QRISK may be less useful

doi:10.1136/bmj.b3485

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Su May Liew, research student1,
Paul Glasziou, professor1

¹Centre for Evidence-Based Medicine, Department of Primary Health Care, University of Oxford OX3 7LF

su.liew{at}dphpc.ox.ac.uk

Collins and Altman inappropriately criticise the National Institute for Health and Clinical Excellence (NICE) for not choosing QRISK to predict cardiovascular risk.1 In doing so, they do not distinguish between assessing individual cardiovascular risk (as used by clinicians) and predicting risk of cardiovascular events in an actively managed population (as used in public health planning). As …