Show Summary Details
Page of

Preventing chronic diseases by risk factor detection and treatment: what every health care consumer needs to know 

Preventing chronic diseases by risk factor detection and treatment: what every health care consumer needs to know
Chapter:
Preventing chronic diseases by risk factor detection and treatment: what every health care consumer needs to know
Author(s):

J. Frank

, R. Jepson

, and A. J. Williams

DOI:
10.1093/med/9780198725862.003.0007
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 09 April 2020

This chapter addresses the promise and the challenges of a key aspect of prevention in primary care—measuring and controlling risk factors known to causally contribute to the major chronic diseases of later life. Cardiovascular diseases (CVD) are the case studies chosen to illustrate the dilemmas physicians and patients face in risk factor modification to prevent chronic disease. Most of the chapter is devoted to a full ‘critical appraisal’ of the effectiveness and efficiency evidence for and against a recent downward-shift in the threshold of future CVD risk, above which daily lifelong statin drugs are recommended, in both the USA and the UK, but at different thresholds. The authors introduce the reader to useful epidemiological tools, such as ‘number needed to treat,’ for the critical analysis of such evidence, and summarize the considerations in assessing the quality of health economic studies of the relative cost-effectiveness of preventive interventions.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.