A large-scale prospective cohort study, assembled by a number of
NZCPHM Fellows and published in The Lancet May 2018 issue, examined
cardiovascular disease risk prediction equations and their
relevancy in present-day primary care settings in New Zealand. Old
equations that are still being used today are 'derived from cohorts
established last century and with participants at higher risk but
less socioeconomically and ethnically diverse than patients they
are now applied to'. Researchers concluded that
cardiovascular disease risk prediction equations need updating on a
global level to account for increasing effective cardiovascular
prevention implementations and relevant predictors (i.e.
socioeconomic deprivation or self-identified ethnicity) not usually
specified in such equations.
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