Abstract
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.
Original language | English (US) |
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Pages (from-to) | 323-335 |
Number of pages | 13 |
Journal | Journal of Immigrant and Minority Health |
Volume | 22 |
Issue number | 2 |
DOIs | |
State | Published - Apr 1 2020 |
Keywords
- Cardiovascular risk
- Cardiovascular risk calculation
- Ethnicity
- HIV
- Hispanic
- Race
ASJC Scopus subject areas
- Epidemiology
- Public Health, Environmental and Occupational Health