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Making Wise Choices Kenneth Brummel-Smith, MD Charlotte Edwards Maguire Professor of Geriatrics Florida State University College of Medicine.

Published byDarlene Ford Modified over 8 years ago

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Presentation on theme: "Making Wise Choices Kenneth Brummel-Smith, MD Charlotte Edwards Maguire Professor of Geriatrics Florida State University College of Medicine."— Presentation transcript:

1 Making Wise Choices Kenneth Brummel-Smith, MD Charlotte Edwards Maguire Professor of Geriatrics Florida State University College of Medicine

2 Important Concepts  Risk factors Not a disease (doesn’t cause change in life) Risk is usually 1-7 years away Measured using “surrogate” or “treatment targets” Examples – blood pressure, cholesterol  Benefits - A belief, perception, or goal  Harms – A negative experience

3 A Story  Veterans Administration study in the early 1960s  Diastolic BP of 119 - 129  RCT of 140 patients, 1.5 years  NNT = 1.4

4 What About Lower BP? 4 RCTs – JAMA “Prehypertension”

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9 What About Diabetes?

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15 What About Cholesterol?

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22 What About Weight?

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24 Bottom Line

25 Is Medicine Worthless?

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