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Dr Dan Ewald replied to the topic CVD Risk Calculations in the forum Clinical Questions 11 years, 1 month ago
I think the main missing thing here is the patients perception of the significance of the risk. For me , I would do a lot to reduce my risk 10% or even reduce by 5%.
The CVD risk calculators give us the risk without treatment but dont show us the impact of treatment on the risk.
To suggest treatment should be done above a certain risk is missing…[Read more] -
Dr Dan Ewald replied to the topic Should I take a cholesterol tablet? If so, which one? in the forum Cardiovascular disease 11 years, 1 month ago
here is a summary that Ben Ewald did for discussion in the RACGP Red Book editorial committee. Unfortunately the graphs do not copy and paste and I cant see how to upload the word doc.
What evidence supports screening for lipids in general practice patients without CVD?
The kinds of evidence that would support this practice:
• That finding…[Read more] -
Dr Dan Ewald became a registered member 11 years, 1 month ago
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David Guest started the topic CVD Risk Calculations in the forum Clinical Questions 11 years, 1 month ago
The CVD risk calculator estimates the risk of a cardiovascular event in the next five years. It is suggested that a figure greater than 10% may merit treatment.
Many factors will play a role in an individual’s decision on whether to go on treatment but a 9% risk in a 28 year old seems much more significant than 9% in a 73 year old.
Are there…[Read more]
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David Guest became a registered member 11 years, 1 month ago
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tonytester became a registered member 11 years, 1 month ago
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TL wrote a new post, Vitamin D – No benefit on bone density or fractures 11 years, 1 month ago
Effects of vitamin D supplements on bone mineral density: a systematic review and meta-analysis
A team of our colleagues from New Zealand have performed a meta analysis of the effects of Vit D supplementation on […] -
TL wrote a new post, NNT – Delusions of Benefit in the International Stroke Trial 11 years, 1 month ago
NNT – Delusions of Benefit in the International Stroke Trial
The team at NNT (Number Needed to Treat) have looked at the International Stroke Trial 3 – the definitive trial on whether thrombolytics are useful in […]
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TL wrote a new post, Fibrates: Statin’s Trusty Sidekick or Lackluster Fallback? 11 years, 1 month ago
Fibrates: Statin’s Trusty Sidekick or Lackluster Fallback?
This weeks Tools for Practice examines the evidence for Fibrates.Clinical Question: Do fibrates reduce cardiovascular (CV) events?
Bottom-line
When […] -
TL wrote a new post, Injections for CTS 11 years, 1 month ago
Annals of Internal Medicine | Methylprednisolone Injections for the Carpal Tunnel Syndrome: A Randomized, Placebo-Controlled TrialSteroid injections for carpal tunnel syndrome provide significant short term […]
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TL wrote a new post, Does This Patient With Shoulder Pain Have Rotator Cuff Disease? 11 years, 1 month ago
A recent article in JAMA looked at the accuracy of clinical assessment of the shoulder in assessing the presence of rotator cuff disease.
Most helpfully, the article was accompanied by this cool video […]
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TL started the topic Should I take a cholesterol tablet? If so, which one? in the forum Cardiovascular disease 11 years, 1 month ago
Here’s a discussion for comment. When a consensus is reached, more evidence is added, and the language is improved, this may become a POQ.
There is no evidence that taking medications to lower your cholesterol per se is worthwhile.
However, there is good evidence through many studies that statins can be beneficial in the secondary prevention…[Read more]
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admin posted an update 11 years, 1 month ago
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