Prospective Diabetes Study-Risk Engine (kappa=-0.099), or between the Cardiovascular Risk Stratification Calculator and United Kingdom Prospective Diabetes Study-Risk Engine (kappa=-0.0095). CONCLUSION: The substantial disagreements among the cardiovascular risk calculators may lead to different diagnoses and may consequently influence therapeutic strategies. The findings herein highlight the need for specific validated cardiovascular risk calculators for patients with DM2 that can reliably estimate risk in these individuals.
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Associação Médica Brasileira
2021
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oai:scielo:S0104-423020210003002002021-08-12Comparison of cardiovascular risk calculators in patients with diabetesRibeiro,Luana KaremAmorim,Welma WildesCardoso,Igor Thiago AlvinVieira,Wester SilvaKochergin,Clavdia NicolaevnaMedeiros,Danielle Souto deSoares,Daniela ArrudaLouzado,José AndradeSilva,Kelle OliveiraCortes,Matheus LopesMistro,SóstenesBezerra,Vanessa MoraesOliveira,Marcio Galvão Diabetes mellitus Cardiovascular diseases Cardiovascular risk SUMMARY OBJECTIVE: Cardiovascular risk stratification is an important clinical practice to estimate the severity of cardiovascular disease in patients with type 2 diabetes. This study aimed to compare the stratification of global cardiovascular risk with the specific risk stratification for patients with type 2 diabetes, seen at specialized outpatient clinics, and to evaluate possible differences in diagnoses and treatments. METHODS: A total of 122 patients with type 2 diabetes treated at two specialized outpatient clinics, from 2017 to 2019, were studied. The cardiovascular risk stratification calculators, global risk score, Cardiovascular Risk Stratification Calculator, and United Kingdom Prospective Diabetes Study-Risk Engine, were used to calculate the risk of death from cardiovascular disease. The agreement between these calculators was analyzed using the kappa index. The indications for the use of statins and acetylsalicylic acid for the group studied were evaluated according to the Brazilian Diabetes Society Guideline. RESULTS: There was a low degree of agreement among the three risk calculators. The global risk score calculator showed insignificant agreement with the Cardiovascular Risk Stratification Calculator (kappa=0.0816; p=0.0671). There was no agreement between the global risk score calculator and United Kingdom Prospective Diabetes Study-Risk Engine (kappa=-0.099), or between the Cardiovascular Risk Stratification Calculator and United Kingdom Prospective Diabetes Study-Risk Engine (kappa=-0.0095). CONCLUSION: The substantial disagreements among the cardiovascular risk calculators may lead to different diagnoses and may consequently influence therapeutic strategies. The findings herein highlight the need for specific validated cardiovascular risk calculators for patients with DM2 that can reliably estimate risk in these individuals.info:eu-repo/semantics/openAccessAssociação Médica BrasileiraRevista da Associação Médica Brasileira v.67 n.2 20212021-02-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021000300200en10.1590/1806-9282.67.02.20200514 |
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Ribeiro,Luana Karem Amorim,Welma Wildes Cardoso,Igor Thiago Alvin Vieira,Wester Silva Kochergin,Clavdia Nicolaevna Medeiros,Danielle Souto de Soares,Daniela Arruda Louzado,José Andrade Silva,Kelle Oliveira Cortes,Matheus Lopes Mistro,Sóstenes Bezerra,Vanessa Moraes Oliveira,Marcio Galvão |
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Ribeiro,Luana Karem Amorim,Welma Wildes Cardoso,Igor Thiago Alvin Vieira,Wester Silva Kochergin,Clavdia Nicolaevna Medeiros,Danielle Souto de Soares,Daniela Arruda Louzado,José Andrade Silva,Kelle Oliveira Cortes,Matheus Lopes Mistro,Sóstenes Bezerra,Vanessa Moraes Oliveira,Marcio Galvão Comparison of cardiovascular risk calculators in patients with diabetes |
author_facet |
Ribeiro,Luana Karem Amorim,Welma Wildes Cardoso,Igor Thiago Alvin Vieira,Wester Silva Kochergin,Clavdia Nicolaevna Medeiros,Danielle Souto de Soares,Daniela Arruda Louzado,José Andrade Silva,Kelle Oliveira Cortes,Matheus Lopes Mistro,Sóstenes Bezerra,Vanessa Moraes Oliveira,Marcio Galvão |
author_sort |
Ribeiro,Luana Karem |
title |
Comparison of cardiovascular risk calculators in patients with diabetes |
title_short |
Comparison of cardiovascular risk calculators in patients with diabetes |
title_full |
Comparison of cardiovascular risk calculators in patients with diabetes |
title_fullStr |
Comparison of cardiovascular risk calculators in patients with diabetes |
title_full_unstemmed |
Comparison of cardiovascular risk calculators in patients with diabetes |
title_sort |
comparison of cardiovascular risk calculators in patients with diabetes |
description |
SUMMARY OBJECTIVE: Cardiovascular risk stratification is an important clinical practice to estimate the severity of cardiovascular disease in patients with type 2 diabetes. This study aimed to compare the stratification of global cardiovascular risk with the specific risk stratification for patients with type 2 diabetes, seen at specialized outpatient clinics, and to evaluate possible differences in diagnoses and treatments. METHODS: A total of 122 patients with type 2 diabetes treated at two specialized outpatient clinics, from 2017 to 2019, were studied. The cardiovascular risk stratification calculators, global risk score, Cardiovascular Risk Stratification Calculator, and United Kingdom Prospective Diabetes Study-Risk Engine, were used to calculate the risk of death from cardiovascular disease. The agreement between these calculators was analyzed using the kappa index. The indications for the use of statins and acetylsalicylic acid for the group studied were evaluated according to the Brazilian Diabetes Society Guideline. RESULTS: There was a low degree of agreement among the three risk calculators. The global risk score calculator showed insignificant agreement with the Cardiovascular Risk Stratification Calculator (kappa=0.0816; p=0.0671). There was no agreement between the global risk score calculator and United Kingdom Prospective Diabetes Study-Risk Engine (kappa=-0.099), or between the Cardiovascular Risk Stratification Calculator and United Kingdom Prospective Diabetes Study-Risk Engine (kappa=-0.0095). CONCLUSION: The substantial disagreements among the cardiovascular risk calculators may lead to different diagnoses and may consequently influence therapeutic strategies. The findings herein highlight the need for specific validated cardiovascular risk calculators for patients with DM2 that can reliably estimate risk in these individuals. |
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Associação Médica Brasileira |
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2021 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021000300200 |
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