While total cardiovascular risk assessment using WHO/ISH charts offers clinical benefits, it may underestimate treatment needs without adjustment for specific risk factors, highlighting the need for operational guidance.
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Adjust total CVD risk assessments for specific factors to avoid under-treatment; extends guidelines toward hybrid risk approaches.
Used on a population level, cardiovascular risk scores may offer useful insights that can assist health service delivery planning. An approach based on overall risk without adjustment of specific risk factors however, may underestimate treatment needs.At the individual level, the total risk approach offers important clinical benefits. However, countries need to develop appropriate clinical guidelines and operational guidance for detection and management of CVD risk using total CVD-risk approach at different levels of health system. Operational research is needed to assess implementation issues.
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Dugee et al. (2013) studied this question.
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