umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Risk stratification by guidelines compared to tisk assessment by risk equations applied to a MONICA sample
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0003-3025-2690
Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
Show others and affiliations
2003 (English)In: Journal of Hypertension, ISSN 0263-6352, E-ISSN 1473-5598, Vol. 21, no 6, 1089-1095 p.Article in journal (Refereed) Published
Abstract [en]

Background: The World Health Organization/International Society of Hypertension (WHO/ISH) Hypertension Guidelines from 1999 propose a risk stratification scheme for estimating absolute risk for cardiovascular disease (CVD). Risk equations estimated by statistical methods are another way of predicting cardiovascular risk. Objective: We studied the differences between these two approaches when applied to the same set of individuals with high blood pressure. Design and methods: The two northernmost counties in Sweden (NSW) constitute one of the centres in the WHO MONICA (monitoring trends and determinants in cardiovascular disease) Project. Three population surveys have been carried out in 1986, 1990 and 1994, and were used to estimate a risk equation for predicting the 10-year risk of fatal/non-fatal stroke and myocardial infarction. Another MONICA sample from 1999, a total of 5997 subjects, was classified according to the recent WHO/ISH risk stratification scheme. A risk assessment was also performed, by using the risk equations from the NSW MONICA sample and Framingham risk equations. Results: The agreement between the two methods was good when the values obtained from the risk equation were averaged for each risk group obtained from the risk classification by guidelines. However, if the predicted risk for each individual was considered, the agreement was poor for the medium and high-risk groups. Although the average risk for all individuals is the same, many subjects have a higher risk or a lower risk than predicted by guidelines. Conclusions: Risk classification by the 1999 WHO/ISH Hypertension Guidelines is not accurate and detailed enough for medium- and high-risk patients, which could be of clinical importance in the medium risk group.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2003. Vol. 21, no 6, 1089-1095 p.
Keyword [en]
Hypertension Guidelines, hypertension, risk equation, risk stratification, absolute risk
National Category
Family Medicine Probability Theory and Statistics Other Mathematics
Identifiers
URN: urn:nbn:se:umu:diva-96548OAI: oai:DiVA.org:umu-96548DiVA: diva2:765218
Available from: 2014-11-21 Created: 2014-11-21 Last updated: 2017-12-05Bibliographically approved
In thesis
1. Bring hypertension guidelines into play: guideline-based decision support system for drug treatment of hypertension and epidemiological aspects of hypertension guidelines
Open this publication in new window or tab >>Bring hypertension guidelines into play: guideline-based decision support system for drug treatment of hypertension and epidemiological aspects of hypertension guidelines
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå Universitet, 2003. 88 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 837
Keyword
Arterial hypertension, cardiovascular risk, clinical decision support system, drug treatment, guidelines
National Category
Family Medicine
Identifiers
urn:nbn:se:umu:diva-94105 (URN)91-7305-440-2 (ISBN)
Public defence
2003-05-09, Norrlands Universitetssjukhus, Byggnad 1D, 9 tr., hörsal B, Umeå universitet, Umeå, 09:00
Opponent
Supervisors
Projects
digitalisering@umu
Note

Diss. (sammanfattning) Umeå : Umeå universitet, 2003

Available from: 2014-11-20 Created: 2014-10-03 Last updated: 2015-04-10Bibliographically approved

Open Access in DiVA

No full text

Search in DiVA

By author/editor
Persson, MatsCarlberg, BoWeinehall, LarsNilsson, LeifStegmayr, BirgittaLindholm, Lars Hjalmar
By organisation
Family MedicineMedicineEpidemiology and Global HealthDepartment of Mathematics and Mathematical Statistics
In the same journal
Journal of Hypertension
Family MedicineProbability Theory and StatisticsOther Mathematics

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 121 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf