Letters
QRISK validation and evaluation
ASSIGN, QRISK, and validation
BMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b3514 (Published 01 September 2009) Cite this as: BMJ 2009;339:b3514
- Hugh Tunstall-Pedoe, professor emeritus and senior research fellow1,
- Mark Woodward, senior research fellow (and Mount Sinai School of Medicine, New York)1,
- Graham Watt, professor2
- 1Cardiovascular Epidemiology Unit, Institute for Cardiovascular Research, Ninewells Hospital, University of Dundee, Dundee DD1 9SY
- 2General Practice and Primary Care, University of Glasgow
- h.tunstallpedoe{at}dundee.ac.uk
We challenge the recent QRISK validation and editorial concluding that QRISK is the cardiovascular risk score for the United Kingdom.1 2
ASSIGN, QRISK’s precursor, was launched in Scotland before QRISK appeared.3 Predicting that scores omitting social deprivation (socioeconomic status) as a risk factor could exacerbate social gradients in disease, we developed ASSIGN to include it. ASSIGN was adopted without external validation …
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