Spondyloarthritis & psoriatic arthritis

Combined use of QRISK3 and SCORE2 increases identification of ankylosing spondylitis patients at high cardiovascular risk: Results from the CARdiovascular in ReuMAtology (CARMA) Project cohort after 7.5 years of follow-up

Semin Arthritis RheumPublished Prospective cohort study

Authors' conclusion

In patients from the Spanish CARMA project, the four algorithms tested accurately discriminated those AS patients with higher CV risk and those with lower CV risk. Moreover, a model that includes QRISK3 and SCORE2 combined the best discrimination ability of QRISK3 with the best calibration of SCORE2.

Study context

Population
Spanish patients with ankylosing spondylitis (AS) without prior cardiovascular (CV) events, CARMA project, rheumatology outpatient clinics of tertiary centres, followed 7.5 years4,907 years of follow-up
Participants
684 patients
Exposure
QRISK3 vs SCORE, modified SCORE (mSCORE) EULAR 2015/2016, SCORE2, and QRISK3 combined with each
Outcome
Predictive value of CV risk algorithms for CV events and CV mortality
Follow-up
7.5 years
Methodological detailsretrospective testing of risk algorithms on baseline data, tertiary centres
  • Retrospective testing of risk algorithms on baseline data
  • Tertiary centres

Main finding

As reported in the abstract

GroupAICBIC
QRISK3 + SCORE2406.70415.66

QRISK3 + SCORE2

AIC406.70
BIC415.66

Observational data: associations, not effects.

Further findings

CV events, linearized rate · 7.5 years

AS patients with CV events
33
Linearized rate per 1000 person-years
6.73 (95 % CI: 4.63, 9.44)

Original publication

Combined use of QRISK3 and SCORE2 increases identification of ankylosing spondylitis patients at high cardiovascular risk: Results from the CARMA Project cohort after 7.5 years of follow-up. Semin Arthritis Rheum. Published 27 March 2024. doi:10.1016/j.semarthrit.2024.152442

Composed by AI from the published abstract and checked against it. How Briefs are made →

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