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IJE Advance Access originally published online on April 22, 2004
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International Journal of Epidemiology, Volume 33, Number 3, pp. 614-615
IJE vol.33 no.3 © International Epidemiological Association 2004; all rights reserved.

Letter to the Editor

Cardiovascular risk assessment—time to look beyond cohort studies

Peter M Brindle1 and Tim A Holt2

1 Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK
2 Department of Primary Health Care Studies, University of Warwick, Coventry CV4 7AL, UK

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Sirs—In the April issue of the International Journal of Epidemiology, Hans-Werner Hense provides a comprehensive treatise on the current state of cardiovascular risk assessments.1 He highlights the problems with using risk scores derived from epidemiological data to target preventive treatment at highest risk individuals. His comments add to the growing literature recognizing that the risk assessment methods used in current treatment guidelines do not provide an accurate assessment of an individual's true risk.2,3 Hense identifies some of these potential sources of inaccuracy: the variation of cardiovascular risk between populations, using predictions based on assessment of risk factors at one occasion only, the confusing variety of . . . [Full Text of this Article]


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Value and limitations of existing scores for the assessment of cardiovascular risk: a review for clinicians.
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