Note to our followers: Due to a lack of sufficient funding, HealthNewsReview.org will cease daily publication of new content at the end of 2018. Publisher Gary Schwitzer and other contributors may post new articles periodically. If you wish to donate, your gift might help keep the site available to the public for a few more years, by defraying costs of web hosting and maintenance. All of our 6,000+ published articles contain lessons to help people improve their critical thinking about health care. Read more about our change in status. And here's how to make a donation.

New cholesterol guidelines present need for shared decision-making

Dr. Victor Montori and two Mayo Clinic colleagues published a perspective piece in JAMA this week,Patient-Centered and Practical Application of New High Cholesterol Guidelines to Prevent Cardiovascular Disease.”

In it, they discuss the new American College of Cardiology/American Heart Association (ACC/AHA) guidelines for assessing cardiovascular disease and for treatment of blood cholesterol to reduce that risk.  They write that because the guidelines set an arbitrary 10-year risk threshold of 7.5% to begin statin drug treatment, and because “this threshold represents a value judgment about how much absolute cardiovascular disease risk reduction justifies the potential harms, costs, and inconveniences of taking statin medications,” they see a vital role for shared decision-making. There is not, they write, “a single right answer for all patients.” So they call for doctors to “engage the patient in shared decision making using evidence-based approaches.”

They demonstrated one way of doing that, displaying a video example of a patient decision aid on statin or aspirin choice.

Some journalists have told me that shared decision-making is a difficult concept for them to write about.  Maybe the use of a decision aid example, like this one, could help convey the concept, the need, and the prospects.

———————-

Follow us on Twitter:

https://twitter.com/garyschwitzer

https://twitter.com/healthnewsrevu

and on Facebook.

 

You might also like

Comments (2)

We Welcome Comments. But please note: We will delete comments left by anyone who doesn’t leave an actual first and last name and an actual email address.

We will delete comments that include personal attacks, unfounded allegations, unverified facts, product pitches, or profanity. We will also end any thread of repetitive comments. Comments should primarily discuss the quality (or lack thereof) in journalism or other media messages about health and medicine. This is not intended to be a forum for definitive discussions about medicine or science. Nor is it a forum to share your personal story about a disease or treatment -- your comment must relate to media messages about health care. If your comment doesn't adhere to these policies, we won't post it. Questions? Please see more on our comments policy.

Comments are closed.