Cardiovascular disease risk assessment for Aboriginal and Torres Strait Islander adults aged under 35 years: a consensus statement.

Agostino, JW; Wong, D; Paige, E; Wade, V; Connell, C; Davey, ME; Peiris, DP; Fitzsimmons, D; Burgess, CP; Mahoney, R; Lonsdale, E; Fernando, P; Malamoo, L; Eades, S; Brown, A; Jennings, G; Lovett, RW; Banks, E

Cardiovascular disease risk assessment for Aboriginal and Torres Strait Islander adults aged under 35 years: a consensus statement.

Agostino, JW Wong, D Paige, E Wade, V Connell, C Davey, ME Peiris, DP Fitzsimmons, D Burgess, CP Mahoney, R Lonsdale, E Fernando, P Malamoo, L

Eades, S Brown, A Jennings, G Lovett, RW Banks, E

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Publisher:: AMPCo
Publication Type:: Journal Article
Citation:: The Medical journal of Australia, 2020, 212, (9), pp. 422-427
Issue Date:: 2020-05

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Field	Value	Language
dc.contributor.author	Agostino, JW
dc.contributor.author	Wong, D
dc.contributor.author	Paige, E
dc.contributor.author	Wade, V
dc.contributor.author	Connell, C
dc.contributor.author	Davey, ME
dc.contributor.author	Peiris, DP
dc.contributor.author	Fitzsimmons, D
dc.contributor.author	Burgess, CP
dc.contributor.author	Mahoney, R
dc.contributor.author	Lonsdale, E
dc.contributor.author	Fernando, P
dc.contributor.author	Malamoo, L https://orcid.org/0000-0001-6386-762X
dc.contributor.author	Eades, S
dc.contributor.author	Brown, A
dc.contributor.author	Jennings, G
dc.contributor.author	Lovett, RW
dc.contributor.author	Banks, E
dc.date.accessioned	2021-06-21T00:55:39Z
dc.date.available	2021-06-21T00:55:39Z
dc.date.issued	2020-05
dc.identifier.citation	The Medical journal of Australia, 2020, 212, (9), pp. 422-427
dc.identifier.issn	0025-729X
dc.identifier.issn	1326-5377
dc.identifier.uri	http://hdl.handle.net/10453/149664
dc.description.abstract	Cardiovascular disease (CVD) is a leading cause of preventable morbidity and mortality in Aboriginal and Torres Strait Islander peoples. This statement from the Australian Chronic Disease Prevention Alliance, the Royal Australian College of General Practitioners, the National Aboriginal Community Controlled Health Organisation and the Editorial Committee for Remote Primary Health Care Manuals communicates the latest consensus advice of guideline developers, aligning recommendations on the age to commence Aboriginal and Torres Strait Islander CVD risk assessment across three guidelines. MAIN RECOMMENDATIONS: In Aboriginal and Torres Strait Islander peoples without existing CVD: CVD risk factor screening should commence from the age of 18 years at the latest, including for blood glucose level or glycated haemoglobin, estimated glomerular filtration rate, serum lipids, urine albumin to creatinine ratio, and other risk factors such as blood pressure, history of familial hypercholesterolaemia, and smoking status. Individuals aged 18-29 years with the following clinical conditions are automatically conferred high CVD risk: ▶type 2 diabetes and microalbuminuria; ▶moderate to severe chronic kidney disease; ▶systolic blood pressure ≥ 180 mmHg or diastolic blood pressure ≥ 110 mmHg; ▶familial hypercholesterolaemia; or ▶serum total cholesterol > 7.5 mmol/L. Assessment using the National Vascular Disease Prevention Alliance absolute CVD risk algorithm should commence from the age of 30 years at the latest - consider upward adjustment of calculated CVD risk score, accounting for local guideline use, risk factor and CVD epidemiology, and clinical discretion. Assessment should occur as part of an annual health check or opportunistically. Subsequent review should be conducted according to level of risk. CHANGES IN MANAGEMENT AS A RESULT OF THIS STATEMENT: From age 18 years (at the latest), Aboriginal and Torres Strait Islander adults should undergo CVD risk factor screening, and from age 30 years (at the latest), they should undergo absolute CVD risk assessment using the NVDPA risk algorithm.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	AMPCo
dc.relation.ispartof	The Medical journal of Australia
dc.relation.isbasedon	10.5694/mja2.50529
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	General & Internal Medicine
dc.subject.mesh	Humans
dc.subject.mesh	Cardiovascular Diseases
dc.subject.mesh	Cholesterol
dc.subject.mesh	Triglycerides
dc.subject.mesh	Risk Assessment
dc.subject.mesh	Risk Factors
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Oceanic Ancestry Group
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Hyperlipidemias
dc.subject.mesh	Adult
dc.subject.mesh	Cardiovascular Diseases
dc.subject.mesh	Cholesterol
dc.subject.mesh	Female
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Humans
dc.subject.mesh	Hyperlipidemias
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Oceanic Ancestry Group
dc.subject.mesh	Risk Assessment
dc.subject.mesh	Risk Factors
dc.subject.mesh	Triglycerides
dc.title	Cardiovascular disease risk assessment for Aboriginal and Torres Strait Islander adults aged under 35 years: a consensus statement.
dc.type	Journal Article
utslib.citation.volume	212
utslib.location.activity	Australia
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Engineering and Information Technology
pubs.organisational-group	/University of Technology Sydney/Faculty of Engineering and Information Technology/School of Computer Science
utslib.copyright.status	closed_access	*
dc.date.updated	2021-06-21T00:55:38Z
pubs.issue	9
pubs.publication-status	Published
pubs.volume	212
utslib.citation.issue	9

Abstract:

Cardiovascular disease (CVD) is a leading cause of preventable morbidity and mortality in Aboriginal and Torres Strait Islander peoples. This statement from the Australian Chronic Disease Prevention Alliance, the Royal Australian College of General Practitioners, the National Aboriginal Community Controlled Health Organisation and the Editorial Committee for Remote Primary Health Care Manuals communicates the latest consensus advice of guideline developers, aligning recommendations on the age to commence Aboriginal and Torres Strait Islander CVD risk assessment across three guidelines. MAIN RECOMMENDATIONS: In Aboriginal and Torres Strait Islander peoples without existing CVD: CVD risk factor screening should commence from the age of 18 years at the latest, including for blood glucose level or glycated haemoglobin, estimated glomerular filtration rate, serum lipids, urine albumin to creatinine ratio, and other risk factors such as blood pressure, history of familial hypercholesterolaemia, and smoking status. Individuals aged 18-29 years with the following clinical conditions are automatically conferred high CVD risk: ▶type 2 diabetes and microalbuminuria; ▶moderate to severe chronic kidney disease; ▶systolic blood pressure ≥ 180 mmHg or diastolic blood pressure ≥ 110 mmHg; ▶familial hypercholesterolaemia; or ▶serum total cholesterol > 7.5 mmol/L. Assessment using the National Vascular Disease Prevention Alliance absolute CVD risk algorithm should commence from the age of 30 years at the latest - consider upward adjustment of calculated CVD risk score, accounting for local guideline use, risk factor and CVD epidemiology, and clinical discretion. Assessment should occur as part of an annual health check or opportunistically. Subsequent review should be conducted according to level of risk. CHANGES IN MANAGEMENT AS A RESULT OF THIS STATEMENT: From age 18 years (at the latest), Aboriginal and Torres Strait Islander adults should undergo CVD risk factor screening, and from age 30 years (at the latest), they should undergo absolute CVD risk assessment using the NVDPA risk algorithm.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/149664