Between December 1997 and March 2000, we received 8334 CHDR assessment requests: 6074 (72.
Replicate CHDR requests were received on 1307 patients, 1239 (94.
Management of hypercholesterolemia has traditionally been governed by the relative CHDR of the patient, using a specific serum cholesterol concentration to determine the need for treatment.
The Framingham equation is of sufficient mathematical complexity to require the use of a computer; therefore, several authors have constructed risk tables or nomograms based on the equation to avoid formal CHDR calculation (2-4,6).
Because our evaluation preceded this national guidance, it is likely that CHDR requests from primary care physicians will increase in the future.