Adding Systematic Family History Enquiry to Cardiovascular Disease Risk Assessment: Clinical Utility in Primary Care
Authors: Nadeem Qureshi, Paula Dhiman, Joe Kai
Journal: Annals of Internal Medicine (2012)

Letters17 July 2012Adding Systematic Family History Enquiry to Cardiovascular Disease Risk Assessment: Clinical Utility in Primary CareNadeem Qureshi, DM, Paula Dhiman, MSc, and Joe Kai, MDNadeem Qureshi, DMFrom University of Nottingham, Nottingham NG7 2RD, United Kingdom., Paula Dhiman, MScFrom University of Nottingham, Nottingham NG7 2RD, United Kingdom., and Joe Kai, MDFrom University of Nottingham, Nottingham NG7 2RD, United Kingdom.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-157-2-201207170-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree with Dr. Goff that further study of the discriminatory accuracy of positive and negative family history in cardiovascular disease risk assessment algorithms is needed.The comments from Dr. Robson and colleagues and other trials (1) provide relevant information. However, our research had a clinical rather than an epidemiologic aim and thus addressed different questions. We were concerned with clinical utility. We assessed the feasibility and impact of systematically collecting family history in comparison with its usual ad hoc collection and subsequent use in cardiovascular risk assessment in family practice (2). Our study offers the highest level ...References1. Woodward M, Brindle P, Tunstall-Pedoe H; SIGN group on risk estimation. Adding social deprivation and family history to cardiovascular risk assessment: the ASSIGN score from the Scottish Heart Health Extended Cohort (SHHEC). Heart. 2007;93:172-6. [PMID: 17090561] CrossrefMedlineGoogle Scholar2. Valdez R, Yoon PW, Qureshi N, Green RF, Khoury MJ. Family history in public health practice: a genomic tool for disease prevention and health promotion. Annu Rev Public Health. 2010;31:69-87 1 p following 87. [PMID: 20070206] Google Scholar3. The National Collaborating Centre for Primary Care. Lipid Modification: Cardiovascular Risk Assessment and the Primary and Secondary Prevention of Cardiovascular Disease (Full guideline). London: National Collaborating Centre for Primary Care and Royal College of General Practitioners; 2008. Accessed at www.nice.org.uk/nicemedia/live/11982/40742/40742.pdf on 8June 2012. Google Scholar4. Berg AO. Family history gets a boost [Editorial]. Ann Intern Med. 2012;156:315-6. [PMID: 22351717] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Nottingham, Nottingham NG7 2RD, United Kingdom.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-1217. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEffect of Adding Systematic Family History Enquiry to Cardiovascular Disease Risk Assessment in Primary Care Nadeem Qureshi , Sarah Armstrong , Paula Dhiman , Paula Saukko , Joan Middlemass , Philip H. Evans , Joe Kai , and Family History Gets a Boost Alfred O. Berg Adding Systematic Family History Enquiry to Cardiovascular Disease Risk Assessment: Clinical Utility in Primary Care David Goff Adding Systematic Family History Enquiry to Cardiovascular Disease Risk Assessment: Clinical Utility in Primary Care John Robson , Julia Hippisley-Cox , and Peter Brindle Metrics Cited byDevelopment and evaluation of a brief self-completed family history screening tool for common chronic disease prevention in primary carePersonalizing prenatal care using family health history: identifying a panel of conditions for a novel electronic genetic screening tool 17 July 2012Volume 157, Issue 2Page: 149KeywordsAlgorithmsCardiovascular disease riskClinical epidemiologyClinical trialsConflicts of interestDisclosure ePublished: 17 July 2012 Issue Published: 17 July 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...