The clinical process of classifying an individual into specific risk categories based on a comprehensive assessment of their overall health profile, with the primary objective of estimating their probability of death from all causes or specific disease states over a defined period. In hormonal health, this stratification involves evaluating traditional cardiovascular and metabolic risk factors alongside the specific, measurable effects of hormonal therapy, such as hemorheological shifts or lipid profile impacts. This procedure is fundamental to ensuring the long-term safety and longevity benefits of any intervention.
Origin
This term is a core concept in preventive medicine, epidemiology, and cardiology. “Mortality” refers to the death rate, and “risk stratification” is the systematic arrangement into layers (strata) according to the probability of an adverse outcome. Its application in endocrinology emphasizes that hormonal interventions must be evaluated not just for symptomatic improvement, but for their total impact on lifespan and healthspan.
Mechanism
Stratification operates by assigning weighted values to various modifiable and non-modifiable risk factors, including age, family history, blood pressure, cholesterol levels, and any therapy-induced changes like elevated hematocrit or altered C-reactive protein. The calculated aggregate risk score guides clinical decisions, such as initiating prophylactic treatments or adjusting the hormonal regimen, ensuring the patient’s therapeutic trajectory aligns with minimizing long-term mortality risk.
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