Cardiovascular Risk Assessment Varies Widely by Calculator and Race/Ethnicity in a Majority Latinx Cohort Living with HIV.

Authors:
Yuanyuan Liang
Yuanyuan Liang
University of Alberta
Canada
Norma S Ketchum
Norma S Ketchum
University of Texas Health Science Center San Antonio
San Antonio | United States
Barbara J Turner
Barbara J Turner
University of Pennsylvania School of Medicine
United States
John Flores
John Flores
Los Angeles City Fire Department
Orange | United States
Delia Bullock
Delia Bullock
University of Texas Health Science Center San Antonio
Roberto Villarreal
Roberto Villarreal
University Health System
United States
Michael T Yin
Michael T Yin
Columbia University Medical Center
United States

J Immigr Minor Health 2019 Apr 19. Epub 2019 Apr 19.

Research to Advance Community Health (ReACH) Center, UT Health San Antonio, San Antonio, TX, USA.

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.

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http://dx.doi.org/10.1007/s10903-019-00890-wDOI Listing
April 2019
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