Cardiovascular risk profile with SCORE2 and SCORE2-OP: comparing Portugal, Spain, Italy, and France using the new European predictive models

Figures

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  Figure 1. Cardiovascular risk class assessments by country, as a percentage of total volume (%). Distribution of cardiovascular risk categories, by country, obtained between December 2022 and July 2023 using the SCORE2 model for individuals aged 40–69 years and the SCORE2-OP when aged 70 and older. Percentages presented with respective absolute values (n). Moderate cardiovascular mortality risk: in Portugal and Italy. Low risk: Spain and France. Data collected through Tonic App, a digital mobile application for physicians.

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  Figure 2. Cardiovascular risk class assessments in individuals from Portugal (A), Italy (B), Spain (C) and France (D), by age as a percentage of total volume (%). Distribution of cardiovascular risk classes, by country and age group, obtained between December 2022 and July 2023 using the SCORE2 model for individuals aged 40–69 years and the SCORE2-OP when aged 70 and older. Distribution of risk classes in Portugal (A), Italy (B), Spain (C) and France (D), showcasing progressively increased “high” and “very high” risk gradient from the younger to the older age group. The proportion of assessments in each risk class is presented in percentage (%). Percentages presented with respective absolute values (n). Data collected through Tonic App, a digital mobile application for physicians.

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  Figure 3. Proportion of assessments with high/very high cardiovascular risk in Portugal (A), Italy (B), Spain (C) and France (D), by region, as a percentage of total volume (%). Proportion of “high” and “very high” cardiovascular risk classes, by territorial subdivision, in Portugal (A), Italy (B), Spain (C), and France (D) Risk assessments were made using the SCORE2 model for individuals aged 40–69 years and the SCORE2-OP when aged 70 years and older, between December 2022 and July 2023. Substantial variations in the risk estimates classified as “high” or “very high” cardiovascular risk among the territorial subdivisions of each of the four countries were observed. Results for cardiovascular risk presented in percentage (%). Percentages presented with respective absolute values (n). Data for the Italian regions of Basilicata and Molise, as well as the French region of Corse are not presented due to a low number of cardiovascular risk assessments. Data collected through Tonic App, a mobile digital application for physicians.

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  Figure 4. Proportion of assessments performed using the SCORE2 and SCORE-OP models, as a percentage of total volume (%). Proportion of cardiovascular risk assessments performed using SCORE2 and SCORE2-OP in comparison to the classic SCORE model, in each country, during the period that followed the introduction of the new cardiovascular risk calculation tool in Tonic App, a mobile digital application for physicians. The proportion of assessments performed with the new models oscillated between 88.73% and 93.82% in Portugal, 86.57% and 90.78%in Spain, 73.87% and 81.43%in France, and 82.56% and 87.22% in Italy. The percentage (%) represents the non-cumulative proportion of assessments conducted using the SCORE2 model and the SCORE2-OP, for each month between February 2022 and July 2023. Moderate cardiovascular mortality risk: in Portugal and Italy. Low risk: Spain and France.

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  Figure 5. Specialties evaluating cardiovascular risk in Portugal (A), Italy (B), Spain (C) and France (D), in volume (%). Distribution of cardiovascular risk assessments performed by physicians of different specialities, per country and risk class. The assessments were conducted between December 2022 and July 2023 using the SCORE2 and the SCORE2-OP models, on a mobile digital application for physicians, Tonic App. The 1st graph represents the distribution of assessments by physician speciality in Portugal (A), followed by the graph for Italy (B), for Spain (C), and France (D) General practitioners are, depending on the country, responsible for one-quarter to three-quarters of the total volume of assessments in each risk class, standing out from other medical specialities. The percentage (%) corresponds to the proportion of assessments performed by physicians of each speciality and by non-specialist physicians. Percentages presented with respective absolute values (n).