Kirsten Bibbins-Domingo, PhD, MD, MAS; on behalf of the U.S. Preventive Services Task Force (*)
This article was published at www.annals.org on 12 April 2016.
* For a list of members of the USPSTF, see the Appendix.
Disclaimer: Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
Financial Support: The USPSTF is an independent, voluntary body. The U.S. Congress mandates that the Agency for Healthcare Research and Quality support the operations of the USPSTF.
Disclosures: Authors have disclosed no conflicts of interest. Authors followed the policy regarding conflicts of interest described at www.uspreventiveservicestaskforce.org/methods.htm. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-0577.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that she has no financial relationships or interests to disclose. Darren B. Taichman, MD, PhD, Executive Deputy Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Deborah Cotton, MD, MPH, Deputy Editor, reports that she has no financial relationships or interest to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Catharine B. Stack, PhD, MS, Deputy Editor for Statistics, reports that she has stock holdings in Pfizer and Johnson & Johnson.
Requests for Single Reprints: Reprints are available from the USPSTF Web site (www.uspreventiveservicestaskforce.org).
Bibbins-Domingo K, on behalf of the U.S. Preventive Services Task Force. Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2016;164:836-845. doi: 10.7326/M16-0577
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Published: Ann Intern Med. 2016;164(12):836-845.
Published at www.annals.org on 12 April 2016
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University of Miami / Jackson Memorial Hospital
October 25, 2016
Calculating Baseline CVD Risk Level
The USPSTF guidelines on aspirin use for primary prevention of cardiovascular disease uses the ACC/AHA risk calculator for assessing baseline cardiovascular risk. However, this risk calculator does not take into account whether a patient is already on a statin medication. It is likely that a patient with baseline risk >10 percent while not on a statin medication will have a lower risk once statin medications have already been started. How should this order of starting medications be addressed when considering starting aspirin therapy. In addition, for patients who present to the clinic already on a statin medication, is this calculator valid for estimating baseline risk?Thank you
Cardiology, Guidelines, Prevention/Screening.
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