Evidence map›Paper›PMID 34120177›Full record

ArticleEuropean heart journal2021

SCORE2 risk prediction algorithms: new models to estimate 10-year risk of cardiovascular disease in Europe.

SCORE2 working group and ESC Cardiovascular risk collaboration

9 registry-linked trialsAbstract read
In one paragraph

Article in European heart journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 9 registered trials, which are not on this map. Cited by 887 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
887citing papers in PubMed, 5 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.

NCT06325800 recruitingnot on this mapstarted 2024, after this paper: background citation

Multimodal Vascular Phenotyping and Target-Organ Damage Using Vascular Imaging, Glyco-Oxidative Biomarkers, and Photoplethysmography in Adults at Increased Cardiovascular Risk: The GlycOxiTOD Observational Registry

Typeobservational_patient_registrySponsorComplejo Hospitalario Universitario de SantiagoRan2024 to 2035Enrolled1,000ConditionsHypertension, Target Organ Damage, Heart Disease Risk Factors, Vascular StiffnessArmsMultimodal Cardiovascular Phenotyping
NCT06630715 recruitingnot on this mapstarted 2024, after this paper: background citation

Efficacy Of Upadacitinib In Psoriatic Arthritis And Comparison To Rheumatoid Arthritis. OPTimising IMAging For The Use In The Follow-Up Of Arthritis: The OPTIMA Study

TypeobservationalSponsorI.R.C.C.S Ospedale Galeazzi-Sant'AmbrogioRan2024 to 2025Enrolled178ConditionsRheumatoid Arthritis (RA, Psoriatic Arthritis (PsAArmsUpadacitinib 15 MG [Rinvoq]
NCT06944236 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Prevalence of Cardiovascular-Kidney-Metabolic (CKM) Syndrome and Its Relationship With SCORE-2 Risk Score and Body Roundness Index (BRI): A Study From Gaziantep, Turkey

TypeobservationalSponsorUniversity of GaziantepRan2025 to 2025Enrolled400ConditionsMetabolic Syndrome, Cardiovascular Diseases, Chronic Kidney Disease(CKD)ArmsNo intervention is applied. This is a non-interventional, observational study. Anthropometric measurements and existing laboratory data are used for CKM staging and risk assessment.
NCT07039123 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Polygenic Risk Score to Optimize Primary Prevention in Intermediate Risk Population (PERSONAL)

TypeinterventionalSponsorUniversity of BernRan2025 to 2027Enrolled205ConditionsPrimary Prevention of Cardiovascular DiseaseArmsPolygenic Risk Score for Coronary Artery Disease (PRS-CAD), Standardized Risk Communication Tool (SCORE2)
NCT07301489 narecruitingnot on this mapstarted 2025, after this paper: background citation

Akershus Cardiac Examination (ACE) 5 Study: Pragmatic Randomized Controlled Trial of Lung Cancer Screening Plus Program to Improve Cardiovascular Risk Profile and Health in Individuals With Heavy Smoking History

TypeinterventionalSponsorUniversity Hospital, AkershusRan2025 to 2041Enrolled1,000ConditionsHeavy Smokers, Lung Cancer Screening, Cardiovascular Risk Profile, Cardiovascular Disease PreventionArmsLung Cancer Screening Plus Program, Standard of Care
NCT07481825 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Impact of Combined cARdio-pUlmonary aSsessment on COPD Clinical Management: the ICARUS Study

TypeinterventionalSponsorUniversity of Bari Aldo MoroRan2026 to 2029Enrolled350ConditionsCOPD (Chronic Obstructive Pulmonary Disease), Cardiovascular DiseaseArmsStructured combined cardio-pulmonary clinical management strategy, Standard Respiratory Management
NCT07504146 recruitingnot on this mapstarted 2024, after this paper: background citation

The Natural History Of Calcium Pyrophosphate Deposition And Gout: An Observational Clinical And Imaging Study - The Orienting Study

TypeobservationalSponsorI.R.C.C.S Ospedale Galeazzi-Sant'AmbrogioRan2024 to 2039Enrolled450ConditionsCPPD - Calcium Pyrophosphate Deposition Disease, Gout
NCT07602023 recruitingnot on this mapstarted 2024, after this paper: background citation

Triglyceride-rich LIPoproteins and INflammatory Cytokines After Oral FAT Loading as Potential Early Biomarkers of the Risk of Progression Towards DIABETES and Development of Complications. LIPINFAT Diabetes Study.

