Navigation Links
Study to consider social risk in guiding prevention of heart disease
Date:10/8/2007

A University of Rochester Medical Center researcher has been awarded a National Institutes of Health grant to study whether accounting for social risk factors, in addition to traditional predictors, can be useful in assessing patients risk and ultimately preventing coronary heart disease.

Kevin A. Fiscella, M.D., M.P.H., associate professor in the Department of Family Medicine, was awarded $823,199 by the National Heart, Lung and Blood Institute, part of the NIH, to demonstrate that inclusion of social risk factors socioeconomic status, race, ethnicity and marital status into overall risk assessment and preventive treatment guidelines offers the potential for reducing disparities in coronary heart disease (CHD).

Traditional tools to make predictions indicators such as age and gender, whether a patient is a smoker, diabetic or has high blood pressure have been used for decades by health care professionals to calculate a patients risk of heart disease, Fiscella said. Such predictions ultimately drive treatment.

A large body of research shows that a socioeconomic component also predicts risk in determining heart disease. Disparities in coronary heart disease mortality by socioeconomic status, race and ethnicity, have been extensively documented, but translating them into clinical practice to reduce CHD disparities has proven challenging and the data is not yet incorporated into formal health assessments, Fiscella said.

Were proposing to modify the risk tools to include socioeconomic factors and calculate the impact on prediction. If youre less educated or make less money, you have a much higher risk of heart disease. An inaccurate estimate impacts what tests and therapies a patient receives, and when. As a result, more intensive behavioral interventions focusing on diet, exercise, smoking cessation and medical adherence may be implemented.

Fiscellas three-year study will use a database containing more than 30,000 adult patient cases representative of the nations population. It will compare the performance of predicting risk using only existing tools, to a formula that incorporates socioeconomic factors with conventional tools. His team will determine whether persons of lower economic position could be more appropriately treated using an updated, supplemented risk model.

Risk scoring using traditional criteria is currently available electronically. When a physician sees a patient, their risk factor is determined with just a few clicks.

If were successful in validating our prediction model, in the future physicians may see it available through a paper version or through a handheld device, Fiscella said.

A handful of studies have been done in Europe regarding the issue of social risk factors. Findings show that adding social class into the equation of risk prediction models does help to identify those in a lower social class who are at higher risk of CHD, even in the UK, where there is universal health care access.

We know intuitively that social risk factors have a significant impact on the care of a patient but no one has said how can we apply this to decision-making at the bedside.


'/>"/>
Contact: Karin Christensen
karin_christensen@urmc.rochester.edu
585-275-1311
University of Rochester Medical Center
Source:Eurekalert

Related medicine news :

1. Rural Canadians travel far for specialists: study
2. A new study surpasses Gene Therapy Hurdle
3. Tomato Sauce reduces Cancer Risk- Study
4. A question on study of Adult Stem Cell
5. Study on obesity and heart failure
6. National Lung Study in the process
7. Marijuana gateway theory strengthened by study of twins
8. Old theory of adaptation confirmed by new study
9. Study casts doubt on keyboard ills
10. Gene study links endometriosis, infertility
11. Study reveals how stress can make you sick
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... , ... June 24, 2016 , ... Global law firm ... 2016 Legal Elite. The attorneys chosen by their peers for this recognition are considered ... Seven Greenberg Traurig Shareholders received special honors as members of this year’s Legal Elite ...
(Date:6/24/2016)... ... 2016 , ... Comfort Keepers® of San Diego, CA is excited to announce ... program to drive cancer patients to and from their cancer treatments. Comfort Keepers ... of life and ongoing independence. Getting to and from medical treatments is one ...
(Date:6/24/2016)... ... June 24, 2016 , ... People across the U.S. are sharpening their ... Award, an essay contest in which patients and their families pay tribute to a ... the 2016 National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. ...
(Date:6/24/2016)... York, NY (PRWEB) , ... June 24, 2016 ... ... publication Haute Living, is proud to recognize Dr. Barry M. Weintraub as a ... that “the most beautiful women in the world, and the most handsome men, ...
(Date:6/24/2016)... ... June 24, 2016 , ... Strategic Capital ... area economy by obtaining investment capital for emerging technology companies. SCP has ... have already resulted in more than a million dollars of capital investment for ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... the "Surgical Procedure Volumes: Global Analysis (United States, ... Australia, Canada)" report to their offering. ... an essential tool for healthcare business planners, provides surgical ... looks at surgery trends with an in-depth analysis of ...
(Date:6/23/2016)... YORK , June 23, 2016 ... waters, but it continues to present great opportunities to ... companies for today: Intrexon Corp. (NYSE: XON ... Arena Pharmaceuticals Inc. (NASDAQ: ARNA ), and ... more about these stocks and receive your complimentary trade ...
(Date:6/23/2016)... DIEGO , June 23, 2016 ... programs that address medical conditions resulting from a ... it has appointed Greg Doyle as ... of Leading BioSciences, executive management team and board ... and chief financial officer. He will provide continued ...
Breaking Medicine Technology: