Evidence map›Paper›PMID 30037888›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2018

Development and validation of a cardiovascular disease risk-prediction model using population health surveys: the Cardiovascular Disease Population Risk Tool (CVDPoRT).

Douglas G Manuel, Meltem Tuna, Carol Bennett, Deirdre Hennessy, Laura Rosella, Claudia Sanmartin, Jack V Tu, Richard Perez, Stacey Fisher, Monica Taljaard

Open access · goldAbstract readValidation Study
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 4% of its field
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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

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  14. A Health Survey-Based Prediction Equation for Incident CKD.Clinical journal of the American Society of Nephrology : CJASN · 2023
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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

10 authors at 4 institutions in 1 country.

Douglas G ManuelOttawa Hospital Research Institute (Manuel, Tuna, Bennett, Perez, Fisher, Taljaard); Institute for Clinical Evaluative Sciences (Manuel, Tuna, Bennett), Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Tu), Toronto, Ont.; Institute for Clinical Evaluative Sciences (Perez), Hamilton, Ont.; Statistics Canada (Hennessy, Sanmartin); Department of Family Medicine (Manuel) and School of Epidemiology and Public Health (Fisher, Taljaard), University of Ottawa, Ottawa, Ont.; Dalla Lana School of Public Health (Rosella), University of Toronto, Ont.; Sunnybrook Schulich Heart Centre (Tu); Institute of Health Policy, Management, and Evaluation (Tu), University of Toronto, Toronto, Ont. dmanuel@ohri.ca.
Meltem TunaOttawa Hospital Research Institute (Manuel, Tuna, Bennett, Perez, Fisher, Taljaard); Institute for Clinical Evaluative Sciences (Manuel, Tuna, Bennett), Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Tu), Toronto, Ont.; Institute for Clinical Evaluative Sciences (Perez), Hamilton, Ont.; Statistics Canada (Hennessy, Sanmartin); Department of Family Medicine (Manuel) and School of Epidemiology and Public Health (Fisher, Taljaard), University of Ottawa, Ottawa, Ont.; Dalla Lana School of Public Health (Rosella), University of Toronto, Ont.; Sunnybrook Schulich Heart Centre (Tu); Institute of Health Policy, Management, and Evaluation (Tu), University of Toronto, Toronto, Ont.
Carol BennettOttawa Hospital Research Institute (Manuel, Tuna, Bennett, Perez, Fisher, Taljaard); Institute for Clinical Evaluative Sciences (Manuel, Tuna, Bennett), Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Tu), Toronto, Ont.; Institute for Clinical Evaluative Sciences (Perez), Hamilton, Ont.; Statistics Canada (Hennessy, Sanmartin); Department of Family Medicine (Manuel) and School of Epidemiology and Public Health (Fisher, Taljaard), University of Ottawa, Ottawa, Ont.; Dalla Lana School of Public Health (Rosella), University of Toronto, Ont.; Sunnybrook Schulich Heart Centre (Tu); Institute of Health Policy, Management, and Evaluation (Tu), University of Toronto, Toronto, Ont.
Deirdre HennessyOttawa Hospital Research Institute (Manuel, Tuna, Bennett, Perez, Fisher, Taljaard); Institute for Clinical Evaluative Sciences (Manuel, Tuna, Bennett), Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Tu), Toronto, Ont.; Institute for Clinical Evaluative Sciences (Perez), Hamilton, Ont.; Statistics Canada (Hennessy, Sanmartin); Department of Family Medicine (Manuel) and School of Epidemiology and Public Health (Fisher, Taljaard), University of Ottawa, Ottawa, Ont.; Dalla Lana School of Public Health (Rosella), University of Toronto, Ont.; Sunnybrook Schulich Heart Centre (Tu); Institute of Health Policy, Management, and Evaluation (Tu), University of Toronto, Toronto, Ont.
Laura RosellaOttawa Hospital Research Institute (Manuel, Tuna, Bennett, Perez, Fisher, Taljaard); Institute for Clinical Evaluative Sciences (Manuel, Tuna, Bennett), Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Tu), Toronto, Ont.; Institute for Clinical Evaluative Sciences (Perez), Hamilton, Ont.; Statistics Canada (Hennessy, Sanmartin); Department of Family Medicine (Manuel) and School of Epidemiology and Public Health (Fisher, Taljaard), University of Ottawa, Ottawa, Ont.; Dalla Lana School of Public Health (Rosella), University of Toronto, Ont.; Sunnybrook Schulich Heart Centre (Tu); Institute of Health Policy, Management, and Evaluation (Tu), University of Toronto, Toronto, Ont.
Claudia SanmartinOttawa Hospital Research Institute (Manuel, Tuna, Bennett, Perez, Fisher, Taljaard); Institute for Clinical Evaluative Sciences (Manuel, Tuna, Bennett), Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Tu), Toronto, Ont.; Institute for Clinical Evaluative Sciences (Perez), Hamilton, Ont.; Statistics Canada (Hennessy, Sanmartin); Department of Family Medicine (Manuel) and School of Epidemiology and Public Health (Fisher, Taljaard), University of Ottawa, Ottawa, Ont.; Dalla Lana School of Public Health (Rosella), University of Toronto, Ont.; Sunnybrook Schulich Heart Centre (Tu); Institute of Health Policy, Management, and Evaluation (Tu), University of Toronto, Toronto, Ont.
Jack V TuOttawa Hospital Research Institute (Manuel, Tuna, Bennett, Perez, Fisher, Taljaard); Institute for Clinical Evaluative Sciences (Manuel, Tuna, Bennett), Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Tu), Toronto, Ont.; Institute for Clinical Evaluative Sciences (Perez), Hamilton, Ont.; Statistics Canada (Hennessy, Sanmartin); Department of Family Medicine (Manuel) and School of Epidemiology and Public Health (Fisher, Taljaard), University of Ottawa, Ottawa, Ont.; Dalla Lana School of Public Health (Rosella), University of Toronto, Ont.; Sunnybrook Schulich Heart Centre (Tu); Institute of Health Policy, Management, and Evaluation (Tu), University of Toronto, Toronto, Ont.
Richard PerezOttawa Hospital Research Institute (Manuel, Tuna, Bennett, Perez, Fisher, Taljaard); Institute for Clinical Evaluative Sciences (Manuel, Tuna, Bennett), Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Tu), Toronto, Ont.; Institute for Clinical Evaluative Sciences (Perez), Hamilton, Ont.; Statistics Canada (Hennessy, Sanmartin); Department of Family Medicine (Manuel) and School of Epidemiology and Public Health (Fisher, Taljaard), University of Ottawa, Ottawa, Ont.; Dalla Lana School of Public Health (Rosella), University of Toronto, Ont.; Sunnybrook Schulich Heart Centre (Tu); Institute of Health Policy, Management, and Evaluation (Tu), University of Toronto, Toronto, Ont.
Stacey FisherOttawa Hospital Research Institute (Manuel, Tuna, Bennett, Perez, Fisher, Taljaard); Institute for Clinical Evaluative Sciences (Manuel, Tuna, Bennett), Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Tu), Toronto, Ont.; Institute for Clinical Evaluative Sciences (Perez), Hamilton, Ont.; Statistics Canada (Hennessy, Sanmartin); Department of Family Medicine (Manuel) and School of Epidemiology and Public Health (Fisher, Taljaard), University of Ottawa, Ottawa, Ont.; Dalla Lana School of Public Health (Rosella), University of Toronto, Ont.; Sunnybrook Schulich Heart Centre (Tu); Institute of Health Policy, Management, and Evaluation (Tu), University of Toronto, Toronto, Ont.
Monica TaljaardOttawa Hospital Research Institute (Manuel, Tuna, Bennett, Perez, Fisher, Taljaard); Institute for Clinical Evaluative Sciences (Manuel, Tuna, Bennett), Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Tu), Toronto, Ont.; Institute for Clinical Evaluative Sciences (Perez), Hamilton, Ont.; Statistics Canada (Hennessy, Sanmartin); Department of Family Medicine (Manuel) and School of Epidemiology and Public Health (Fisher, Taljaard), University of Ottawa, Ottawa, Ont.; Dalla Lana School of Public Health (Rosella), University of Toronto, Ont.; Sunnybrook Schulich Heart Centre (Tu); Institute of Health Policy, Management, and Evaluation (Tu), University of Toronto, Toronto, Ont.
Statistics Canada · CAOttawa Hospital · CAOttawa Hospital Research InstituteSunnybrook Health Science Centre · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundRoutinely collected data from large population health surveys linked to chronic disease outcomes create an opportunity to develop more complex risk-prediction algorithms. We developed a predictive algorithm to estimate 5-year risk of incident cardiovascular disease in the community setting.