TypeobservationalSponsorAngelina PassaroRan2024 to 2028Enrolled150ConditionsPrediabetes / Type 2 DiabetesArmsOral Fat Load Test
NCT07695376 recruitingnot on this mapstarted 2026, after this paper: background citation

CArdiovascular Risk Assessment Via Multimodal Data Analysis Enabling Personalised Prevention Strategies Targeting MEnopausaL Women - Observational Study

Typeobservational_patient_registrySponsorBiogipuzkoa Health Research InstituteRan2026 to 2028Enrolled3,000ConditionsPerimenopause, Menopause, Cardiovascular (CV) Risk, Women (Between 30 to 60 Years Old)
3 · Its place in the literature

Who cites it

887 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Trial
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  11. Article
  12. Is chronic venous disease a marker of systemic cardiovascular risk? A systematic review.American heart journal plus : cardiology research and practice · 2026
    Review
  13. Sex differences in single and combined cardiovascular medication use.American heart journal plus : cardiology research and practice · 2026
    Article
  14. Article
  15. The PREVENT Risk Equations and Cardiovascular Prevention in East Asia.Journal of atherosclerosis and thrombosis · 2026
    Review
  16. 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM guideline for the prevention, detection, evaluation and management of high blood pressure in adults: a commentary from the European Renal Best Practice (ERBP).Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
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827 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

SCORE2 working group and ESC Cardiovascular risk collaboration

Funding

Health disparities and agingin societies in transitionR01AG023522 · NIA · UNIVERSITY COLLEGE LONDON · PI MARMOT, MICHAEL G · 2004 to 2008
$2.2M
British Heart Foundation RE/18/1/34212British Heart Foundation RG/13/13/30194British Heart Foundation RG/16/11/32334British Heart Foundation RG/18/13/33946British Heart Foundation SP/09/002British Heart Foundation SP/18/3/33801Cancer Research UK 14136Cancer Research UK C8221/A29017Chief Scientist OfficeDepartment of Health BRC-1215-20014Medical Research Council 1000143Medical Research Council G0401527Medical Research Council G0601463Medical Research Council G0700463Medical Research Council G0701619Medical Research Council G1000143Medical Research Council MR/K014811/1Medical Research Council MR/K023241/1Medical Research Council MR/L003120/1Medical Research Council MR/M012190/1Medical Research Council MR/N003284/1Medical Research Council MR/R024227/1Medical Research Council MR/S011676/1NIA NIH HHS AG23522NIA NIH HHS R01 AG023522Wellcome TrustWellcome Trust 064947/Z/01/ZWellcome Trust WT081081
6 · The paper itself

Abstract

aimsThe aim of this study was to develop, validate, and illustrate an updated prediction model (SCORE2) to estimate 10-year fatal and non-fatal cardiovascular disease (CVD) risk in individuals without previous CVD or diabetes aged 40-69 years in Europe. METHODS AND

resultsWe derived risk prediction models using individual-participant data from 45 cohorts in 13 countries (677 684 individuals, 30 121 CVD events). We used sex-specific and competing risk-adjusted models, including age, smoking status, systolic blood pressure, and total- and HDL-cholesterol. We defined four risk regions in Europe according to country-specific CVD mortality, recalibrating models to each region using expected incidences and risk factor distributions. Region-specific incidence was estimated using CVD mortality and incidence data on 10 776 466 individuals. For external validation, we analysed data from 25 additional cohorts in 15 European countries (1 133 181 individuals, 43 492 CVD events). After applying the derived risk prediction models to external validation cohorts, C-indices ranged from 0.67 (0.65-0.68) to 0.81 (0.76-0.86). Predicted CVD risk varied several-fold across European regions. For example, the estimated 10-year CVD risk for a 50-year-old smoker, with a systolic blood pressure of 140 mmHg, total cholesterol of 5.5 mmol/L, and HDL-cholesterol of 1.3 mmol/L, ranged from 5.9% for men in low-risk countries to 14.0% for men in very high-risk countries, and from 4.2% for women in low-risk countries to 13.7% for women in very high-risk countries.

conclusionSCORE2-a new algorithm derived, calibrated, and validated to predict 10-year risk of first-onset CVD in European populations-enhances the identification of individuals at higher risk of developing CVD across Europe.

Indexed as

Cardiovascular DiseasesAlgorithmsBlood PressureEuropeFemaleHumansMaleMiddle AgedRisk Factors10-year CVD riskCardiovascular diseasePrimary preventionRisk prediction

Identifiers

PMID34120177
PMCPMC8248998

What OpenQuestion holds

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Read underepoch 390

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.