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QRISK underestimated risk of cardiovascular disease in general practice patients; Framingham score overestimated riskCommentary

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J Hippisley-Cox

Prof J Hippisley-Cox, University Park, Nottingham, UK; Julia.hippisley-cox@nottingham.ac.uk

QUESTION

Does QRISK score predict risk of cardiovascular disease (CVD) in a validation sample of general practice patients? How does it compare with Framingham score?

METHODS

Design:

prospective cohort study.

Setting:

2 validation cohorts from general practices in the UK that provided routinely collected clinical data to 1 of 2 research databases (QRESEARCH, n = 160; THIN, n = 274).

Patients:

patients who were included in the THIN (n = 1.07 million) or QRESEARCH (n = 0.61 million) databases, were 35–74 years of age (51% women), did not have diabetes or CVD, and were not taking statins at baseline.

Description of prediction guide:

QRISK score included traditional risk factors (age, sex, systolic blood pressure, smoking status, and total/high density lipoprotein serum cholesterol ratio) as well as social deprivation …

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