Evidence map›Paper›PMID 25719216›Full record

ArticlePreventing chronic disease2015

Community cardiovascular disease risk from cross-sectional general practice clinical data: a spatial analysis.

Nasser Bagheri, Bridget Gilmour, Ian McRae, Paul Konings, Paresh Dawda, Peter Del Fante, Chris van Weel

Abstract read
In one paragraph

Article in Preventing chronic disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nasser BagheriAustralian Primary Health Care Research Institute, ANU College of Medicine, Biology and Environment, Building 63, Corner of Mills and Eggleston Roads, Australian National University, ACTON 0200, Canberra, Australia. Email: nasser.bagheri@anu.edu.au.
Bridget GilmourAustralian Primary Health Care Research Institute, Australian National University, Australia.
Ian McRaeAustralian Primary Health Care Research Institute, Australian National University, Australia.
Paul KoningsAustralian Primary Health Care Research Institute, Australian National University, Australia.
Paresh DawdaAustralian Primary Health Care Research Institute, Australian National University, Australia.
Peter Del FanteHealthfirst Network, Adelaide, Australia.
Chris van WeelAustralian Primary Health Care Research Institute, Australian National University, Australia, and Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCardiovascular disease (CVD) continues to be a leading cause of illness and death among adults worldwide. The objective of this study was to calculate a CVD risk score from general practice (GP) clinical records and assess spatial variations of CVD risk in communities.

methodsWe used GP clinical data for 4,740 men and women aged 30 to 74 years with no history of CVD. A 10-year absolute CVD risk score was calculated based on the Framingham risk equation. The individual risk scores were aggregated within each Statistical Area Level One (SA1) to predict the level of CVD risk in that area. Finally, the pattern of CVD risk was visualized to highlight communities with high and low risk of CVD.

resultsThe overall 10-year risk of CVD in our sample population was 14.6% (95% confidence interval [CI], 14.3%-14.9%). Of the 4,740 patients in our study, 26.7% were at high risk, 29.8% were at moderate risk, and 43.5% were at low risk for CVD over 10 years. The proportion of patients at high risk for CVD was significantly higher in the communities of low socioeconomic status.

conclusionThis study illustrates methods to further explore prevalence, location, and correlates of CVD to identify communities of high levels of unmet need for cardiovascular care and to enable geographic targeting of effective interventions for enhancing early and timely detection and management of CVD in those communities.

Indexed as

Health Status DisparitiesPoverty AreasAdultAgedBody Mass IndexCardiovascular DiseasesCluster AnalysisCross-Sectional StudiesFemaleGeneral PracticeHumansLongitudinal StudiesMaleMedical RecordsMiddle AgedObesity

Identifiers

PMID25719216
PMCPMC4344355

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.