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Published in: Journal of Immigrant and Minority Health 2/2020

01-04-2020 | Human Immunodeficiency Virus | Original Paper

Cardiovascular Risk Assessment Varies Widely by Calculator and Race/Ethnicity in a Majority Latinx Cohort Living with HIV

Authors: Yuanyuan Liang, Norma S. Ketchum, Barbara J. Turner, John Flores, Delia Bullock, Roberto Villarreal, Polly H. Noël, Michael T. Yin, Barbara S. Taylor

Published in: Journal of Immigrant and Minority Health | Issue 2/2020

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Abstract

Comparison of cardiovascular disease (CVD) risk calculators in Latinx majority populations living with HIV can assist clinicians in selecting a calculator and interpreting results. 10-year CVD risks were estimated for 652 patients seen ≥ 2 times over 12 months in a public clinic using three risk calculators: Atherosclerotic CVD risk Calculator (ASCVD), Framingham Risk Calculator (FRC), and Data Collection on Adverse Effects of Anti-HIV Drugs Study (D:A:D) Calculator. Median estimated 10-year CVD risk in this population was highest using FRC (11%), followed by D:A:D (10%), and lowest with ASCVD (5%; p < 0.001). However, D:A:D classified 44.3% in a high/very high risk category compared to FRC (20.7%) and ASCVD (33.4%) (all p < 0.001). ASCVD risk estimates differed significantly by race/ethnicity (p < 0.001). Risk varied widely across three risk calculators and by race/ethnicity, and providers should be aware of these differences when choosing a calculator for use in majority minority populations.
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Metadata
Title
Cardiovascular Risk Assessment Varies Widely by Calculator and Race/Ethnicity in a Majority Latinx Cohort Living with HIV
Authors
Yuanyuan Liang
Norma S. Ketchum
Barbara J. Turner
John Flores
Delia Bullock
Roberto Villarreal
Polly H. Noël
Michael T. Yin
Barbara S. Taylor
Publication date
01-04-2020
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 2/2020
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-019-00890-w

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