Cardiovascular Risk Assessment Varies Widely by Calculator and Race/Ethnicity in a Majority Latinx Cohort Living with HIV
Comparison of cardiovascular disease (CVD) risk calculators in Latinx majority populations living with HIV can assist clinicians in selecting a calculator and interpreting results. 10-year CVD risks were estimated for 652 patients seen ≥ 2 times over 12 months in a public clinic using three risk cal...
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| Veröffentlicht in: | Journal of immigrant and minority health 2020-04, Vol.22 (2), p.323-335 |
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| container_title | Journal of immigrant and minority health |
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| creator | Liang, Yuanyuan Ketchum, Norma S. Turner, Barbara J. Flores, John Bullock, Delia Villarreal, Roberto Noël, Polly H. Yin, Michael T. Taylor, Barbara S. |
| description | Comparison of cardiovascular disease (CVD) risk calculators in Latinx majority populations living with HIV can assist clinicians in selecting a calculator and interpreting results. 10-year CVD risks were estimated for 652 patients seen ≥ 2 times over 12 months in a public clinic using three risk calculators: Atherosclerotic CVD risk Calculator (ASCVD), Framingham Risk Calculator (FRC), and Data Collection on Adverse Effects of Anti-HIV Drugs Study (D:A:D) Calculator. Median estimated 10-year CVD risk in this population was highest using FRC (11%), followed by D:A:D (10%), and lowest with ASCVD (5%; p |
| doi_str_mv | 10.1007/s10903-019-00890-w |
| format | Article |
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Median estimated 10-year CVD risk in this population was highest using FRC (11%), followed by D:A:D (10%), and lowest with ASCVD (5%; p < 0.001). However, D:A:D classified 44.3% in a high/very high risk category compared to FRC (20.7%) and ASCVD (33.4%) (all p < 0.001). ASCVD risk estimates differed significantly by race/ethnicity (p < 0.001). Risk varied widely across three risk calculators and by race/ethnicity, and providers should be aware of these differences when choosing a calculator for use in majority minority populations.</description><identifier>ISSN: 1557-1912</identifier><identifier>EISSN: 1557-1920</identifier><identifier>DOI: 10.1007/s10903-019-00890-w</identifier><identifier>PMID: 31004259</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Aged ; Arteriosclerosis ; Atherosclerosis ; Atherosclerosis - drug therapy ; Calculators ; Cardiovascular diseases ; Cardiovascular Diseases - etiology ; Comparative Law ; Continental Population Groups ; Data collection ; Ethnic Groups ; Ethnicity ; Female ; Health risks ; Heart Disease Risk Factors ; High risk ; HIV ; HIV Infections - drug therapy ; Human immunodeficiency virus ; Humans ; International & Foreign Law ; Male ; Mathematical analysis ; Medicine ; Medicine & Public Health ; Middle Aged ; Minority & ethnic groups ; Original Paper ; Populations ; Private International Law ; Public Health ; Race ; Racial differences ; Registries ; Risk Assessment ; Side effects ; Sociology ; Texas</subject><ispartof>Journal of immigrant and minority health, 2020-04, Vol.22 (2), p.323-335</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Journal of Immigrant and Minority Health is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-63caddbdba68da66700832b87cbdb3647627f98808c64a8dc39e61e413a3c3ad3</citedby><cites>FETCH-LOGICAL-c375t-63caddbdba68da66700832b87cbdb3647627f98808c64a8dc39e61e413a3c3ad3</cites><orcidid>0000-0003-2471-9629</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10903-019-00890-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10903-019-00890-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,12826,27323,27903,27904,30978,33753,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31004259$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liang, Yuanyuan</creatorcontrib><creatorcontrib>Ketchum, Norma S.</creatorcontrib><creatorcontrib>Turner, Barbara J.</creatorcontrib><creatorcontrib>Flores, John</creatorcontrib><creatorcontrib>Bullock, Delia</creatorcontrib><creatorcontrib>Villarreal, Roberto</creatorcontrib><creatorcontrib>Noël, Polly H.</creatorcontrib><creatorcontrib>Yin, Michael T.</creatorcontrib><creatorcontrib>Taylor, Barbara S.</creatorcontrib><title>Cardiovascular Risk Assessment Varies Widely by Calculator and Race/Ethnicity in a Majority Latinx Cohort Living with HIV</title><title>Journal of immigrant and minority health</title><addtitle>J Immigrant Minority Health</addtitle><addtitle>J Immigr Minor Health</addtitle><description>Comparison of cardiovascular disease (CVD) risk calculators in Latinx majority populations living with HIV can assist clinicians in selecting a calculator and interpreting results. 