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) |
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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 |