Re: Comparative effectiveness and the COURAGE study
jbog: My take on the inability of the COURAGE study to change medical practice is not that cardiologists are uninterested in evidenced-based medicine, but rather that they interpreted the evidence differently than Dr. Nissen and the study’s authors. Many docs concluded that the high-profile editorials touting COURAGE to support the use of drugs in place of stents unduly emphasized mortality and unduly discounted the adverse impact of chronic chest pain on QoL. Regards, Dew
p.s. This topic was much discussed on this board when the COURAGE results came out a few years ago.
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