PT - JOURNAL ARTICLE AU - Tim A Holt AU - Lucila Ohno-Machado TI - A nationwide adaptive prediction tool for coronary heart disease prevention. DP - 2003 Nov 01 TA - British Journal of General Practice PG - 866--870 VI - 53 IP - 496 4099 - http://bjgp.org/content/53/496/866.short 4100 - http://bjgp.org/content/53/496/866.full SO - Br J Gen Pract2003 Nov 01; 53 AB - Standardised electronic recording of cardiovascular risk factor data collected during primary care delivery could be used to create a new strategy, using an adaptive prediction model, for targeting primary prevention interventions at high-risk individuals. In the short term, this should progressively improve data quality and allow risk modification to be monitored at the population level. In the long term, feedback of data on cardiovascular disease development might enable the model to tailor the recommended interventions more appropriately to the needs of the individual and to adapt to future changes in risk patterns. Ultimately, the inclusion of additional cardiovascular risk factors might enable a richer, more realistic picture of cardiovascular risk profiles to be uncovered. This model may have wider uses in both research and practice, and provides a further incentive for the standardisation of record keeping in primary care.