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Preventing coronary heart disease: High baseline risk strategy and cost effectiveness of guidelines

BMJ 2006; 332 doi: (Published 30 March 2006) Cite this as: BMJ 2006;332:793
  1. D Graham Mackenzie, specialist registrar (,
  2. John Forbes, reader in health economics,
  3. Sarah Wild, senior lecturer in public health,
  4. Philip Rutledge, consultant in medicines management
  1. Public Health Department, NHS Fife, Leven, Fife KY8 5RR
  2. School of Clinical Sciences and Community Health, University of Edinburgh, Edinburgh EH8 9AG
  3. Public Health and Health Policy, Lothian NHS Board, Edinburgh EH8 9RS

    EDITOR—Manuel et al found, contrary to Rose's population health strategy, that a high baseline risk strategy was the most effective approach to coronary heart disease prevention with a statin in Canada.1 This approach is consistent with new UK guidelines.2 Using data from the nationally representative Scottish health survey 1998 we estimate that 25% of 40-74 year olds …

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