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Sökning: onr:"swepub:oai:DiVA.org:umu-91744" > The contribution of...

  • Ferrario, Marco M (författare)

The contribution of educational class in improving accuracy of cardiovascular risk prediction across European regions : the MORGAM Project Cohort Component

  • Artikel/kapitelEngelska2014

Förlag, utgivningsår, omfång ...

  • BMJ Publishing Group,2014
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:umu-91744
  • urn:nbn:se:umu:diva-91744urn
  • https://doi.org/10.1136/heartjnl-2013-304664DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Objective To assess whether educational class, an index of socioeconomic position, improves the accuracy of the SCORE cardiovascular disease (CVD) risk prediction equation.Methods In a pooled analysis of 68 455 40-64-year-old men and women, free from coronary heart disease at baseline, from 47 prospective population-based cohorts from Nordic countries (Finland, Denmark, Sweden), the UK (Northern Ireland, Scotland), Central Europe (France, Germany, Italy) and Eastern Europe (Lithuania, Poland) and Russia, we assessed improvements in discrimination and in risk classification (net reclassification improvement (NRI)) when education was added to models including the SCORE risk equation.Results The lowest educational class was associated with higher CVD mortality in men (pooled age-adjusted HR=1.64, 95% CI 1.42 to 1.90) and women (HR=1.31, 1.02 to 1.68). In men, the HRs ranged from 1.3 (Central Europe) to 2.1 (Eastern Europe and Russia). After adjustment for the SCORE risk, the association remained statistically significant overall, in the UK and Eastern Europe and Russia. Education significantly improved discrimination in all European regions and classification in Nordic countries (clinical NRI=5.3%) and in Eastern Europe and Russia (NRI=24.7%). In women, after SCORE risk adjustment, the association was not statistically significant, but the reduced number of deaths plays a major role, and the addition of education led to improvements in discrimination and classification in the Nordic countries only.Conclusions We recommend the inclusion of education in SCORE CVD risk equation in men, particularly in Nordic and East European countries, to improve social equity in primary prevention. Weaker evidence for women warrants the need for further investigations.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Veronesi, Giovanni (författare)
  • Chambless, Lloyd E (författare)
  • Tunstall-Pedoe, Hugh (författare)
  • Kuulasmaa, Kari (författare)
  • Salomaa, Veikko (författare)
  • Borglykke, Anders (författare)
  • Hart, Nigel (författare)
  • Söderberg, StefanUmeå universitet,Kardiologi,The heart centre(Swepub:umu)stso0001 (författare)
  • Cesana, Giancarlo (författare)
  • Umeå universitetKardiologi (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Heart: BMJ Publishing Group100:15, s. 1179-11871355-60371468-201X

Internetlänk

Hitta via bibliotek

  • Heart (Sök värdpublikationen i LIBRIS)

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