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Discussion This study reveals important findings about physician perspectives on statin continuation and discontinuation in patients older than 70 years in primary cardiovascular prevention. Physicians with internal medicine, cardiology, neurology or primary care background reported it as challenging to define if a patient is in primary or secondary prevention. Furthermore, the lack of evidence makes the decision about statin discontinuation and continuation difficult.

Abstract PURPOSE Primary care practices in the United Kingdom have received substantial financial rewards for achieving standards set out in the Quality and Outcomes Framework since April 2004. This article reviews the growing evidence for the impact of the framework on the quality of primary medical care. METHODS Five hundred seventy-five articles were identified by searching the MEDLINE, EMBASE, and PsycINFO databases, and from the reference lists of published reviews and articles.

Historical review of the use of relative risk statistics in the portrayal of the purported hazards of high LDL cholesterol and the benefits of lipid-lowering therapy