The heterogeneity of the studies limited the analysis , but together they showed that provision of risk information to patients improved the accuracy of risk perception without decreasing quality of life or increasing anxiety , but had little effect on lifestyle .
There seems evidence that providing CVD risk model estimates to professionals and patients improves perceived CVD risk and medical prescribing , with little evidence of harm on psychological well-being
OBJECTIVE To systematic ally review whether the provision of information on cardiovascular disease ( CVD ) risk to healthcare professionals and patients impacts their decision-making , behaviour and ultimately patient health .
Adding social deprivation and family history to cardiovascular risk assessment: the ASSIGN score from the Scottish Heart Health Extended Cohort (SHHEC)
Objective : To improve equity in cardiovascular disease prevention by developing a cardiovascular risk score including social deprivation and family history . Design : The ASSIGN score was derived from cardiovascular outcomes in the Scottish Heart Health Extended Cohort ( SHHEC ) . It was tested against the Framingham cardiovascular risk score in the same data base . Setting : R and om- sample , risk-factor population surveys across Scotl and 1984–87 and North Glasgow 1989 , 1992 and 1995 . Participants : 6540 men and 6757 women aged 30–74 , initially free of cardiovascular disease , ranked for social deprivation by residence postcode using the Scottish Index of Multiple Deprivation ( SIMD ) and followed for cardiovascular mortality and morbidity through 2005 . Results : Classic risk factors , including cigarette dosage , plus deprivation and family history but not obesity , were significant factors in constructing ASSIGN scores for each sex . ASSIGN scores , lower on average , correlated closely with Framingham values for 10-year cardiovascular risk . Discrimination of risk in the SHHEC population was significantly , but marginally , improved overall by ASSIGN . However , the social gradient in cardiovascular event rates was inadequately reflected by the Framingham score , leaving a large social disparity in future victims not identified as high risk . ASSIGN classified more people with social deprivation and positive family history as high risk , anticipated more of their events , and abolished this gradient . Conclusion : Conventional cardiovascular scores fail to target social gradients in disease . By including unattributed risk from deprivation , ASSIGN shifts preventive treatment towards the socially deprived . Family history is valuable not least as an approach to ethnic susceptibility . ASSIGN merits further evaluation for clinical use
The heterogeneity of the studies limited the analysis , but together they showed that provision of risk information to patients improved the accuracy of risk perception without decreasing quality of life or increasing anxiety , but had little effect on lifestyle .
There seems evidence that providing CVD risk model estimates to professionals and patients improves perceived CVD risk and medical prescribing , with little evidence of harm on psychological well-being
OBJECTIVE To systematic ally review whether the provision of information on cardiovascular disease ( CVD ) risk to healthcare professionals and patients impacts their decision-making , behaviour and ultimately patient health .