Toolbox

Risk Assessment

Please note: Some links on this page take you outside the Better Diabetes Care website. The NDEP does not endorse or otherwise guarantee the accuracy of links that take you out of this website.

A Risk Score for Cardiovascular Disease
www.riskscore.org.uk

This site offers a "Risk Score" calculator. The risk score is an objective aid to assessing an individual's risk of cardiovascular disease, including stroke and coronary heart disease. It is useful for physicians when determining an individual's need for antihypertensive treatment and other management strategies for cardiovascular risk. The site links to an article that describes the development of the risk score: S. Pocock, V. McCormack, F. Gueyffier, et al. A score for predicting risk of cardiovascular death in adults with elevated blood pressure, BMJ 14 July, 2001, pp 75-81.

Framingham Heart Study "Score Sheet" to Estimate an Individual's Risk for Developing Heart Disease
www.nhlbi.nih.gov/about/framingham/riskabs.htm

Framingham Heart Study researchers have developed a score sheet to help predict when a person may suffer angina, a heart attack, or die from heart disease. The risk is determined by assessing multiple factors known to contribute to heart disease such as high blood pressure and cholesterol, smoking and diabetes.

The test provides a physician and his or her patient with one number that is predictive of risk. This "global" number also can be used to show how one person's risk compares to people of the same age whose risk factor scores are average or optimal. The study calculates the risk of developing heart disease in the next 10 years.

From a one-page score sheet that is filled out by hand or on the computer, a patient can see his or her risk number as soon as the results of blood pressure and other tests can be entered.

The UKPDS risk engine: a model for estimating the risk of coronary heart disease in Type II diabetes
www.dtu.ox.ac.uk/riskengine

The UKPDS Risk Engine is a downloadable program that has been developed specifically for calculating the risk of coronary heart disease in individuals with type 2 diabetes. Based on data collected from 5,102 patients followed for up to 20 years in the UK Prospective Diabetes Study, the UKPDS Risk Engine not only incorporates diabetes-specific variables but also is the first widely-available risk calculator to give an approximate 'margin of error' for each estimate.
The UKPDS Risk Engine provides risk estimates and 95% confidence intervals for both coronary heart disease and stroke in individuals with type 2 diabetes not known to have heart disease. These can be calculated for any given duration of type 2 diabetes based on current age, sex, ethnicity, smoking status, presence or absence of atrial fibrillation and levels of HbA1c, systolic blood pressure, total cholesterol and HDL cholesterol.

ATP III Cholesterol Management Implementation Tool for Palm OS from the National Heart, Lung and Blood Institute (NHLBI) hin.nhlbi.nih.gov/atpiii/atp3palm.htm

hin.nhlbi.nih.gov/atpiii/calculator.asp?usertype=prof (Online Tool)

hin.nhlbi.nih.gov/atpiii/riskcalc.htm (Downloadable PC Tool)

The Palm OS® (Operating System) program is an application of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). This interactive tool is designed for use at the point of care to assist clinicians to implement the ATPIII Cholesterol Guidelines. The program also contains usable information from ATP III including:

• ATP III classification of lipid levels.
• ATP III CHD risk assessment.
• Therapeutic Lifestyle Changes.
• Drug therapy for lipid lowering.
• Information on the metabolic syndrome.
• Issues for special populations.
  
  

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