• Rev Assoc Med Bras (1992) · Feb 2021

    Comparison of cardiovascular risk calculators in patients with diabetes.

    • Luana Karem Ribeiro, Welma Wildes Amorim, Igor Thiago Alvin Cardoso, Wester Silva Vieira, Clavdia Nicolaevna Kochergin, Danielle Souto de Medeiros, Daniela Arruda Soares, José Andrade Louzado, Kelle Oliveira Silva, Matheus Lopes Cortes, Sóstenes Mistro, Vanessa Moraes Bezerra, and Marcio Galvão Oliveira.
    • Universidade Federal da Bahia, Multidisciplinary Health Institute - Vitória da Conquista (BA), Brazil.
    • Rev Assoc Med Bras (1992). 2021 Feb 1; 67 (2): 200-206.

    ObjectiveCardiovascular risk stratification is an important clinical practice to estimate the severity of cardiovascular disease in patients with type 2 diabetes. This study aimed to compare the stratification of global cardiovascular risk with the specific risk stratification for patients with type 2 diabetes, seen at specialized outpatient clinics, and to evaluate possible differences in diagnoses and treatments.MethodsA total of 122 patients with type 2 diabetes treated at two specialized outpatient clinics, from 2017 to 2019, were studied. The cardiovascular risk stratification calculators, global risk score, Cardiovascular Risk Stratification Calculator, and United Kingdom Prospective Diabetes Study-Risk Engine, were used to calculate the risk of death from cardiovascular disease. The agreement between these calculators was analyzed using the kappa index. The indications for the use of statins and acetylsalicylic acid for the group studied were evaluated according to the Brazilian Diabetes Society Guideline.ResultsThere was a low degree of agreement among the three risk calculators. The global risk score calculator showed insignificant agreement with the Cardiovascular Risk Stratification Calculator (kappa=0.0816; p=0.0671). There was no agreement between the global risk score calculator and United Kingdom Prospective Diabetes Study-Risk Engine (kappa=-0.099), or between the Cardiovascular Risk Stratification Calculator and United Kingdom Prospective Diabetes Study-Risk Engine (kappa=-0.0095).ConclusionThe substantial disagreements among the cardiovascular risk calculators may lead to different diagnoses and may consequently influence therapeutic strategies. The findings herein highlight the need for specific validated cardiovascular risk calculators for patients with DM2 that can reliably estimate risk in these individuals.

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