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Evaluation of cardiovascular diseases risk calculators for CVDs prevention and management: scoping review
Mohammed Abd ElFattah Mohammed Darwesh Badawy1, Lin Naing1, Sofian Johar1
1PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Bandar Seri Begawan, Brunei Darussalam.
Insights
Digital tools can help prevent cardiovascular diseases (CVDs). This review found QRISK® to be the most accurate CVD risk calculator, highlighting the need for validated, user-friendly online assessment tools for healthcare professionals.
Area of Science:
- Medical Informatics
- Public Health
- Cardiology
Background:
- Cardiovascular diseases (CVDs) represent a significant global health burden, causing widespread morbidity and mortality.
- Effective prevention and management strategies are crucial for addressing the impact of CVDs on populations.
Purpose of the Study:
- To review the key features, usability, and benefits of digital CVD risk calculators for CVD prevention and management.
- To identify the most accurate and effective tools for risk prediction in diverse populations.
Main Methods:
- A scoping review was conducted using search engines and thematic analyses.
- The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guided the reporting.
- 17 studies with high-level prognostic evidence (Level I and II) were included.
Main Results:
- Various algorithms exist for CVD risk prediction, with differing accuracy.
- QRISK® demonstrated the highest accuracy among reviewed CVD risk calculators across multiple populations.
- World Health Organization/International Society of Hypertension (WHO/ISH) risk scores were found to be the least accurate.
- Key calculator features include variables, predictive accuracy, discrimination index, applicability, understandability, and cost-effectiveness.
Conclusions:
- Risk prediction tools require robust development and validation, considering both stroke and CVD risk for local applicability.
- Online CVD risk assessment tools should be accurate, user-friendly, and tailored to specific populations and healthcare systems.
- Increased engagement of healthcare professionals with effective online tools is vital for CVD prevention and management.
Background:
Cardiovascular diseases (CVDs) are the leading cause of morbidity and mortality globally. This review aimed to summarise evidence on the key features, usability and benefits of CVD risk calculators using digital platforms for CVDs prevention and management in populations.
Methods:
We used search engines and thematic analyses to conduct a scoping review. As the reporting guideline for this review, we used Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR).
Results:
A total of 17 studies meeting eligibility criteria were included in the analysis, from which about 70% of the studies have prognostic level I (n = 8) and level II (n = 4) evidence. The review found that various guidelines are recommending different algorithms for CVD risk prediction. The QRISK® was the most accurate CVD risk calculator for several study populations, whereas World Health Organization/International Society of Hypertension (WHO/ISH) risk scores were the least accurate. The key features of CVD risk calculators are variables, predictive accuracy, discrimination index, applicability, understandability, and cost-effectiveness.
Conclusion:
For the selected risk prediction tool, development and validation research must be done, which considers a mix of stroke-specific risk and CVD risk to establish its usability in the local community and advantages to the particular health-care environment. To get healthcare professionals more involved in preventing and treating CVDs, each healthcare setting should use an online CVD risk assessment tool that is more useful, accurate, and easy to use, based on the population and health system.
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