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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 (författare)
- University of Gothenburg
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- Hagberg, Eva (författare)
- University of Gothenburg
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- Björnson, Elias (författare)
- University of Gothenburg
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- Adiels, Martin (författare)
- University of Gothenburg
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- Bonander, Carl, 1988- (författare)
- University of Gothenburg,Karlstads universitet,Centrum för forskning om samhällsrisker, CSR (från 2020),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 (författare)
- University of Gothenburg
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- Andersson, Jonas (författare)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Umeå University, Sweden
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- Brunström, Mattias (författare)
- Umeå University,Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Linköping University, Sweden
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- Carlhäll, Carl-Johan (författare)
- Linköping University
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- Engström, Gunnar (författare)
- Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups
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- Erlinge, David (författare)
- Lund University,Lunds universitet,Molekylär kardiologi,Forskargrupper vid Lunds universitet,Molecular Cardiology,Lund University Research Groups,Skåne University Hospital
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- Goncalves, Isabel (författare)
- Lund University,Lunds universitet,Kardiovaskulär forskning - translationella studier,Forskargrupper vid Lunds universitet,Cardiovascular Research - Translational Studies,Lund University Research Groups,Skåne University Hospital
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- Gummesson, Anders (författare)
- University of Gothenburg
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- Hagström, Emil (författare)
- Uppsala University
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- Hjelmgren, Ola (författare)
- University of Gothenburg
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- James, Stefan (författare)
- Uppsala University
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- Janzon, Magnus (författare)
- Linköping University
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- Jonasson, Lena (författare)
- Linköping University
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- Lind, Lars (författare)
- Department of Medical Sciences, Clinical Epidemiology Uppsala University Uppsala Sweden, Sweden
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- Magnusson, Martin (författare)
- Lund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups,North-West University,Skåne University Hospital
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- Oskarsson, Viktor (författare)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Piteå Research Unit Region Norrbotten Piteå Sweden, Sweden,Umeå University, Sweden; Region Norrbotten, Sweden
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- 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
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- Svensson, Per (författare)
- Karolinska Institutet
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- Söderberg, Stefan (författare)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Umeå University, Sweden
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- 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
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- 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
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- Jernberg, Tomas (författare)
- Department of Clinical Sciences Danderyd University Hospital, Karolinska Institutet Stockholm Sweden, Sweden
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(creator_code:org_t)
- American Heart Association, 2024
- 2024
- Engelska.
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Ingår i: Journal of the American Heart Association. - : American Heart Association. - 2047-9980. ; 13:14
- Relaterad länk:
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https://doi.org/10.1...
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https://kau.diva-por... (primary) (Raw object)
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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://urn.kb.se/re...
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https://lup.lub.lu.s...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Computed Tomography Angiography
- Coronary Angiography
- Coronary Artery Disease
- Female
- Humans
- Male
- Middle Aged
- Predictive Value of Tests
- Reproducibility of Results
- Risk Assessment
- Self Report
- Severity of Illness Index
- Sweden
- Vascular Calcification
- blood vessel calcification
- computed tomographic angiography
- coronary angiography
- coronary artery disease
- diagnosis
- diagnostic imaging
- epidemiology
- female
- human
- male
- middle aged
- predictive value
- procedures
- reproducibility
- risk assessment
- self report
- severity of illness index
- Sweden
- Risk and Environmental Studies
- Risk- och miljöstudier
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
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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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visa fler...
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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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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
- Artiklar i publikationen
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Journal of the A ...
- Av lärosätet
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Karlstads universitet
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Umeå universitet
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Lunds universitet
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Karolinska Institutet