Lowering cholesterol concentrations and mortality: a quantitative review of primary prevention trials

Lowering cholesterol concentrations and mortality: a quantitative review of primary prevention trials

11 August 1990 | Matthew F Muldoon, Stephen B Manuck, Karen A Matthews
A quantitative review of six primary prevention trials found that lowering cholesterol concentrations did not significantly reduce total mortality, but showed a trend toward lower mortality from coronary heart disease. However, cholesterol reduction was associated with an increased risk of deaths from accidents, suicide, and violence. When drug trials were analyzed separately, treatment was found to reduce mortality from coronary heart disease. The study suggests that while cholesterol reduction may help prevent coronary heart disease, it does not significantly improve overall survival. The findings highlight the need for further research into the relationship between cholesterol reduction and mortality from non-illness-related causes. The study also indicates that the benefits of cholesterol reduction in the general population may be overstated, and that more cautious evaluation is needed. The results suggest that cholesterol reduction may have a limited impact on overall survival, but could still be beneficial in preventing coronary heart disease. The study also found that cholesterol reduction did not significantly affect cancer mortality, and that the increased risk of non-illness-related deaths may be due to factors other than cholesterol reduction. The study concludes that while cholesterol reduction may help prevent coronary heart disease, it does not significantly improve overall survival, and further research is needed to understand the relationship between cholesterol reduction and mortality from non-illness-related causes.A quantitative review of six primary prevention trials found that lowering cholesterol concentrations did not significantly reduce total mortality, but showed a trend toward lower mortality from coronary heart disease. However, cholesterol reduction was associated with an increased risk of deaths from accidents, suicide, and violence. When drug trials were analyzed separately, treatment was found to reduce mortality from coronary heart disease. The study suggests that while cholesterol reduction may help prevent coronary heart disease, it does not significantly improve overall survival. The findings highlight the need for further research into the relationship between cholesterol reduction and mortality from non-illness-related causes. The study also indicates that the benefits of cholesterol reduction in the general population may be overstated, and that more cautious evaluation is needed. The results suggest that cholesterol reduction may have a limited impact on overall survival, but could still be beneficial in preventing coronary heart disease. The study also found that cholesterol reduction did not significantly affect cancer mortality, and that the increased risk of non-illness-related deaths may be due to factors other than cholesterol reduction. The study concludes that while cholesterol reduction may help prevent coronary heart disease, it does not significantly improve overall survival, and further research is needed to understand the relationship between cholesterol reduction and mortality from non-illness-related causes.
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