EBMcalc G.I. vs CV Risk Estimation

EBMcalc G.I. EBMcalc is the most popular and comprehensive Medical Calculator system on the web. It has been highly acclaimed, reviewed and tested over the last 25 years. EBMcalc users should not make any medical decisions based on app content without seeking their doctor's advice. EBMcalc G.I. encompasses numerous medical equations, clinical criteria sets, decision tree tools and dose/unit converters used every day by Gastroenterology specialists. With the growing emphasis on Evidence-Based Medicine, there has never been a greater need for a system such as EBMcalc. Equations included: Ascites Albumin Gradient Fractional Excretion of Amylase (Amylase to creatinine clearance ratio) Hepatitis C Fibrosis Prediction Score MELD Score for End-Stage Liver Disease (NOT appropriate for patients under the age of 12) (SI units) MELD Score for End-Stage Liver Disease (NOT appropriate for patients under the age of 12) MELDNa Score for End-Stage Liver Disease (NOT appropriate for patients under the age of 12) (SI units) MELDNa Score for End-Stage Liver Disease (NOT appropriate for patients under the age of 12) Mortality risk in post-operative patients with cirrhosis (SI units) Mortality risk in post-operative patients with cirrhosis PELD Score for End-Stage Liver Disease (patients less than 12 years old) Stool Osmolal Gap TIPS Risk predictor / Survival predictor (Transjugular Intrahepatic Portosystemic Shunt) Clinical Criteria Sets included: Acetaminophen (Paracetamol) Toxicity Assessment Alcoholic Liver Disease Combined Index (Clinical and Laboratory -- CCLI) Criteria for One Year Mortality Prognosis Alcoholic Liver Disease: Criteria for One Year Mortality Prognosis Autoimmune Hepatitis Diagnostic Criteria Bedside index of severity in acute pancreatitis (BISAP) score Blatchford Score for Gastrointestinal Bleeding Bowel Obstruction Diagnosis: Utility of X-ray Child Pugh Classification for Severity of Liver Disease (SI units) Child Pugh Classification for Severity of Liver Disease Cirrhosis Probability in Hepatitis C (6 models) Crohn's disease activity index (CDAI) Esophageal Varices: Prediction from Platelet Count to Spleen Diameter Ratio Glasgow alcoholic hepatitis score Harvey-Bradshaw index of Crohn's disease activity Hepatitis C Cirrhosis Probability Hepatitis Discriminant Function for Corticosteroid Therapy in Alcoholic Hepatitis Irritable Bowel Syndrome Diagnostic Criteria (Manning Criteria) Lower GI Bleeding and Risk of Severe Bleeding Mayo Score for Assessing Ulcerative Colitis Activity Nonbiliary Cirrhosis Prognostic Criteria for One Year Survival Omeprazole Therapeutic Gain (over placebo) in Dyspepsia Omeprazole Therapeutic Index in Dyspepsia Pancreatitis Prognosis Criteria When Disease Due To Gallstones Pancreatitis Prognosis Criteria Rockall Score for Upper Gastrointestinal Bleeding Decision Trees included: Barrett Esophagus Progression Risk TreeCalc Hepatitis C Outcome TreeCalc NASH Fibrosis Risk (Nonalcoholic Steatohepatitis) TreeCalc Unit and Dose Converters include: Area Unit Conversions Basic Unit Conversions Comprehensive Unit Conversions Corticosteroid Medication Dosing Conversions (glucocorticoid effect) Corticosteroid Medication Dosing Conversions (mineralocorticoid effect) Density Unit Conversions Energy Unit Conversions Fentanyl Patch Initial Dosing Estimate Based on Prior Narcotic Dosing Flow Unit Conversions Force Unit Conversions Length Unit Conversions Opioid Medication Dose Conversions Oxygen Delivery Units Conversions Power Unit Conversions Pressure Unit Conversions SI Unit Conversions (multiple) Speed Unit Conversions Standard Drink Equivalents Temperature Unit Conversions Textile Type Unit Conversions Thyroid Medication Dosing Conversions Time Unit Conversions Volume Unit Conversions Weight Unit Conversions To practice, teach and learn medicine based on solid, literature based evidence, EBMcalc provides easy to use, interactive tools for your Evidence-Based Medicine.

This app is for CLINICIANS, not the lay public. The CV Risk app presents clinicians with three valuable 10-year cardiovascular event risk calculators to serve clinicians and learners in primary prevention of cardiovascular disease. It is for clinicians only, not the lay public. The calculators are Framingham 2008, ASCVD 2013, and the revised pooled cohort equations ASCVD of 2018. The app addresses such common questions as: • What is the ASCVD 10-year CV risk for a 57 year old male hypertensive smoker with a given set of lipid and blood pressure numbers? • What’s the magnitude of impact of a patient on their own improving their cholesterol by 11, 27, or 41 points? • For a poorly controlled hypertensive smoker with a 10-year risk of 31.3%, how impactful would improved blood pressure control or smoking cessation be? • How impactful is a cholesterol of 220 on a given patient's risk at 35 vs. 55 vs. 75 years old? • I hear that ASCVD 2013 overestimates risk, particularly for black adults? True? What about the revised pooled cohort equations of 2018? The app explicitly does not include treatment thresholds, LDL targets, estimates of impact of therapy, coronary calcium scoring, etc. I wanted the cleanest simplest tool possible for evaluating and discussing cardiovascular risk with all the other more subjective, controversial stuff out of the way. This app is written and intended for practicing clinicians like internists and family physicians; for resident physician trainees; for medical students; and of course for other clinician colleagues like NP's and PA's. Cardiologists could use this app, but you folks are focused on secondary prevention, which is an entirely different ballgame. As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool.