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Discordance between level of risk and intensity of evidence-based treatment in patients with acute coronary syndromes

V Michael Jelinek
Med J Aust 2007; 187 (8): 479.
Published online: 15 October 2007

To the Editor: Scott and colleagues have shown that Australia is no different to the rest of the world in applying evidence-based treatment predominantly to patients at lower risk.1 They suggest that therapy may be withheld from high-risk patients because of over-estimation of the risk of treatment, under-estimation of the actual absolute risk of non-treatment, and consideration of cost-effectiveness and social inequalities.

  • V Michael Jelinek

  • St Vincent’s Hospital, Melbourne, VIC.


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