Developing cardiovascular disease risk programs in India—Why location and wealth matter

[...]when risk factor prevalence rates and CVD incidence rates are rapidly changing due to demographic and socioeconomic changes in the community, the need to recalibrate such equations becomes important [4]. [...]although risk prediction equations were designed to guide decisions on management and...

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Published in:PLoS medicine Vol. 15; no. 6; p. e1002582
Main Authors: Peiris, David, Prabhakaran, Dorairaj
Format: Journal Article
Language:English
Published: United States Public Library of Science 19.06.2018
Public Library of Science (PLoS)
Subjects:
Adult
Cardiovascular disease
Cardiovascular Diseases
Computer and Information Sciences
Cross-Sectional Studies
Demographics
Developing Countries
Diabetes
Disease prevention
Earth Sciences
Estimates
Funding
Health promotion
Health risk assessment
Health risks
Health services
Households
Humans
India
Medicine and Health Sciences
Methods
Missing data
People and Places
Population
Prevention
Public health administration
Rural areas
Sociodemographics
Urban areas
India
ISSN:1549-1676, 1549-1277, 1549-1676
Online Access:Get full text
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Summary:[...]when risk factor prevalence rates and CVD incidence rates are rapidly changing due to demographic and socioeconomic changes in the community, the need to recalibrate such equations becomes important [4]. [...]although risk prediction equations were designed to guide decisions on management and intervention, the evidence that use of risk scores improves clinical outcomes remains unclear [7]. [...]the survey data that were relied on are now over 5 years old, and, given rapid demographic transitions across India, the risk estimates may not reflect the contemporary situation. [...]27% of the survey sample did not have sufficient information to assess risk, and males with missing data appear to be a little better educated, wealthier, and more likely to reside in an urban setting.
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I have read the journal's policy, and the authors of this manuscript have the following competing interests: DPe is a member of the Editorial Board of PLOS Medicine.
ISSN:1549-1676
1549-1277
1549-1676
DOI:10.1371/journal.pmed.1002582