Paul A. Tunick, MD
To the Editors: Krahn and colleagues (1) compared an aggressive (U.S.) and a less aggressive (Canadian) policy for cholesterol screening and treatment, and concluded that the results of both approaches were comparable and that identifying patients with abnormalities and subjecting them to physician visits and treatment was a disadvantage of treatment. Although these conclusions may well be correct, it is also possible to draw a different conclusion, namely, that even the "aggressive" approach is too conservative. The 17% or so reduction in cholesterol that has been reported with dietary counseling and drug therapy is relatively modest, and much more dramatic
Tunick PA. Cholesterol Screening. Ann Intern Med. ;115:983. doi: 10.7326/0003-4819-115-12-983_1
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Published: Ann Intern Med. 1991;115(12):983.
Cardiology, Coronary Risk Factors, Dyslipidemia.
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