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Statin Audit
1. Audit: use of statins for the primary prevention of CVD Jim Hare and Charles Read
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9. Methods Search strategy Everyone on a statin Aged 40-75 Excluding diabetics, familial hypercholesterolaemia Excluding those with existing CVD This returned 654 patients. We took a random sample of 10%
11. Results 12/65 (18%) were not eligible 35/53 (66%) had a 10-year CVD risk of <20% 14/53 (26%) had a 10-year CVD risk of <20% but >15% 12/53 (23%) had a 10-year CVD risk of <10% Smoking status was often difficult to determine
12. Take home messages Statins are good but... They have their side effects NNT=170 for four years In those without CVD, only start a statin if the 10-year risk is >20% Use an established calculator Record your reasoning in the notes (making reference to all risk factors)
Hinweis der Redaktion
This was a meta analysis in the JAMA that showed that statin use was not associated with an increased risk of cancer.
