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Self-report tool fo...
Self-report tool for identification of individuals with coronary atherosclerosis : the Swedish cardiopulmonary bioimage study
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- Bergström, Göran (author)
- University of Gothenburg,Department of Molecular and Clinical Medicine Institute of Medicine, Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden, Sweden; Department of Clinical Physiology Region Västra Götaland, Sahlgrenska University Hospital Gothenburg Sweden, Sweden
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- Hagberg, Eva (author)
- University of Gothenburg,Department of Molecular and Clinical Medicine Institute of Medicine, Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden, Sweden; Department of Clinical Physiology Region Västra Götaland, Sahlgrenska University Hospital Gothenburg Sweden, Sweden
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- Björnson, Elias (author)
- University of Gothenburg,Department of Molecular and Clinical Medicine Institute of Medicine, Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden, Sweden
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- Adiels, Martin (author)
- University of Gothenburg,School of Public Health and Community Medicine Institute of Medicine, University of Gothenburg Gothenburg Sweden, Sweden
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- Bonander, Carl (author)
- University of Gothenburg,School of Public Health and Community Medicine Institute of Medicine, University of Gothenburg Gothenburg Sweden, Sweden; Centre for Societal Risk Research Karlstad University Karlstad Sweden, Sweden
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- Strömberg, Ulf (author)
- University of Gothenburg,School of Public Health and Community Medicine Institute of Medicine, University of Gothenburg Gothenburg Sweden, Sweden
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- Andersson, Jonas (author)
- Umeå University,Umeå universitet,Institutionen för folkhälsa och klinisk medicin
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- Brunström, Mattias (author)
- Umeå University,Umeå universitet,Institutionen för folkhälsa och klinisk medicin
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- Carlhäll, Carl-Johan (author)
- Linköping University,Center for Medical Image Science and Visualization (CMIV) Linköping University Linköping Sweden, Sweden; Department of Clinical Physiology in Linköping, Department of Health, Medicine and Caring Sciences Linköping University Linköping Sweden, Sweden
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- Engström, Gunnar (author)
- Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups,Department of Clinical Sciences in Malmö Lund University Malmö Sweden, Sweden
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- Erlinge, David (author)
- Lund University,Lunds universitet,Molekylär kardiologi,Forskargrupper vid Lunds universitet,Molecular Cardiology,Lund University Research Groups,Department of Clinical Sciences Lund, Cardiology Lund University, Skåne University Hospital Lund Sweden, Sweden
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- Goncalves, Isabel (author)
- Lund University,Lunds universitet,Kardiovaskulär forskning - translationella studier,Forskargrupper vid Lunds universitet,Cardiovascular Research - Translational Studies,Lund University Research Groups,Department of Cardiology Skåne University Hospital Malmö Sweden, Sweden; Cardiovascular Research Translational Studies, Department of Clinical Sciences Malmö Lund University Malmö Sweden, Sweden
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- Gummesson, Anders (author)
- University of Gothenburg,Department of Molecular and Clinical Medicine Institute of Medicine, Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden, Sweden; Department of Clinical Genetics and Genomics Sahlgrenska University Hospital Gothenburg Sweden, Sweden
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- Hagström, Emil (author)
- Uppsala University,Department of Medical Sciences Cardiology, Uppsala University Uppsala Sweden, Sweden; Uppsala Clinical Research Center Uppsala University Uppsala Sweden, Sweden
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- Hjelmgren, Ola (author)
- University of Gothenburg,Department of Molecular and Clinical Medicine Institute of Medicine, Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden, Sweden; Pediatric Heart Centre, Queen Silvias Childrens hospital Sahlgrenska University Hospital Gothenburg Sweden, Sweden
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- James, Stefan (author)
- Uppsala University,Department of Medical Sciences Cardiology, Uppsala University Uppsala Sweden, Sweden; Uppsala Clinical Research Center Uppsala University Uppsala Sweden, Sweden
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- Janzon, Magnus (author)
- Linköping University,Department of Cardiology and Department of Health, Medicine and Caring Sciences, Unit of Cardiovascular Sciences Linköping University Linköping Sweden, Sweden
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- Jonasson, Lena (author)
- Linköping University,Department of Cardiology and Department of Health, Medicine and Caring Sciences, Unit of Cardiovascular Sciences Linköping University Linköping Sweden, Sweden
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- Lind, Lars (author)
- Department of Medical Sciences, Clinical Epidemiology Uppsala University Uppsala Sweden, Sweden
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- Magnusson, Martin (author)
- Lund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups,Department of Clinical Sciences in Malmö Lund University Malmö Sweden, Sweden; Department of Cardiology Skåne University Hospital Malmö Sweden, Sweden; North-West University Potchefstroom South Africa; Wallenberg Center for Molecular Medicine Lund University Lund Sweden, Sweden,North-West University
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- Oskarsson, Viktor (author)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Piteå Research Unit Region Norrbotten Piteå Sweden, Sweden
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- Sundström, Johan (author)
