By Philip D Sloane; et al
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This is where it gets really tricky, because we can easily be influenced by how the data are presented. For example, studies have shown that statins will decrease the likelihood of a heart attack or stroke, but summary results can be expressed in many ways. Here are some of the ways one can present the same benefit of statin therapy in a high risk patient (one with a 10% risk of a heart attack or stroke over 10 years): • The risk decreases from 10% to 8% (absolute risk) • The risk reduction is 20% (relative risk reduction) 23 • The risk decreases by 2 percentage points (absolute risk reduction) • One heart attack or stroke is prevented among 50 high-risk people who are treated for 10 years (number needed to treat [NNT]) • For every 50 high-risk people treated with a statin, 49 will not receive benefit (NNT, negative spin) • For every 50 high-risk people treated with a statin, 48 will be healthy regardless of treatment, 1 will experience a heart attack or stroke despite treatment, and 1 will be prevented from having a heart attack or stroke (NNT, expanded) Graphic representations can also give us a different feel for the data (Figs.
For osteopathic physicians, a career in family medicine helps blend traditional medicine with a complementary medicine tradition. John Garlitz was motivated to pursue a career as a Doctor of Osteopathy by a boyhood experience with successful osteopathic treatment of refractory back spasms, and seeing his chronically ill mother in need of coordinated care. ” Osteopaths are trained to look for causes and manifestations of disease on the physical, mental, emotional, and spiritual levels. Although family physicians comprised only 14% of practicing MDs in 2004, they represented 41% of DOs.
Benjamin also became the first African-American woman to head a state medical society when she was named president of the Medical Association of the State of Alabama. Her efforts were commended by President Barack Obama, who nominated Benjamin to be “America’s Doctor” on July 13, 2009. “(Benjamin) represents what’s best about health care in America,” Obama said. “Doctors and nurses who give and care and sacrifice for the sake of their patients; those Americans who would do anything to heal a fellow citizen .