[Cardiovascular prediction rules: problems for application in practice results of a workshop].
Guidelines for primary prevention of cardiovascular disease recommend a management based on global cardiovascular risk calculated with prediction rules. While cardiovascular prediction rules are applied as a tool to estimate risk, Guidelines describe which consequences to be drawn based on this risk information. We performed a workshop to discuss open questions for application of prediction rules in primary care. Technical aspects may not be a problem, however, additional barriers for application in daily routine exist. First, accuracy of risk estimation is unclear for some of the prediction rules. Second, risk factors, which are intuitively relevant (like obesity), are lacking in most of the prediction rules. Third, differences between guidelines and prediction rules are sometimes not clear for the general physician. In this article we want to answer the most important questions, which have been discussed during the workshop.
Eichler
K
K
Horten-Zentrum für praxisorientierte Forschung und Wissenstransfer, Universitätsspital Zürich. klaus.eichler@evimed.ch
Biller-Andorno
N
N
Traindl
O
O
Tschudi
P
P
Bachmann
L M
LM
Steurer
J
J
D003327:Coronary Disease / Q000209:etiology* / Q000401:mortality / Q000517:prevention & control; D004493:Education; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology* / Q000401:mortality / Q000517:prevention & control; D017410:Practice Guidelines as Topic; D015203:Reproducibility of Results; D018570:Risk Assessment / Q000706:statistics & numerical data*; D012307:Risk Factors