Personalized Estimates of Benefit From Preventive Care Guidelines
Authors: Jan Matthys
Journal: Annals of Internal Medicine (2014)

Letters21 January 2014Personalized Estimates of Benefit From Preventive Care GuidelinesJan Matthys, MDJan Matthys, MDFrom University of Ghent, University Hospital, Ghent, Belgium.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L14-5001 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We read Taksler and colleagues’ article (1) with great interest. Prioritization of preventive interventions for patients with comorbid conditions via a mathematical model is interesting and practical (1, 2) and is more appropriate when taking the patient's preferences and expectations into account. Prioritization might be an alternative to the total cardiovascular risk approach (for example, the Framingham Risk Score and the Systematic Coronary Risk Evaluation risk chart).In most people, atherosclerotic cardiovascular disease is the product of many risk factors (3) and interaction may play an important role. As such, we were surprised that the legend of ...References1. Taksler GB, Keshner M, Fagerlin A, Hajizadeh N, Braithwaite RS. Personalized estimates of benefit from preventive care guidelines: a proof of concept. Ann Intern Med. 2013;159:161-8. [PMID: 23922061] LinkGoogle Scholar2. Owens DK, Goldhaber-Fiebert JD. Prioritizing guideline-recommended interventions [Editorial]. Ann Intern Med. 2013;159:223-4. [PMID: 23922066] LinkGoogle Scholar3. Reiner Z, Catapano AL, De Backer G, Graham I, Taskinen MR, Wiklund O, et al; European Association for Cardiovascular Prevention & Rehabilitation. ESC/EAS Guidelines for the management of dyslipidaemias: the Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS). Eur Heart J. 2011;32:1769-818. [PMID: 21712404] CrossrefMedlineGoogle Scholar4. Wood DA, Kotseva K, Connolly S, Jennings C, Mead A, Jones J, et al; EUROACTION Study Group. Nurse-coordinated multidisciplinary, family-based cardiovascular disease prevention programme (EUROACTION) for patients with coronary heart disease and asymptomatic individuals at high risk of cardiovascular disease: a paired, cluster-randomised controlled trial. Lancet. 2008;371:1999-2012. [PMID: 18555911] MedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Ghent, University Hospital, Ghent, Belgium.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPersonalized Estimates of Benefit From Preventive Care Guidelines Glen B. Taksler , Melanie Keshner , Angela Fagerlin , Negin Hajizadeh , and R. Scott Braithwaite Personalized Estimates of Benefit From Preventive Care Guidelines Glen B. Taksler and R. Scott Braithwaite Personalized Estimates of Benefit From Preventive Care Guidelines Glen B. Taksler and R. Scott Braithwaite Metrics 21 January 2014Volume 160, Issue 2Page: 140KeywordsCardiovascular disease riskChartsConflicts of interestLife expectancyMathematical modelsMedical risk factorsMorbidityMotivationPreventive medicine ePublished: 21 January 2014 Issue Published: 21 January 2014 CopyrightCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...