Friday, January 18, 2008

High Cholesterol: Not So Bad?

This BusinessWeek article discusses the market around "bad" cholesterol reducing drugs (statins) and how the market might be purchasing more than is required.

Highlight from the article:

"DOING THE MATH
The second crucial point is hiding in plain sight in Pfizer's own Lipitor newspaper ad. The dramatic 36% figure [Lipitor's ad states that it reduces the risk of heart attack by 36%...in patients with multiple risk factors for heart disease.] has an asterisk. Read the smaller type. It says: "That means in a large clinical study, 3% of patients taking a sugar pill or placebo had a heart attack compared to 2% of patients taking Lipitor."

Now do some simple math. The numbers in that sentence mean that for every 100 people in the trial, which lasted 3 1/3 years, three people on placebos and two people on Lipitor had heart attacks. The difference credited to the drug? One fewer heart attack per 100 people. So to spare one person a heart attack, 100 people had to take Lipitor for more than three years. The other 99 got no measurable benefit. Or to put it in terms of a little-known but useful statistic, the number needed to treat (or NNT) for one person to benefit is 100."

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