Table 3. Comparison of the accuracy of risk assessment for the development of coronary heart disease between the models adjusted for potential risk factors with and without small dense low-density lipoprotein cholesterol or low-density lipoprotein cholesterol.
c-statistics (95% CI) | p value for difference in c-statistics | cNRI (95% CI) after adding sdLDL cholesterol or LDL cholesterol | p value for NRI | IDI (95% CI) after adding sdLDL cholesterol or LDL cholesterol | p value for IDI | |
---|---|---|---|---|---|---|
Basic model | 0.774 (0.730–0.817) |
reference | - | reference | - | reference |
Basic model + log(serum sdLDL cholesterol) | 0.794 (0.754–0.835) |
0.02 | 0.40 (0.18–0.62) |
< 0.001 | 0.008 (0.001–0.01) |
0.02 |
Basic model + serum LDL cholesterol | 0.793 (0.750–0.836) |
0.06 | 0.49 (0.27–0.70) |
< 0.001 | 0.007 (0.002–0.01) |
0.01 |
Abbreviations: CI, confidence interval; cNRI, continuous net reclassification improvement; IDI, integrated discrimination improvement; LDL, low-density lipoprotein; sdLDL, small dense low-density lipoprotein.
The basic model was adjusted for age, sex, systolic blood pressure, use of antihypertensive agents, hemoglobin A1c, use of glucose-lowering agents, high-density lipoprotein-cholesterol, lipid-modifying agents, body mass index, estimated glomerular filtration rate, electrocardiogram abnormalities, current smoking, current drinking, and regular exercise.