Systematic Review of Guidelines on Cardiovascular Risk Assessment

Which Recommendations Should Clinicians Follow for a Cardiovascular Health Check?
Bart S. Ferket, MD; Ersen B. Colkesen, MD; Jacob J. Visser, MD, PhD; Sandra Spronk, PhD; Roderik A. Kraaijenhagen, MD, PhD; Ewout W. Steyerberg, PhD; M. G. Myriam Hunink, MD, PhD
Objective: To appraise guidelines on cardiovascular risk assessment to guide selection of screening interventions for a health check.
Data Sources: Guidelines in the English language published between January 1, 2003, and May 2, 2009, were retrieved using MEDLINE and CINAHL. This was supplemented by searching the National Guideline Clearinghouse, National Library for Health, Canadian Medical Association Infobase, and G-I-N International Guideline Library.
Study Selection: We included guidelines developed on behalf of professional organizations from Western countries, containing recommendations on cardiovascular risk assessment for the apparently healthy population. Titles and abstracts were assessed by 2 independent reviewers.
Of 1984 titles identified, 27 guidelines met our criteria.

Conclusions: Differences among the guidelines imply important variation in allocation of preventive interventions. To make informed decisions, physicians should use only the recommendations from rigorously developed guidelines.
Arch Intern Med. 2010;170(1):27-40


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