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Hi everyone,
At my recent clinic appointment The DN was giving me a lecture about risk of heart attack and stroke and brought up a % on her screen to show me. Today I have been looking for information about how that risk is assessed and the nearest I can find is based on the UKPDS. Does anyone know if this is correct or not please?
If it is then I think I might have found something interesting to print off and take with me for next time. It is an external validation of the UKDPS risk engine in T2 patients written/published 2010/2011 so fairly recent. It says: -
[The UKPDS risk engine showed moderate to poor discrimination for both CHD and CVD (.....), and an overestimation of the risk (224% and 112%). The calibration of the UKPDS risk engine was slightly better for patients with type 2 diabetes who had been diagnosed with diabetes more than 10 years ago compared with patients diagnosed more recently, particularly for 4 and 5 year predicted CVD and CHD risks. Discrimination for these periods was still moderate to poor.][/quote] and [To enhance the prediction of CVD in patients with type 2 diabetes, this model should be updated.][/quote].
Full report can be found at [http://link.springer.com/content/pdf/10.1007%2Fs00125-010-1960-0.pdf][/url]
Thanks, Pam
At my recent clinic appointment The DN was giving me a lecture about risk of heart attack and stroke and brought up a % on her screen to show me. Today I have been looking for information about how that risk is assessed and the nearest I can find is based on the UKPDS. Does anyone know if this is correct or not please?
If it is then I think I might have found something interesting to print off and take with me for next time. It is an external validation of the UKDPS risk engine in T2 patients written/published 2010/2011 so fairly recent. It says: -
[The UKPDS risk engine showed moderate to poor discrimination for both CHD and CVD (.....), and an overestimation of the risk (224% and 112%). The calibration of the UKPDS risk engine was slightly better for patients with type 2 diabetes who had been diagnosed with diabetes more than 10 years ago compared with patients diagnosed more recently, particularly for 4 and 5 year predicted CVD and CHD risks. Discrimination for these periods was still moderate to poor.][/quote] and [To enhance the prediction of CVD in patients with type 2 diabetes, this model should be updated.][/quote].
Full report can be found at [http://link.springer.com/content/pdf/10.1007%2Fs00125-010-1960-0.pdf][/url]
Thanks, Pam