Cardiovascular risk calculators: Understanding differences and realising economic implications

Silvana Quaglini, Mario Stefanelli, Lorenzo Boiocchi, Fabio Campari, Anna Cavallini, Giuseppe Micieli

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

In recent years, the concept of 'global cardiovascular risk assessment' has grown in interest for its role in primary prevention of cerebro-cardiovascular diseases. Interventions for reducing the risk of relapse for persons with past history of these diseases are well agreed-on. On the contrary, the risk status of persons without such a history varies greatly, and this variability implies a range in the intensity of interventions. In several countries, guidelines for general practitioners have been diffused about pharmaceutical prescriptions in presence of various risk degrees. In particular, in Italy, a governmental drug management commission has established that statins, the most used cholesterol lowering medicines, can be refunded by the National Healthcare System only if prescribed to hyper-cholesterol patients with a global risk greater than 20%. The question is: how to calculate the risk? We performed a review of both the web and the literature and we found a lot of different 'risk calculators'. By means of a simulation study, we showed that these tools, when applied to the same person, may lead to very different results. We estimated the economic impact of using one or another calculator.

Original languageEnglish
Title of host publicationStudies in Health Technology and Informatics
Pages617-622
Number of pages6
Volume95
DOIs
Publication statusPublished - 2003
Event18th International Congress of the European Federation for Medical Informatics, MIE 2003 - St. Malo, France
Duration: May 4 2003May 7 2003

Other

Other18th International Congress of the European Federation for Medical Informatics, MIE 2003
Country/TerritoryFrance
CitySt. Malo
Period5/4/035/7/03

Keywords

  • cardiovascular risk calculator
  • drug prescription guidelines
  • economic evaluation

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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