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  • Bergström, GöranUniversity 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 (author)

Self-report tool for identification of individuals with coronary atherosclerosis : the Swedish cardiopulmonary bioimage study

  • Article/chapterEnglish2024

Publisher, publication year, extent ...

  • John Wiley & Sons,2024
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-228089
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-228089URI
  • https://doi.org/10.1161/JAHA.124.034603DOI
  • https://lup.lub.lu.se/record/05c0278e-81fb-4945-bc20-5d5ca4c77495URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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.

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  • Hagberg, EvaUniversity 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 (author)
  • Björnson, EliasUniversity of Gothenburg,Department of Molecular and Clinical Medicine Institute of Medicine, Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden, Sweden (author)
  • Adiels, MartinUniversity of Gothenburg,School of Public Health and Community Medicine Institute of Medicine, University of Gothenburg Gothenburg Sweden, Sweden (author)
  • Bonander, CarlUniversity 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 (author)
  • Strömberg, UlfUniversity of Gothenburg,School of Public Health and Community Medicine Institute of Medicine, University of Gothenburg Gothenburg Sweden, Sweden (author)
  • Andersson, JonasUmeå University,Umeå universitet,Institutionen för folkhälsa och klinisk medicin(Swepub:umu)joan0102 (author)
  • Brunström, MattiasUmeå University,Umeå universitet,Institutionen för folkhälsa och klinisk medicin(Swepub:umu)mabr0041 (author)
  • Carlhäll, Carl-JohanLinköping 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 (author)
  • Engström, GunnarLund 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(Swepub:lu)smi-gen (author)
  • Erlinge, DavidLund 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(Swepub:lu)kard-der (author)
  • Goncalves, IsabelLund 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(Swepub:lu)medf-igo (author)
  • Gummesson, AndersUniversity 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 (author)
  • Hagström, EmilUppsala University,Department of Medical Sciences Cardiology, Uppsala University Uppsala Sweden, Sweden; Uppsala Clinical Research Center Uppsala University Uppsala Sweden, Sweden (author)
  • Hjelmgren, OlaUniversity 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 (author)
  • James, StefanUppsala University,Department of Medical Sciences Cardiology, Uppsala University Uppsala Sweden, Sweden; Uppsala Clinical Research Center Uppsala University Uppsala Sweden, Sweden (author)
  • Janzon, MagnusLinköping University,Department of Cardiology and Department of Health, Medicine and Caring Sciences, Unit of Cardiovascular Sciences Linköping University Linköping Sweden, Sweden (author)
  • Jonasson, LenaLinköping University,Department of Cardiology and Department of Health, Medicine and Caring Sciences, Unit of Cardiovascular Sciences Linköping University Linköping Sweden, Sweden (author)
  • Lind, LarsDepartment of Medical Sciences, Clinical Epidemiology Uppsala University Uppsala Sweden, Sweden (author)
  • Magnusson, MartinLund 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(Swepub:lu)medf-mma (author)
  • Oskarsson, ViktorUmeå universitet,Institutionen för folkhälsa och klinisk medicin,Piteå Research Unit Region Norrbotten Piteå Sweden, Sweden(Swepub:umu)vios0009 (author)
  • Sundström, JohanDepartment of Medical Sciences Uppsala University Uppsala Sweden, Sweden; , The George Institute for Global Health University of New South Wales Sydney New South Wales Australia (author)
  • Svensson, PerDepartment of Cardiology Södersjukhuset Stockholm Sweden, Sweden (author)
  • Söderberg, StefanUmeå universitet,Institutionen för folkhälsa och klinisk medicin(Swepub:umu)stso0001 (author)
  • Themudo, RaquelDepartment 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 (author)
  • Östgren, Carl JohanCenter for Medical Image Science and Visualization (CMIV) Linköping University Linköping Sweden, Sweden; Department of Health, Medicine and Caring Sciences Linköping University Linköping Sweden, Sweden (author)
  • Jernberg, TomasDepartment of Clinical Sciences Danderyd University Hospital, Karolinska Institutet Stockholm Sweden, Sweden (author)
  • University of GothenburgDepartment 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 (creator_code:org_t)

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  • In:Journal of the American Heart Association: John Wiley & Sons13:142047-9980

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