BMJ No 7122 Volume 315 Letters Saturday 13 December 1997
Use of statinsSee editorial by
Muldoon p1554
Adequacy of SMAC's statement should be judged by clinicians, not
health economists
Peter Enoch
Trent institute's research working group has produced guidance
for purchasers
R L Akehurst
Other, cheaper and simpler, measures should be tried first
Peter Sheridan and others
In New Zealand, subsidy of statins is limited to particular
groups of patients
Win Bennett and others
Guidelines need to concentrate on reducing overall cardiovascular
risk
A S Wierzbicki and T M Reynolds
Faculty's advice does refer to cost effictiveness
Alan Maryon Davis
Results of different studies differed greatly D P Mikhailidis and A F Winder
Glasgow has already produced strategy for treatment J McMurray and others
Health authorities must work with clinicians to target statins Andrew P Wakeman and Robert H Leach
More evidence is needed for guidelines David Lewis
Evidence on effectiveness is stronger for statins than for other
treatments E J Wallis and others
Sheffield tables have shortcomings John Betteridge and others
Cost effectiveness was studied in 4S study John Kjekshus and Terje R Pedersen
Standing Medical Advisory Committee should reconsider advice to
use Sheffield risk table Signed by 103 professors, consultants, and specialists in
preventive cardiology, chemical pathology, metabolism and lipids,
clinical pharmacology, epidemiology, and public health from England,
Wales, and Northern Ireland
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