Table 3.
Sensitivity, specificity, and net reclassification based on Class I recommendations for statin eligibility among individuals aged 40–75 years in the Copenhagen General Population Study
Model comparison | Sensitivity (%) | Specificity (%) | ΔSensitivity (%) | ΔSpecificity (%) | NRI | c-Statisticsa | P/O |
---|---|---|---|---|---|---|---|
All | |||||||
Any ASCVD | |||||||
ESC/EAS | 10 | 95 | Ref | Ref | Ref | 0.70 | |
ACC/AHA | 72 | 60 | 62 (P < 0.0001) | −35 (P < 0.0001) | 0.27 (P < 0.0001) | 0.72 (P < 0.0001) | 1.2 |
Fatal ASCVD | |||||||
ESC/EAS | 11 | 94 | Ref | Ref | Ref | 0.80 | 5.0 |
ACC/AHA | 87 | 59 | 76 (P < 0.0001) | −36 (P < 0.0001) | 0.40 (P < 0.0001) | 0.82 (P = 0.007) | |
Men | |||||||
Any ASCVD | |||||||
ESC/EAS | 14 | 92 | Ref | Ref | Ref | 0.69 | |
ACC/AHA | 83 | 43 | 70 (P < 0.0001) | −49 (P < 0.0001) | 0.21 (P < 0.0001) | 0.71 (P < 0.0001) | 1.4 |
Fatal ASCVD | |||||||
ESC/EAS | 13 | 92 | Ref | Ref | Ref | 0.75 | 5.1 |
ACC/AHA | 89 | 41 | 75 (P < 0.0001) | −50 (P < 0.0001) | 0.26 (P = 0.001) | 0.77 (P = 0.01) | |
Women | |||||||
Any ASCVD | |||||||
ESC/EAS | 6 | 97 | Ref | Ref | Ref | 0.70 | |
ACC/AHA | 58 | 73 | 52 (P < 0.0001) | −24 (P < 0.0001) | 0.28 (P < 0.0001) | 0.71 (P < 0.0001) | 0.9 |
Fatal ASCVD | |||||||
ESC/EAS | 7 | 97 | Ref | Ref | Ref | 0.84 | 4.0 |
ACC/AHA | 84 | 72 | 77 (P < 0.0001) | −25 (P < 0.0001) | 0.52 (P = 0.0001) | 0.85 (P = 0.18) |
c-Statistics for discrimination between events and non-events using US-PCE and European-SCORE.
NRI, net reclassification index; ESC/EAS, European Society of Cardiology/European Atherosclerosis Society; ACC/AHA, American College of Cardiology/American Heart Association; ASCVD, atherosclerotic cardiovascular disease; P/O, predicted/observed events using European-SCORE and US-PCE.