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Normative values for carotid intima media thickness and its progression: Are they transferrable outside of their cohort of origin?
- Source :
- European Journal of Preventive Cardiology, 23(11), 1165-1173. SAGE Publications Ltd, Liao, X, Norata, G D, Polak, J F, Stehouwer, C D A, Catapano, A, Rundek, T, Ezhov, M, Sander, D, Thompson, S G, Lorenz, M W, Balakhonova, T, Safarova, M, Grigore, L, Empana, J-P, Lin, H-J, McLachlan, S, Bokemark, L, Ronkainen, K, Schminke, U, Lind, L, Willeit, P, Yanez, D N, Steinmetz, H, Poppert, H, Desvarieux, M, Ikram, M A, Johnsen, S H, Iglseder, B, Friera, A, Xie, W, Plichart, M, Su, T-C, Srinivasan, S R, Schmidt, C, Tuomainen, T-P, Volzke, H, Nijpels, G, Willeit, J, Franco, O H, Suarez, C, Zhao, D, Ducimetiere, P, Chien, K-L, Robertson, C, Bergstrom, G, Kauhanen, J, Dorr, M, Dekker, J, Kiechl, S, Sitzer, M, Bickel, H, Sacco, R L, Hofman, A, Mathiesen, E B, Gabriel, R, Liu, J, Berenson, G, Kavousi, M & Price, J F 2016, ' Normative values for carotid intima media thickness and its progression: Are they transferrable outside of their cohort of origin? ', European Journal of Preventive Cardiology, vol. 23, no. 11, pp. 1165-1173 . https://doi.org/10.1177/2047487315625543
- Publication Year :
- 2016
-
Abstract
- Background The clinical use of carotid intima media thickness (cIMT) requires normal values, which may be subject to variation of geographical factors, ethnicity or measurement details. The influence of these factors has rarely been studied. The aim of this study was to determine whether normative cIMT values and their association with event risk are generalizable across populations. Design Meta-analysis of individual participant data. Method From 22 general population cohorts from Europe, North America and Asia we selected subjects free of cardiovascular disease. Percentiles of cIMT and cIMT progression were assessed separately for every cohort. Cox proportional hazards models for vascular events were used to estimate hazard ratios for cIMT in each cohort. The estimates were pooled across Europe, North America and Asia, with random effects meta-analysis. The influence of geography, ethnicity and ultrasound protocols on cIMT values and on the hazard ratios was examined by meta-regression. Results Geographical factors, ethnicity and the ultrasound protocol had influence neither on the percentiles of cIMT and its progression, nor on the hazard ratios of cIMT for vascular events. Heterogeneity for percentiles of cIMT and cIMT progression was too large to create meaningful normative values. Conclusions The distribution of cIMT values is too heterogeneous to define universal or regional population reference values. CIMT values vary widely between different studies regardless of ethnicity, geographic location and ultrasound protocol. Prediction of vascular events with cIMT values was more consistent across all cohorts, ethnicities and regions.
- Subjects :
- cardiovascular risk
Percentile
Epidemiology
Population
030204 cardiovascular system & hematology
Global Health
Carotid Intima-Media Thickness
hazard ratio
03 medical and health sciences
0302 clinical medicine
Reference Values
Risk Factors
Humans
Medicine
cardiovascular diseases
030212 general & internal medicine
education
geographic
education.field_of_study
normal value
Proportional hazards model
business.industry
Incidence
Incidence (epidemiology)
Hazard ratio
Atherosclerosis
Random effects model
Intima media thickness
Intima-media thickness
Cohort
Disease Progression
cardiovascular system
ethnicity
Cardiology and Cardiovascular Medicine
business
Demography
Subjects
Details
- ISSN :
- 20474873
- Volume :
- 23
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- European Journal of Preventive Cardiology
- Accession number :
- edsair.doi.dedup.....bb812b23b49a0e8e299bef5638ccf037