Across rheumatic diseases

Performance of four cardiovascular risk scales in chronic inflammatory rheumatic disease patients: 10-year follow-up data

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

All scales effectively distinguished between low and high CV risk. PREVENT-CVD emerges as a valuable tool for assessing CV risk in CIRD patients.

Study context

Population
Patients with chronic inflammatory rheumatic diseases without prior cardiovascular (CV) events, 67 Spanish hospitals (2010–2012), CARMA project
Participants
2,080 patients
Exposure
QRISK3 vs SCORE2 vs PREVENT-CVD vs PREVENT-ASCVD for predicting CV risk
Outcome
First CV event; performance of risk scales:
  • AIC
  • BIC
  • Gönen
  • Heller's K
Follow-up
10 years
Methodological detailsmulticentre, 10-year follow-up, Cox regression adjusted for inflammatory disease
  • Multicentre
  • 10-year follow-up
  • Cox regression adjusted for inflammatory disease

Main finding

As reported in the abstract

Association of risk scales with CV events
Hazard ratio (95% CI)
QRISK3
1.04(1.03–1.05)
SCORE2
1.13(1.11–1.16)
First CV event in cohort
8.4% (174)

Observational data: associations, not effects.

Further findings

Calibration in RA patients (subgroup) · 10 years

QRISK3 overestimated risk; PREVENT-CVD the only scale to perform reliably

Original publication

Performance of four cardiovascular risk scales in chronic inflammatory rheumatic disease patients: 10-year follow-up data. Rheumatology (Oxford). Published 1 April 2025. doi:10.1093/rheumatology/keaf168

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