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. Author manuscript; available in PMC: 2018 Feb 22.
Published in final edited form as: JAMA Cardiol. 2017 Jun 1;2(6):644–652. doi: 10.1001/jamacardio.2017.0944

Table 2.

Identification of vascular calcification by statin eligibility. “Not statin eligible” was considered the referent category in logistic regression. Comparison of eligibility status was performed such that reclassification metrics and C-statistics represent the improvement of 2013 ACC/AHA guidelines over 2004 ATP-III guidelines. Detailed methods described in text. Abbreviations: AAC, abdominal aortic calcium score; CAC, coronary artery calcium score; NRI, net reclassification index; Ref, referent category.

Eligibility CAC score >0
(N=756/1790 participants)
CAC score ≥100
(N=327/1790 participants)
AAC score >0
(N=1145/1789 participants)
Number with CAC (%) Statistic (95% CI) p value Number with CAC≥100 (%) Statistic (95% CI) p value Number with AAC (%) Statistic (95% CI) p value
2013 ACC/AHA guidelines
Statin eligible 526/844 (62.3) 5.1 (4.2–6.3) <0.0001 261/844 (30.9) 6.0 (4.5–8.0) <0.0001 707/843 (83.9) 6.0 (4.8–7.5) <0.0001
Not statin eligible 230/946 (24.3) 1 (Ref) 66/946 (7.0) 1 (Ref) 438/946 (46.3) 1 (Ref)
C-statistic 0.69 (0.67–0.72) 0.70 (0.67–0.73) 0.70 (0.68–0.72)
2004 ATP-III guidelines
Statin eligible 301/470 (64.0) 3.4 (2.7–4.2) <0.0001 160/470 (34.0) 3.6 (2.8–4.6) <0.0001 396/469 (84.4) 4.1 (3.1–5.4) <0.0001
Not statin eligible 455/1320 (34.5) 1 (Ref) 167/1320 (12.7) 1 (Ref) 749/1320 (56.7) 1 (Ref)
C-statistic 0.62 (0.60–0.64) 0.64 (0.61–0.67) 0.62 (0.60–0.63)
Statin eligibility comparison (2013 ACC/AHA vs. 2004 ATP-III)
ΔC-statistic 0.08 (0.06–0.10) <0.0001 0.06 (0.03–0.09) <0.0001 0.09 (0.07–0.11) <0.0001
NRI 0.15 (0.11–0.20) <0.0001 0.12 (0.06–0.18) 0.0006 0.17 (0.14–0.21) <0.0001
Individuals with CAC correctly reclassified by ACC/AHA 30% <0.0001 31% <0.0001 27% <0.0001
Individuals without CAC incorrectly reclassified by ACC/AHA −14% <0.0001 −19% <0.0001 −10% <0.0001