title: [Concordance between Procam and Framingham cardiovascular risk scores among men receiving HIV treatment at a National Hospital in Lima, Peru 2013].
abstract: OBJECTIVE
  The aim of the study is to determine the concordance between the PROCAM (Prospective Cardiovascular Münster) and Framingham scales in patients receiving highly active antiretroviral therapy (HAART).
  
  
  METHODS
  A cross sectional study was conducted in HIV-positive male population who use HAART in a national reference hospital located in Lima, Peru. To evaluate the concordance between the two scales the graphic method of Bland and Altman was used, for the evaluation of the correlation we used the Pearson coefficient and to measure the agreement we use the kappa coefficient.
  
  
  RESULTS
  111 patients were enrolled, with an average age of 47.0 years. The distribution of patients according to the risk was low, moderate and high, 81.2%, 13.6% and 5.4% respectively for PROCAM and 71.2%, 25.2% and 3.6% for Framingham. According to the graphic method of Bland and Altman, the concordance was adequate in low values and was lost as the risk score increased. Pearsons test found a strong correlation (r=0.87 and p<0.05) and the kappa coefficient was 0.56 (p<0,001).
  
  
  CONCLUSIONS
  The agreement we found at low risk decreases as the risk increases. Strong correlation was found between the two scales. We recommend further studies in order to know which scale of cardiovascular risk is the most optimal scale for clinical practice among HIV population who receive HAART.
authors.affiliation: Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú
authors.forename: Patricia
authors.initials: P
authors.lastname: Lister-Del Pino
authors.affiliation: Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú
authors.forename: Gustavo
authors.initials: G
authors.lastname: León-Amenero
authors.affiliation: Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú
authors.forename: Angela
authors.initials: A
authors.lastname: Leiva-Montejo
authors.affiliation: Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú
authors.forename: Eddy R
authors.initials: ER
authors.lastname: Segura
mesh_terms: D023241:Antiretroviral Therapy, Highly Active; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010568:Peru; D011446:Prospective Studies; D018570:Risk Assessment; D012307:Risk Factors