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Are PROCAM data applicable to Swiss people ? Written 20. March 2003 

 

 

Most likely....

no !

Main observations The Augsburg Population (near Munich) has a higher absolute risk for cardiovascular events than the Swiss French Paradox Population.
Some problems The PROCAM database is restricted to male subjects. Risk prediction is valid for the population, where it was studied (and not for southern France, middle Italy, Madrid or Olten). PROCAMData
Question

Is it appropriate to use the PROCAM risk function for Swiss men ?

 
Further remarks We have performed a small but population based study in Switzerland, where we looked at the presence of atherosclerosis in both men and women. Co-workers are Edouard Battegay and Paolo Raggi. We applied a specific risk algorithm to find out, what might be the performance of AGLA, NCEP III, and PROCAM in Switzerland. From our observations we can expect, that PROCAM risk estimates overestimate risk in Swiss German men and should not applied to a Swiss population. The PROCAM cookbook has published conversion factors for populations living outside of Augsburg. For men and women living in the German part of Switzerland, no recommendations could be made because of lack of data, especially Monica-cohorts.