Bmj Usa: Journal Rack

Journal rack

BMJ 2003; 327 doi: (Published 19 November 2003) Cite this as: BMJ 2003;327:E146

From BMJ USA 2002;September:526

This section calls attention to new studies and systematic reviews, selected by the Editor from journals published just as this issue went into production (approximately 2 months before publication). The Journals hand-searched for the Journal Rack are: American Journal of Medicine, American Journal of Preventive Medicine, Annals of Internal Medicine, Circulation, JAMA, Journal of Family Practice, Journal of General Internal Medicine, Journal of the American Board of Family Practice, JNCI, Lancet, New England Journal of Medicine, and Pediatrics. Studies are noted that might directly influence clinical practice decisions in primary care and have been classified by type of problem addressed.

Cardiovascular—National survey data reveal that asking patients whether they have hypercholesterolemia has a sensitivity and specificity of 51% and 89%, respectively (the reference standard was a total cholesterol >200 mg/dL or use of cholesterol-lowering medication) (Natarajan et al. Am J Prev Med July 2002;23:13–21).

Cardiovascular—A British randomized trial involving 20 536 adults with cardiovascular disease or diabetes found that those who received 40 mg of simvastatin daily had lower 5-year rates of all-cause mortality, cardiovascular events, and revascularization than did those taking placebo. The same trial found no benefit from antioxidant vitamins (E, C, and β-carotene) (Heart Protection Study Collaborative Group. Lancet July 6, 2002;360:7–22; Heart Protection Study Collaborative Group. Lancet July 6, 2002;360:23–33).

Cardiovascular—A Canadian cohort study involving 143 505 adults over age 65 who were prescribed statins reported 2-year adherence rates of 40% …

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