UBC Faculty Research and Publications

Using Framingham for primary prevention cardiovascular risk assessment Therapeutics Initiative (University of British Columbia)

Description

Therapeutics Letter 63 looks at the use of Framingham for primary prevention cardiovascular risk assessment. As with most calculators, family history and weight are not variables and so clinicians must use clinical judgment when these factors are considered important. Conclusions: If you use Framingham to calculate risk, make sure you know what endpoints are included and over what period of time. Framingham risk assessment has a number of limitations and there is a lack of evidence of its impact on prescribing practice or health outcomes. Risk assessment needs to be studied in RCTs as compared to standard care to determine the impact on prescribing in patient populations with different risks at baseline and to see if patients presented with risk estimates feel more informed and make different treatment decisions.

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Attribution-NonCommercial-NoDerivatives 4.0 International