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BMJ No 7122 Volume 315

Letters Saturday 13 December 1997


Use of statins

See 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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