Concordance between PROCAM and FRAMINGHAM cardiovascular risk scores among men receiving HIV treatment at a national hospital in Lima, Peru 2013

Authors

  • Patricia Lister-Del Pino Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Peru.
  • Gustavo León-Amenero Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Peru.
  • Angela Leiva-Montejo Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Peru.
  • Eddy R. Segura Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Peru.

DOI:

https://doi.org/10.17843/rpmesp.2015.324.1765

Keywords:

Risk assessment, HAART, Comparative study, Cardiovascular diseases

Abstract

Objectives. The aim of the study is to determine the concordance between the PROCAM (Prospective Cardiovascular Münster) and Framingham scales in patients receiving highly active antiretroviral therapy (HAART). Materials and methods. A cross sectional study was conducted in HIV-positive male population who use HAART in a national reference hospital located in Lima, Peru. To evaluate the concordance between the two scales the graphic method of Bland and Altman was used, for the evaluation of the correlation we used the Pearson coefficient and to measure the agreement we use the kappa coefficient. Results. 111 patients were enrolled, with an average age of 47.0 years. The distribution of patients according to the risk was low, moderate and high, 81.2%, 13.6% and 5.4% respectively for PROCAM and 71.2%, 25.2% and 3.6% for Framingham. According to the graphic method of Bland and Altman, the concordance was adequate in low values and was lost as the risk score increased. Pearson’s test found a strong correlation (r=0.87 and p<0.05) and the kappa coefficient was 0.56 (p<0,001). Conclusions. The agreement we found at low risk decreases as the risk increases. Strong correlation was found between the two scales. We recommend further studies in order to know which scale of cardiovascular risk is the most optimal scale for clinical practice among HIV population who receive HAART.

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Published

2015-12-05

Issue

Section

Original Article

How to Cite

1.
Lister-Del Pino P, León-Amenero G, Leiva-Montejo A, Segura ER. Concordance between PROCAM and FRAMINGHAM cardiovascular risk scores among men receiving HIV treatment at a national hospital in Lima, Peru 2013. Rev Peru Med Exp Salud Publica [Internet]. 2015 Dec. 5 [cited 2024 Apr. 19];32(4):731-8. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1765