Prevention & lipids

Reappraisal of statin primary prevention trials: implications for identification of the statin-eligible primary prevention patient

Eur J Prev CardiolPublished Critical reappraisal of primary prevention statin randomized clinical trials (RCTs)

Authors' conclusion

Results of primary prevention RCTs justify treatment of more subjects and lower risk subjects than current risk algorithm-based guidelines.

Study context

Population
Enrollees of RCTs cited in North American and European dyslipidaemia guidelines justifying primary prevention statins
Comparison
Statin eligibility by minimal RCT enrolment criteria vs by risk algorithms (Framingham, pooled cohort equation, SCORE2)
Outcome
Statin eligibility of patients meeting minimal RCT enrolment criteria by risk algorithms (Framingham, pooled cohort equation, SCORE2); enrollee characteristics
Follow-up
10 year risk

Main finding

As reported in the abstract

Enrollee age

63.9 ± 8.9 years (mean ± SD)

Enrollee low density lipoprotein-cholesterol (LDL-C)

3.53 ± 0.91 mmol/L

Original publication

Reappraisal of statin primary prevention trials: implications for identification of the statin-eligible primary prevention patient. Eur J Prev Cardiol. Published 25 February 2025. doi:10.1093/eurjpc/zwaf048

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