Letters A statin a day keeps the doctor away

Comparison of statins and apples was unfair

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g327 (Published 21 January 2014) Cite this as: BMJ 2014;348:g327
  1. Timo E Strandberg, professor1
  1. 1Department of Medicine, University of Helsinki, 00029 Helsinki, Finland
  1. timo.strandberg{at}oulu.fi

Briggs and colleagues’ study suggested comparable mortality benefits from statins and apples.1 However, their study may not give due credit to statins for several reasons.

Firstly, the clinical effect of statins was based on rigorous mostly placebo controlled trials, whereas the effect of apples was based on data from observational studies. This is inevitable because no placebo …

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