ArticleAmerican heart journal2018
Improving patient risk communication: Translating cardiovascular risk into standardized risk percentiles.
Article in American heart journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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.
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Who cites it
11 citing papers in PubMed.
- Influence of Cardiovascular Risk Communication Tools and Presentation Formats on Patient Perceptions and Preferences.JAMA cardiology · 2018Trial
- Longitudinal Changes in Coronary Artery Calcium Distribution and Atherosclerotic Cardiovascular Disease Risk.Journal of the American Heart Association · 2026Article
- Review
- A Proposed Framework to Aid Primary Care Clinicians in Promoting Cardiovascular Health.Journal of general internal medicine · 2025Article
- Age-Stratified Risk Categories for Cardiovascular Disease Prevention Therapies.JAMA cardiology · 2024Article
- Codesigning a Digital Type 2 Diabetes Risk Communication Tool in Singapore: Qualitative Participatory Action Research Approach.JMIR formative research · 2024Article
- The WHO Cardiovascular Disease Risk (Non-Laboratory-Based) in a Selected Brazilian Population: Percentiles of Distribution And Agreement With Laboratory-Based Scores.Arquivos brasileiros de cardiologia · 2024Article
- Could Patients At Low Cardiovascular Risk Be Better Stratified?Arquivos brasileiros de cardiologia · 2023Article
- Determining Percentiles of Atherosclerotic Cardiovascular Risk According to Sex and Age in a Healthy Brazilian Population.Arquivos brasileiros de cardiologia · 2023Article
- Patient-Perceived Versus Actual Risk of Cardiovascular Disease and Associated Willingness to Consider and Use Prevention Therapy.Circulation. Cardiovascular quality and outcomes · 2021Article
- Validation of the Sleep Regularity Index in Older Adults and Associations with Cardiometabolic Risk.Scientific reports · 2018Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundCurrent cholesterol guidelines recommend using 10-year risk of atherosclerotic cardiovascular disease (ASCVD) to guide informed decisions regarding statin therapy, yet patients may have difficulty conceptualizing absolute risk estimates. Peer comparisons may provide an improved tool for patient risk comprehension.
methodsUsing data from the 2009-2014 National Health and Nutrition Examination Survey (NHANES), we estimated standardized risk percentiles for various age-, sex-, and race-specific subgroups based on their 10-year ASCVD risks using the Pooled Cohort Equations.
resultsWe examined 9160 adults in NHANES who were free of cardiovascular disease and had complete clinical data. Among specific age, sex, and race groups, we estimated the distribution of 10-year risk, calculating the 10-year risk corresponding to each percentile in order to generate standardized cardiovascular risk percentiles. Estimated 10-year ASCVD absolute risk varied markedly by age, sex, and race subgroups. A 10-year risk of 7.0% would put a 55 year-old black male in the 20th percentile relative to his peers (ie, at lower risk than 80% of his peers), whereas a 10-year risk of 7.0% would put a 55 year-old white female in the 95th percentile (i.e., only 5% of her peers would have higher risk). Standardized cardiovascular risk percentiles by age, race, and sex are available online at populationrelativerisk.dcri.org.
conclusionCardiovascular risk varies substantially by age, sex, and race. These data allow for 10-year absolute risks of ASCVD to be translated into a standardized cardiovascular risk percentile, providing patients with information that is easy to understanding regarding how their personal risk of cardiovascular disease compares with their age-, sex-, and race-matched peers.
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