Table 8.
Clinical examples for patients who would be reclassified with QRISK2 instead of NICE modified Framingham equation
| Age (years) | Ethnic group | Family history | Systolic blood pressure | BMI | Cholesterol/HDL ratio | Smoker | Treated hypertension | Type 2 diabetes* | Chronic kidney disease | Townsend score† | Framingham score 10 year risk (%) | QRISK2 10 year risk (%) (95% CI) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Men | ||||||||||||
| 65 | Indian | Yes | 100 | 24.7 | 3.3 | No | No | No | No | 5 | 17 | 31.3 (30.9 to 31.7) |
| 54 | Bangladeshi | No | 142 | 27.0 | 4.2 | No | Yes | No | No | 10 | 17 | 23.5 (22.8 to 24.1) |
| 54 | Black African | No | 150 | 21.0 | 7.3 | No | No | No | No | 4 | 23 | 9.0 (7.7 to 10.3) |
| 55 | Indian | No | 156 | 27.0 | 4.7 | No | No | No | No | −4 | 24 | 12.7 (12.2 to 13.2) |
| 65 | Caribbean | No | 146 | 29.1 | 5.4 | No | No | No | No | 4 | 26 | 14.8 (14.2 to 15.5) |
| 42 | White | Yes | 132 | 36.0 | 5.3 | Yes | Yes | No | No | 11 | 17 | 35.2 (34.9 to 35.5) |
| Women | ||||||||||||
| 64 | Indian | No | 130 | 23.1 | 5.3 | No | Yes | No | No | 5 | 12 | 24.7 (24.4 to 25.0) |
| 60 | Bangladeshi | No | 132 | 36.0 | 4.3 | No | Yes | No | No | 11 | 9 | 21.1 (20.6 to 21.6) |
| 48 | Pakistani | Yes | 140 | 33.2 | 4.5 | No | Yes | No | No | 8 | 9 | 26.1 (25.7 to 26.4) |
| 58 | White | No | 154 | 34.0 | 3.4 | Yes | Yes | No | No | 10 | 16 | 21.4 (21.3 to 21.5) |
BMI=body mass index; HDL=high density lipoprotein cholesterol.
*NICE lipid modification guideline does not include diabetes so this is for illustrative purposes only.
†Interval score ranges between −6 (most affluent) and 11 (most deprived).