ClinicalTrials.gg
CompletedNCT02267447CVDPoRTUpdated Aug 7, 2017Results posted

Cardiovascular Disease Population Risk Tool

An observational study in Cardiovascular Diseases, sponsored by Ottawa Hospital Research Institute. Completed. Open to participants aged 20 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-08-07.

Sponsored by Ottawa Hospital Research Institute · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
104,219
Ages
20 Years and older
Sex
All
01

Study summary

The purpose of this study is to develop, evaluate, and apply a predictive algorithm for assessing CVD risk in the community setting: the Cardiovascular Disease Population Risk Tool (CVDPoRT).

Read the detailed description

This observational study will use the Ontario sample of the Canadian Community Health Survey (2001, 2003, 2005; 77,251 respondents) to assess risk factors - focusing on health behaviours (physical activity, diet, smoking, and alcohol use). Incident CVD outcomes will be assessed through linkage to administrative healthcare databases (619,886 person-years of follow-up until 31 December 2011). Socio-demographic factors (age, sex, immigrant status, education) and mediating factors such as presence of diabetes and hypertension will be included as predictors. Risk prediction models will be developed using competing risks survival analysis. The analysis plan adheres to published recommendations for the development of valid risk prediction models to limit the risk of over-fitting and improve the quality of predictions. Key considerations are fully pre-specifying the predictor variables; appropriate handling of missing data; use of flexible functions for continuous predictors; and avoiding data-driven variable selection procedures that increase the risk of type I error. The 2007 and 2009 surveys (approximately 50,000 respondents) will be used for validation. Calibration will be assessed overall and in predefined subgroups of importance to clinicians and policymakers.

02

Conditions studied

  • Cardiovascular Diseases

Keywords

  • Cardiovascular diseases
  • Clinical prediction rule
  • Population projection
  • Risk stratification
  • Health behavior
03

In context

Cardiovascular Diseases

5,025 studies on the registry are indexed under Cardiovascular Diseases; 930 are open to participants now.

This study's enrollment of 104,219 is above the median of 600 across 1,524 observational studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

Ottawa Hospital Research Institute is the lead sponsor of 544 studies on the registry; 97 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

The derivation cohort will be eligible respondents to the combined 2001, 2003 and 2005 Canadian Community Health Surveys, conducted by Statistics Canada. The validation cohort will consist of respondents to the 2007 and 2009 surveys.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Respondents to the Canadian Community Health Surveys

Exclusion criteria

Exclusion Criteria:

  • Not eligible for Ontario's universal health insurance program
  • Pregnant
  • Prior history of heart disease or stroke
  • Younger than age 20
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
104,219 participants (actual)
Patient registry
No

Groups and cohorts

  • Derivation cohort

    Eligible respondents to the combined 2001, 2003 and 2005 Canadian Community Health Surveys, conducted by Statistics Canada.

  • Validation cohort

    Eligible respondents to the 2007 and 2009 Canadian Community Health Surveys.

06

What researchers measure

Primary outcomes

  1. Major Cardiovascular Disease Event

    The primary outcome of interest was a major CVD event resulting in hospitalization or sudden death from CVD. Respondents were followed from the survey administration date until the earliest of: incident event, death due to causes other than CVD (defined as a competing risk), loss to follow-up (defined as loss of health care eligibility), or end of study (31 December 2012).

    Time frame: up to 12 years

Other outcomes

  1. Death Due to Causes Other Than CVD

    Time frame: up to 12 years

07

Results

Posted Aug 7, 2017

Participant flow

Participant flow — Overall Study
MilestoneDerivation CohortValidation Cohort
Started7725126968
Completed7725126968
Not completed00

Outcome measures

PrimaryMajor Cardiovascular Disease Event

The primary outcome of interest was a major CVD event resulting in hospitalization or sudden death from CVD. Respondents were followed from the survey administration date until the earliest of: incident event, death due to causes other than CVD (defined as a competing risk), loss to follow-up (defined as loss of health care eligibility), or end of study (31 December 2012).

Time frame:
up to 12 years
Reported as:
Number · Cardiovascular disease event
Major Cardiovascular Disease Event
Cardiovascular disease eventDerivation CohortValidation Cohort
Major Cardiovascular Disease Event3182527
Other pre-specifiedDeath Due to Causes Other Than CVD
Time frame:
up to 12 years
Reported as:
Number · deaths
Death Due to Causes Other Than CVD
deathsDerivation CohortValidation Cohort
Death Due to Causes Other Than CVD3538979

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Derivation Cohort———
Validation Cohort———

Baseline characteristics

Ontario respondents of CCHS survey cycles 1.1, 2.1, 3.1 and 4.1 (conducted in 2001, 2003, 2005 and 2007, respectively). Respondents were excluded if they were not eligible for Ontario's universal health insurance program, were pregnant, self-reported a prior history of heart disease or stroke, or were age \<20 at the time of survey administration.

Age, Continuous
Age, Continuous(years)Derivation CohortValidation CohortTotal
Female48.0 (35.0 to 63.0)51.0 (37.0 to 64.0)49.5 (36.0 to 63.5)
Male46.0 (35.0 to 59.0)48.0 (35.0 to 63.0)47.0 (35.0 to 61.0)
Sex: Female, Male
Sex: Female, Male(Participants)Derivation CohortValidation CohortTotal
Female421851480156986
Male350661216747233
08

Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Manuel DG, Tuna M, Bennett C, Hennessy D, Rosella L, Sanmartin C, Tu JV, Perez R, Fisher S, Taljaard M. Development and validation of a cardiovascular disease risk-prediction model using population health surveys: the Cardiovascular Disease Population Risk Tool (CVDPoRT). CMAJ. 2018 Jul 23;190(29):E871-E882. doi: 10.1503/cmaj.170914. PubMed 30037888 ↗
  • Taljaard M, Tuna M, Bennett C, Perez R, Rosella L, Tu JV, Sanmartin C, Hennessy D, Tanuseputro P, Lebenbaum M, Manuel DG. Cardiovascular Disease Population Risk Tool (CVDPoRT): predictive algorithm for assessing CVD risk in the community setting. A study protocol. BMJ Open. 2014 Oct 23;4(10):e006701. doi: 10.1136/bmjopen-2014-006701. PubMed 25341454 ↗

Individual participant data

Plan to share: Yes — The final model parameters will be provided in Predictive Modelling Markup Language (PMML) and Lime questionnaire files; as well, we will provide a mock dataset. These files can be used to generate risk estimates in computer applications.

10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Sep 2000, a primary completion of Dec 2014 and a completion of Apr 2016. It does not say whether these dates are actual or estimated.

Results were first posted in Aug 2017, 2 years 8 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 6, 2014
First posted
Oct 17, 2014
Start
Sep 2000
Primary completionActual
Dec 2014
CompletionActual
Apr 2016
Results first posted
Aug 7, 2017
Last update
Aug 7, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 7, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02267447
Collaborators
Canadian Institutes of Health Research (CIHR), Institute for Clinical Evaluative Sciences, Statistics Canada
Responsible party
Sponsor
First posted
Oct 17, 2014
Start date
Sep 2000
Primary completion
Dec 2014
Completion
Apr 2016
Results posted
Aug 7, 2017
Last update
Aug 7, 2017

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2017. You cannot join it, but the record below documents what was studied.

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