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. 2015 Aug 29;68(3):391–398. doi: 10.1016/j.ihj.2015.07.004

Table 1.

Some of the different risk estimation tools available with their relevant risk factor variables.

JBS2 QRISK2 ASSIGN JES5a WHO QRISK Lifetime
Data Based on FHS and Framingham Offspring Study QRESEARCH database SHHEC prospective study 12 pooled prospective studies from 11 European countries Different method not based on prospective data QRESEARCH database
Population and sample type General population, Framingham Mass, U.S. Volunteers Health records of general practice attendees-not random Random sample from general population in Scotland Random samples from general population, some occupational cohorts Not applicable Health records of general practice attendees-not random
Sample size 3969 men
4522 women
2.29 million 6540 men
6757 women
117,098 men
88,080 women
Not applicable 2.29 million
Calculates 10-year risk of CVD events, risk age 10-year risk of CHD, stroke and TIA 10-year risk of CVD events 10-yr risk of CVD mortality 10-year risk of CVD events CVD risk over a person's remaining lifetime
Age (years) 30–75 30–84 30–74 40–65 20–75 30–84
Variables Age, sex, SBP, DBP, TC, HDL, TC/HDL, TG, smoking, glucose, central obesity, S.A origin, FHx, LVH Sex, age, TC/HDL, SBP, smoking status, diabetes, area-based index of deprivation, family history, BMI, anti-hypertensive treatment, CKD, AF, RA Current age, gender, FHx, diabetes, cigarettes smoked daily, SBP, TC, HDL, Scottish postcode Age, gender, smoking, SBP, TC, HDL Age, gender, smoking, SBP ± TC, diabetes Sex, age, TC/HDL, SBP, smoking status, diabetes, area-based index of deprivation, family history, BMI, anti-hypertensive treatment, previous CVD, CKD, AF, RA
Formats Color charts, online calculator Online calculator Online calculator Color-coded charts, Heart Score-online and CD electronic versions Color-coded charts Online calculator
Guidelines that recommend its use JBS2 NICE guidelines on lipid modification SIGN European guidelines on CVD prevention WHO guidelines on CVD prevention JBS3 calculator (not yet published)

AF, atrial fibrillation; BP, blood pressure; CHD, coronary heart disease; CKD, chronic kidney disease; CVD, cardiovascular disease (heart attack, angina, stroke or transient ischemic attack); DBP, diastolic blood pressure; FHS, Framingham Heart Study; FHx, family history of premature CVD; HDL, high density lipoprotein cholesterol; JBS, Joint British Societies; LDL, low density lipoprotein cholesterol; NICE, National Institute for Health and Clinical Excellence; S.A origin, South Asian origin; SBP, systolic blood pressure; SHHEC, Scottish Heart Health Extended Cohort; SIGN, Scottish Intercollegiate Network; RA, rheumatoid arthritis; TC, total cholesterol; TG, triglyceride; TIA, transient ischemic attack.

a

The total risk is for fatal CVD.

Adapted from: Cooney et al. (2009).32