REVIEW ARTICLE Systematic Review of Guidelines on Cardiovascular Risk Assessment Which Recommendations Should Clinicians Follow for a Cardiovascular Health Check? Bart S. Ferket, MD; Ersen B. Colkesen, MD; Jacob J. Visser, MD, PhD; Sandra Spronk, PhD; Roderik A. Kraaijenhagen, MD, PhD; Ewout W. Steyerberg, PhD; M. G. Myriam Hunink, MD, PhD Objective: To appraise guidelines on cardiovascular risk tracted information on conflicts of interest and recom- assessment to guide selection of screening interven- mendations. tions for a health check. Results: Sixteen of 27 guidelines reported conflicts of Data Sources: Guidelines in the English language pub- interest and 17 showed considerable rigor. These in- lished between January 1, 2003, and May 2, 2009, were cluded recommendations on assessment of total cardio- retrieved using MEDLINE and CINAHL. This was supple- vascular risk (7 guidelines), dyslipidemia (2), hyperten- mented by searching the National Guideline Clearing- sion (2), and dysglycemia (7). Recommendations on total house, National Library for Health, Canadian Medical As- cardiovascular risk and dyslipidemia included predic- sociation Infobase, and G-I-N International Guideline tion models integrating multiple risk factors, whereas re- Library. maining recommendations were focused on single risk factors. No consensus was found on recommended tar- Study Selection: We included guidelines
JAMA Internal Medicine – American Medical Association
Published: Jan 11, 2010
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