HepCalc vs CV Risk Estimation

HepCalc is a collection of liver related calculators, web links, resources, and editable web links and clinical notes. ◆ Unlike most calculators, entry data is preserved between different calculators limiting the need for reentry of data. ◆ Set your own favorite web links ◆ Save clinical notes, clinical "pearls" in a organized fashion ◆ Integrated U.S. - SI units conversion ◆ Each calculator has a related web reference A must have for the clinician/house officer dealing with liver disease. The customizable WebLinks and Clinical Notes sections alone are valuable tools for anyone. Child-Pugh Score MELD (UNOS) -survival data -TIPS recommendations MELD MELD Sodium (UNOS) MELD 3.0/Survival Alcoholic Hepatitis Calculators: - ABIC -Combined: Lille Model +(MELD, Maddrey DF, ABIC) - Glasgow - Lille Model - Lille Model Projection (using day 0 of Rx, calculates decision making for bilirubin values on day 7) - Maddrey Discriminant Function - MELD alcoholic hepatitis score ( Includes survival percentage) Autoimmune Liver Disease Calculators: -Autoimmune hepatitis Score(1999 International AIH Group Report) -Autominnune hepatitis Simplified Score -AIH/PBC overlap (Paris Criteria) -PBC Survival Mayo GLOBE UK-PBC -PSC Survival Fibrosis Calculators: - APRI Fibrosis Score - FAST (Fibroscan™ + AST) Score - FIB4 Fibrosis Score - FORNS Fibrosis Score - HALT-C Cirrhosis Score - NAFLD Fibrosis Score -SAFE Fibrosis Score (Steatosis-associated Fibrosis Estimate) Risk Assessment Calculators: Liver Decompensation - Acute decompensation without ACLF: CLIF-C AD score and mortality -Acute liver failure - transplant free survival at 21 days - Acute on Chronic Liver Failure AARC score and mortality - Acute on Chronic Liver Failure CLIF-C ACLF score and mortality - Acute on Chronic Liver Failure NACSELD 30 day mortality - BE3A Score: Hep C DAA assessment for decompensated cirrhosis - Decompensation Risk - Hep C -TAM Score: 1 yr post transplant survival for ACLF-3 patients HCC Risk Hep B - HCC Risk Hep B: CHUK - HCC Risk Hep B: REACH B - HCC Risk Hep B on Rx (entecavir, tenofovir): PAGE B HCC Risk Hep C - HCC Risk Hep C : HALT-C - HCC Risk in Chronic Liver Disease: GALAD/GALADUS Other Risks -BEA Score: Baseline event anticipation for Hepatitis Deta -Cardiovascular Risk (CAD-LT): CV risk in LT candidates - CAR-OLT: 1 yr risk of cardiovascular event post OLT -Dili Mortality Risk: 6 mos mortality risk and comorbidity burden - Fungal Infection Risk - NACSELD - RUCAM for DILI assessment - Surgical Risk Cirrhosis: post op mortality major surgery -Surgical Risk Cirrhosis: VOCAL-Penn Score Other Calculators: -ANI (differentiate between alcoholic and non-alcoholic steatohepatitis) -Ascites, refractory -estimate ascites to be gained based on serum sodium and time passed -estimate sodium intake based on serum sodium and ascites gained -Body Mass Index - Portopulmonary Hypertension Calculator: - Pulmonary Vascular Resistance Calculator -diagnostic and UNOS transplant Criteria -HCV treatment tracker (calculates dates for end of Rx and SVR) -Mean arterial pressure -Wilson's Disease: EASL scoring system WebLinks: - Hepatology Societies - Hepatology Organizations - Other Resources (i.e. Drug Hepatoxicity, Hepatitis Rx drug interactions, etc) - Custom WebLinks (make your own links for reference, frequently used, etc.) Clinical Notes: - Create a title and store clinical information, pearls, or any other text for quick ready reference in one place - Can cut and paste from other text for ease of entry of your clinical data

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.