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September/October 2011 Annals of Family Medicine Tip Sheet
Date:9/12/2011

oronary risk category also was doubled with the original Framingham equation (15 percent vs. 7 percent). That both models failed to accurately predict the population's actual coronary risk in the 10-year follow-up period was not surprising to the authors. They point out the original Framingham study was conducted before the widespread use of effective treatment for cardiovascular risk factors, so its equation currently overpredicts cardiovascular risk when applied to populations who have their risk factors actively managed. They conclude the Framingham risk functions could be improved by revising them to include additional cardiovascular risk factors and such variables as family history of cardiovascular disease in a first-degree relative, social deprivation, body mass index, and current prescription of antihypertensive therapy.

Original and REGICOR Framingham Functions in a Nondiabetic Population of a Spanish Health Care Center: A Validation Study
By Francisco Buitrago, M.D., Ph.D
Centro de Salud Universitario "La Paz", Badajoz, Spain

Patients and Clinicians Open to Integrating Alternative Therapies into Primary Care

Physicians and patients are open to integrating complementary and alternative medicine therapies into primary care, especially for patients whose conditions are not responding well to standard medical treatments. Focus groups with 44 patients and 32 clinicians revealed that while patients were open to including a wider variety of healing options, they desired some evidence of effectiveness. Moreover, patients said they wanted physicians to introduce recommendations as options, not orders, and were interested in hearing about the clinicians' personal and practice experience with different treatments. For their part, clinicians were most concerned about the safety of specific treatments, specifically herbs and dietary supplements. They expressed the need for better information regarding the nature, effec
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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