Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs)

Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs) Publisher

Saatchi M¹ ; Mansournia MA¹ ; Khalili D² ; Daroudi R³ ; Yazdani K¹

Show Affiliations

1. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2. Prevention of Metabolic Disorders Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Risk Management and Healthcare Policy Published:2020

Abstract

Purpose: An area of interest to health policymakers is the effect of interventions aimed at risk factors on decreasing the number of new cardiovascular disease (CVD) cases. The aim of this study was to estimate the generalized impact fraction (GIF) and population attributable fraction (PAF) of hypertension (HTN) for CVD in Tehran. Patients and Methods: In this population-based cohort study, 8071 participants aged ≥30 years were followed for a median of 16 years. A survival model was used to estimate the 10-and 18-year risk of CVD. JNC-IV and 2017 ACC/AHA guidelines were used to categorize blood pressure (BP). PAF and GIF were estimated in different scenarios using the parametric G-formula. Results: Of 7378 participants included in analyses, 22.7% and 52.3% were classified as hypertensive according to the JNC-IV and 2017 ACC/AHA guidelines, respectively. According to the 2017 ACC/AHA, the 10-year risk of CVD was 5.1% (4.3–6.0%), 8.9% (6.7–12.0%), and 7.1% (6.1–8.4%) for normal BP, elevated BP, and stage 1 HTN, respec-tively, and 20.8% (18.8–23.0%) for stage 2 of the 2017 ACC/AHA and JNC-IV. The PAF of stage 2 vs stage 1 and vs normal BP for CVD was 17.4% (11.5–21.8%) and 20.4% (14.6– 26.4%), respectively. The GIF of 30% reduction in the prevalence of stage 2 HTN to stage 1 and to normal BP for CVD was 5.1% (3.4–6.6%) and 6.1% (4.4–8.0%), respectively. Based on JNC-IV, the PAF and GIF of 30% for CVD were 17.8% (12.7–22.9%) and 5.4% (4.0– 6.9%), respectively. Conclusion: By reducing the prevalence of HTN by 30%, a remarkable number of new CVD cases would be prevented. In an Iranian population, the comparison of HTN cases with normal BP showed no association between stage 1 HTN and CVD, whereas elevated BP was a significant risk factor for the incidence of CVD. © 2020 Saatchi et al.

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Mohammad Ali Mansournia (14)

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Style	Citing Format
MLA	Saatchi M, et al.. "Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs)." Risk Management and Healthcare Policy, vol. 13, no. , 2020, pp. 1015-1028.
APA	Saatchi M, Mansournia MA, Khalili D, Daroudi R, Yazdani K (2020). Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs). Risk Management and Healthcare Policy, 13(), 1015-1028.
Chicago	Saatchi M, Mansournia MA, Khalili D, Daroudi R, Yazdani K. "Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs)." Risk Management and Healthcare Policy 13, no. (2020): 1015-1028.
Harvard	Saatchi M et al. (2020) 'Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs)', Risk Management and Healthcare Policy, 13(), pp. 1015-1028.
Vancouver	Saatchi M, Mansournia MA, Khalili D, Daroudi R, Yazdani K. Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs). Risk Management and Healthcare Policy. 2020;13():1015-1028.
BibTex	@article{ author = {Saatchi M and Mansournia MA and Khalili D and Daroudi R and Yazdani K}, title = {Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs)}, journal = {Risk Management and Healthcare Policy}, volume = {13}, number = {}, pages = {1015-1028}, year = {2020} }
RIS	TY - JOUR AU - Saatchi M AU - Mansournia MA AU - Khalili D AU - Daroudi R AU - Yazdani K TI - Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs) JO - Risk Management and Healthcare Policy VL - 13 IS - SP - 1015 EP - 1028 PY - 2020 ER -

Style

Citing Format

MLA

Saatchi M, et al.. "Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs)." Risk Management and Healthcare Policy, vol. 13, no. , 2020, pp. 1015-1028.

APA

Saatchi M, Mansournia MA, Khalili D, Daroudi R, Yazdani K (2020). Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs). Risk Management and Healthcare Policy, 13(), 1015-1028.

Chicago

Saatchi M, Mansournia MA, Khalili D, Daroudi R, Yazdani K. "Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs)." Risk Management and Healthcare Policy 13, no. (2020): 1015-1028.

Harvard

Saatchi M et al. (2020) 'Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs)', Risk Management and Healthcare Policy, 13(), pp. 1015-1028.

Vancouver

Saatchi M, Mansournia MA, Khalili D, Daroudi R, Yazdani K. Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs). Risk Management and Healthcare Policy. 2020;13():1015-1028.

BibTex

@article{ author = {Saatchi M and Mansournia MA and Khalili D and Daroudi R and Yazdani K}, title = {Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs)}, journal = {Risk Management and Healthcare Policy}, volume = {13}, number = {}, pages = {1015-1028}, year = {2020} }

RIS

TY - JOUR
AU - Saatchi M
AU - Mansournia MA
AU - Khalili D
AU - Daroudi R
AU - Yazdani K
TI - Estimation of Generalized Impact Fraction and Population Attributable Fraction of Hypertension Based on Jnc-Iv and 2017 Acc/Aha Guidelines for Cardiovascular Diseases Using Parametric G-Formula: Tehran Lipid and Glucose Study (Tlgs)
JO - Risk Management and Healthcare Policy
VL - 13
IS -
SP - 1015
EP - 1028
PY - 2020
ER -

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Abstract