Comparison of the Framingham and United Kingdom Prospective Diabetes Study cardiovascular risk equations  in Australian patients with type 2 diabetes from the Fremantle Diabetes Study

McCallum, Roland W; Burgess, John R; Greenaway, Timothy M

doi:10.5694/j.1326-5377.2009.tb02683.x

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To the Editor: Davis and colleagues stated that the Framingham and United Kingdom Prospective Diabetes Study (UKPDS) cardiovascular risk equations are not suitable for predicting risk in an Australian population with type 2 diabetes.1 If confirmed, this would be extremely disappointing. However, before accepting this conclusion the following important considerations should be noted.

Diabetes and Endocrine Services, Royal Hobart Hospital, Hobart, TAS.

Correspondence: roland.mccallum@dhhs.tas.gov.au

1. Davis WA, Colagiuri S, Davis TME. Comparison of the Framingham and United Kingdom Prospective Diabetes Study cardiovascular risk equations in Australian patients with type 2 diabetes from the Fremantle Diabetes Study. Med J Aust 2009; 190: 180-184. <MJA full text>
2. Brindle PM, Beswick AD, Fahey T, Ebrahim SB. Accuracy and impact of risk assessment in the primary prevention of cardiovascular disease: a systematic review. Heart 2006; 92: 1752-1759.
3. Simmons RK, Coleman RL, Price HC, et al. Performance of the UK Prospective Diabetes Study risk engine and the Framingham risk equations in estimating cardiovascular disease in the EPIC-Norfolk cohort. Diabetes Care 2009; 32: 708-13.
4. Booth GL, Kapral MK, Fung K, Tu JV. Relation between age and cardiovascular disease in men and women with diabetes compared with non-diabetic people: a population-based retrospective cohort study. Lancet 2006; 368: 29-36.

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