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BMJ 2003;327 (29 November), doi:10.1136/bmj.327.7426.0-b
Aspirin and low cost antihypertensives are more cost effective than statins for preventing coronary heart disease. From his incremental cost effectiveness analysis of preventing ischaemic heart disease Marshall (p 1264) found that treating moderate risk patients with aspirin is more cost effective than treating high risk patients with statins. Cost effectiveness rankings obtained from incremental cost effectiveness analyses can be used when preparing clinical guidelines.
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