- Department of Medical Sciences Uppsala University Uppsala Sweden, Sweden; , The George Institute for Global Health University of New South Wales Sydney New South Wales Australia
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- Svensson, Per (author)
- Department of Cardiology Södersjukhuset Stockholm Sweden, Sweden
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- Söderberg, Stefan (author)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin
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- Themudo, Raquel (author)
- Department of Clinical Science, Intervention and Technology, Division of Medical Imaging and Technology Karolinska Institute Stockholm Sweden, Sweden; Department of Radiology Karolinska University Hospital in Huddinge Stockholm Sweden, Sweden
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- Östgren, Carl Johan (author)
- Center for Medical Image Science and Visualization (CMIV) Linköping University Linköping Sweden, Sweden; Department of Health, Medicine and Caring Sciences Linköping University Linköping Sweden, Sweden
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- Jernberg, Tomas (author)
- Department of Clinical Sciences Danderyd University Hospital, Karolinska Institutet Stockholm Sweden, Sweden
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(creator_code:org_t)
- John Wiley & Sons, 2024
- 2024
- English.
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In: Journal of the American Heart Association. - : John Wiley & Sons. - 2047-9980. ; 13:14
- Related links:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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http://dx.doi.org/10... (free)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Subject headings
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- BACKGROUND: Coronary atherosclerosis detected by imaging is a marker of elevated cardiovascular risk. However, imaging involves large resources and exposure to radiation. The aim was, therefore, to test whether nonimaging data, specifically data that can be self-reported, could be used to identify individuals with moderate to severe coronary atherosclerosis.METHODS AND RESULTS: We used data from the population-based SCAPIS (Swedish CardioPulmonary BioImage Study) in individuals with coronary computed tomography angiography (n=25 182) and coronary artery calcification score (n=28 701), aged 50 to 64 years without previous ischemic heart disease. We developed a risk prediction tool using variables that could be assessed from home (self-report tool). For comparison, we also developed a tool using variables from laboratory tests, physical examinations, and self-report (clinical tool) and evaluated both models using receiver operating characteristic curve analysis, external validation, and benchmarked against factors in the pooled cohort equation. The self-report tool (n=14 variables) and the clinical tool (n=23 variables) showed high-to-excellent discriminative ability to identify a segment involvement score ≥4 (area under the curve 0.79 and 0.80, respectively) and significantly better than the pooled cohort equation (area under the curve 0.76, P<0.001). The tools showed a larger net benefit in clinical decision-making at relevant threshold probabilities. The self-report tool identified 65% of all individuals with a segment involvement score ≥4 in the top 30% of the highest-risk individuals. Tools developed for coronary artery calcification score ≥100 performed similarly.CONCLUSIONS: We have developed a self-report tool that effectively identifies individuals with moderate to severe coronary atherosclerosis. The self-report tool may serve as prescreening tool toward a cost-effective computed tomography-based screening program for high-risk individuals.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- coronary artery calcium score
- coronary atherosclerosis
- risk prediction tool
- segment involvement score
- self‐reported data
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Bergström, Göran
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Hagberg, Eva
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Björnson, Elias
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Adiels, Martin
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Bonander, Carl
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Strömberg, Ulf
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show more...
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Andersson, Jonas
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Brunström, Matti ...
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Carlhäll, Carl-J ...
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Engström, Gunnar
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Erlinge, David
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Goncalves, Isabe ...
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Gummesson, Ander ...
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Hagström, Emil
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Hjelmgren, Ola
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James, Stefan
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Janzon, Magnus
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Jonasson, Lena
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Lind, Lars
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Magnusson, Marti ...
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Oskarsson, Vikto ...
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Sundström, Johan
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Svensson, Per
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Söderberg, Stefa ...
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Themudo, Raquel
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Östgren, Carl Jo ...
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Jernberg, Tomas
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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Journal of the A ...
- By the university
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Umeå University
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Lund University