Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
December 2, 2019Wellcome Open ResearchOpen Access

Cardiovascular risk prediction in India: Comparison of the original and recalibrated Framingham prognostic models in urban populations.

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Cardiovascular diseases are the leading cause of death in India, but there is no validated cardiovascular disease prognostic risk model for an Indian urban population.

Does recalibrating the Framingham prognostic model using local data change the estimated proportion of high-risk individuals eligible for statins in urban Indian populations?

Population

Participants from two urban Indian studies (CARRS and ICMR)

Comparison

Original Framingham model vs CARRS-recalibrated vs ICMR-recalibrated models

Design

Risk prediction model recalibration and comparative cross-sectional analysis

Authors

PGPriti GuptaCentre for Chronic Disease ControlDPDavid Prieto‐MerinoPreventive CardiologyVAVamadevan S. AjayXLIM

Discussion

Loading...

Member takes

Implication

Recalibration may alter statin eligibility estimates in urban Indian men; leaves open whether local models improve outcome prediction without prospective validation.

Structured PICO

Does recalibrating the Framingham prognostic model using local data change the estimated proportion of high-risk individuals eligible for statins in urban Indian populations?

P
Population
Participants from two urban Indian studies (CARRS and ICMR)
I
Intervention
Recalibrated Framingham prognostic models using risk factor prevalence from CARRS and ICMR studies and WHO 2012 survival data for India
C
Comparator
Original Framingham prognostic model
O
Outcome
Proportion of individuals at high-risk (>30% 10 years CVD risk) eligible to receive preventive treatment such as statins

Recalibrating the Framingham risk model with local Indian data significantly alters the estimated proportion of individuals eligible for statin therapy, highlighting the need for local cohorts with outcome data.

Limitations

  • Variation between recalibrated models using different data from the same country
  • Lack of high quality and well powered local cohorts with outcome data

Cite This Study

Gupta et al. (2019) studied this question.

synapsesocial.com/papers/6a1a7ddf77ec05d9a7b89c4fhttps://doi.org/10.12688/wellcomeopenres.15137.2
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Application of Framingham risk estimates to ethnic minorities in United Kingdom and implications for primary prevention of heart disease in general practice: cross sectional population based study2002 · 149 citations
  2. 2General Cardiovascular Risk Profile for Use in Primary Care2008 · 7,631 citations
  3. 3Barriers to cardiovascular disease risk reduction: Does physicians’ perspective matter?2016 · 22 citations
  4. 4Integrated management of cardiovascular risk2008 · 48 citations
  5. 5Application of cardiovascular disease risk prediction models and the relevance of novel biomarkers to risk stratification in Asian Indians2008 · 7 citations