10-year CVD risks were estimated for 652 patients seen ≥ 2 times over 12 months in a public clinic using three risk calculators: Atherosclerotic CVD risk Calculator (ASCVD), Framingham Risk Calculator (FRC), and Data Collection on Adverse Effects of Anti-HIV Drugs Study (D:A:D) Calculator. Median estimated 10-year CVD risk in this population was highest using FRC (11%), followed by D:A:D (10%), and lowest with ASCVD (5%; p < 0.001). However, D:A:D classified 44.3% in a high/very high risk category compared to FRC (20.7%) and ASCVD (33.4%) (all p < 0.001). ASCVD risk estimates differed significantly by race/ethnicity (p < 0.001). Risk varied widely across three risk calculators and by race/ethnicity, and providers should be aware of these differences when choosing a calculator for use in majority minority populations.</description><subject>Adult</subject><subject>Aged</subject><subject>Arteriosclerosis</subject><subject>Atherosclerosis</subject><subject>Atherosclerosis - drug therapy</subject><subject>Calculators</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Comparative Law</subject><subject>Continental Population Groups</subject><subject>Data collection</subject><subject>Ethnic Groups</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Health risks</subject><subject>Heart Disease Risk Factors</subject><subject>High risk</subject><subject>HIV</subject><subject>HIV Infections - drug therapy</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>International & Foreign 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Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of immigrant and minority health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liang, Yuanyuan</au><au>Ketchum, Norma S.</au><au>Turner, Barbara J.</au><au>Flores, John</au><au>Bullock, Delia</au><au>Villarreal, Roberto</au><au>Noël, Polly H.</au><au>Yin, Michael T.</au><au>Taylor, Barbara S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiovascular Risk Assessment Varies Widely by Calculator and Race/Ethnicity in a Majority Latinx Cohort Living with HIV</atitle><jtitle>Journal of immigrant and minority health</jtitle><stitle>J Immigrant Minority Health</stitle><addtitle>J Immigr Minor Health</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>22</volume><issue>2</issue><spage>323</spage><epage>335</epage><pages>323-335</pages><issn>1557-1912</issn><eissn>1557-1920</eissn><abstract>Comparison of cardiovascular disease (CVD) risk calculators in Latinx majority populations living with HIV can assist clinicians in selecting a calculator and interpreting results. 10-year CVD risks were estimated for 652 patients seen ≥ 2 times over 12 months in a public clinic using three risk calculators: Atherosclerotic CVD risk Calculator (ASCVD), Framingham Risk Calculator (FRC), and Data Collection on Adverse Effects of Anti-HIV Drugs Study (D:A:D) Calculator. Median estimated 10-year CVD risk in this population was highest using FRC (11%), followed by D:A:D (10%), and lowest with ASCVD (5%; p < 0.001). However, D:A:D classified 44.3% in a high/very high risk category compared to FRC (20.7%) and ASCVD (33.4%) (all p < 0.001). ASCVD risk estimates differed significantly by race/ethnicity (p < 0.001). Risk varied widely across three risk calculators and by race/ethnicity, and providers should be aware of these differences when choosing a calculator for use in majority minority populations.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31004259</pmid><doi>10.1007/s10903-019-00890-w</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-2471-9629</orcidid></addata></record> |
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| ispartof | Journal of immigrant and minority health, 2020-04, Vol.22 (2), p.323-335 |
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| source | MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Arteriosclerosis Atherosclerosis Atherosclerosis - drug therapy Calculators Cardiovascular diseases Cardiovascular Diseases - etiology Comparative Law Continental Population Groups Data collection Ethnic Groups Ethnicity Female Health risks Heart Disease Risk Factors High risk HIV HIV Infections - drug therapy Human immunodeficiency virus Humans International & Foreign Law Male Mathematical analysis Medicine Medicine & Public Health Middle Aged Minority & ethnic groups Original Paper Populations Private International Law Public Health Race Racial differences Registries Risk Assessment Side effects Sociology Texas |
| title | Cardiovascular Risk Assessment Varies Widely by Calculator and Race/Ethnicity in a Majority Latinx Cohort Living with HIV |
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