methodsWe derived the Cardiovascular Disease Population Risk Tool (CVDPoRT) using prospectively collected data from Ontario respondents of the Canadian Community Health Surveys, representing 98% of the Ontario population (survey years 2001 to 2007; follow-up from 2001 to 2012) linked to hospital admission and vital statistics databases. Predictors included body mass index, hypertension, diabetes, and multiple behavioural, demographic and general health risk factors. The primary outcome was the first major cardiovascular event resulting in hospital admission or death. Death from a noncardiovascular cause was considered a competing risk.

resultsWe included 104 219 respondents aged 20 to 105 years. There were 3709 cardiovascular events and 818 478 person-years follow-up in the combined derivation and validation cohorts (5-year cumulative incidence function, men: 0.026, 95% confidence interval [CI] 0.025-0.028; women: 0.018, 95% 0.017-0.019). The final CVDPoRT algorithm contained 12 variables, was discriminating (men: C statistic 0.82, 95% CI 0.81-0.83; women: 0.86, 95% CI 0.85-0.87) and was well-calibrated in the overall population (5-year observed cumulative incidence function v. predicted risk, men: 0.28%; women: 0.38%) and in nearly all predefined policy-relevant subgroups (206 of 208 groups).

interpretationThe CVDPoRT algorithm can accurately discriminate cardiovascular disease risk for a wide range of health profiles without the aid of clinical measures. Such algorithms hold potential to support precision medicine for individual or population uses.

Indexed as

AlgorithmsHealth SurveysModels, StatisticalAdultAgedAged, 80 and overCardiovascular DiseasesFemaleHealth BehaviorHumansIncidenceMaleMiddle AgedOntarioPopulation HealthRisk Assessment

Identifiers

PMID30037888
PMCPMC6056289
OpenAlexW2883449068

What OpenQuestion holds

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Registered trials

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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.