Study greatly underestimates the cost effectiveness of statin treatment

doi:10.1136/bmj.313.7065.1142a

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J J V McMurray,
C E Morrison

Consultant cardiologist Consultant in public health medicine University of Glasgow, Glasgow G12 8QQ

EDITOR,—The analysis of P D P Pharoah and W Hollingworth of the cost effectiveness of lowering cholesterol concentration is flawed.1

With respect to secondary prevention, the authors do not take account of the significant reductions in the incidence of strokes and transient ischaemic attacks, chronic heart failure, and unstable angina requiring admission with simvastatin in the Scandinavian simvastatin survival study.2 …