Subjective estimates are acceptable for calculating coronary risk

When adequate information on coronary heart disease risk factors is not available, subjective estimates by general practitioners and practice nurses are reasonable alternatives to calculating risk. McManus and colleagues (p 459) found that risk factors were recorded in few patient records, but primary care clinicians were able to apportion the risk of coronary heart disease with moderate accuracy. Using the computer program produced by the joint British societies for preventing coronary heart disease gave the most accurate calculations of risk.

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Relevant Article

Comparison of estimates and calculations of risk of coronary heart disease by doctors and nurses using different calculation tools in general practice: cross sectional study

R J McManus, J Mant, C F M Meulendijks, R A Salter, H M Pattison, A K Roalfe, and F D R Hobbs
BMJ 2002 324: 459-464. [Abstract] [Full Text] [PDF]