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

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

Bergström, Göran (författare): 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

Hagberg, Eva (författare): 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

Björnson, Elias (författare): 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 (författare): University of Gothenburg,School of Public Health and Community Medicine Institute of Medicine, University of Gothenburg Gothenburg Sweden, Sweden

Bonander, Carl (författare): 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

Strömberg, Ulf (författare): University of Gothenburg,School of Public Health and Community Medicine Institute of Medicine, University of Gothenburg Gothenburg Sweden, Sweden

Andersson, Jonas (författare): Umeå University,Umeå universitet,Institutionen för folkhälsa och klinisk medicin

Brunström, Mattias (författare): Umeå University,Umeå universitet,Institutionen för folkhälsa och klinisk medicin

Carlhäll, Carl-Johan (författare): 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

Engström, Gunnar (författare): 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

Erlinge, David (författare): 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

Goncalves, Isabel (författare): 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

Gummesson, Anders (författare): 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

Hagström, Emil (författare): Uppsala University,Department of Medical Sciences Cardiology, Uppsala University Uppsala Sweden, Sweden; Uppsala Clinical Research Center Uppsala University Uppsala Sweden, Sweden

Hjelmgren, Ola (författare): 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

James, Stefan (författare): Uppsala University,Department of Medical Sciences Cardiology, Uppsala University Uppsala Sweden, Sweden; Uppsala Clinical Research Center Uppsala University Uppsala Sweden, Sweden

Janzon, Magnus (författare): Linköping University,Department of Cardiology and Department of Health, Medicine and Caring Sciences, Unit of Cardiovascular Sciences Linköping University Linköping Sweden, Sweden

Jonasson, Lena (författare): Linköping University,Department of Cardiology and Department of Health, Medicine and Caring Sciences, Unit of Cardiovascular Sciences Linköping University Linköping Sweden, Sweden

Lind, Lars (författare): Department of Medical Sciences, Clinical Epidemiology Uppsala University Uppsala Sweden, Sweden

Magnusson, Martin (författare): 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

Oskarsson, Viktor (författare): Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Piteå Research Unit Region Norrbotten Piteå Sweden, Sweden

Sundström, Johan (författare): 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

Svensson, Per (författare): Department of Cardiology Södersjukhuset Stockholm Sweden, Sweden

Söderberg, Stefan (författare): Umeå universitet,Institutionen för folkhälsa och klinisk medicin

Themudo, Raquel (författare): 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

Östgren, Carl Johan (författare): 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

Jernberg, Tomas (författare): Department of Clinical Sciences Danderyd University Hospital, Karolinska Institutet Stockholm Sweden, Sweden

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John Wiley & Sons, 2024
2024
Engelska.
Ingår i: Journal of the American Heart Association. - : John Wiley & Sons. - 2047-9980. ; 13:14

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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.

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

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Av lärosätet: Umeå universitet; Lunds universitet

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

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