Re: "Statins caused my kidney failure"
From: Bill (xxx_at_yy.zz)
Date: 07/21/04
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Date: Wed, 21 Jul 2004 03:05:02 GMT
"Sharon Hope" <shope@anet.net> wrote in message
news:fKkLc.132401$JR4.83874@attbi_s54...
>
> "Bill" <xxx@yy.zz> wrote in message
> news:DYpKc.2084$r05.1952@newssvr15.news.prodigy.com...
> >
> > "Owen Lowe" <noemails@please.com> wrote in message
> > news:noemails-4FD736.23393317072004@corp.supernews.com...
> > > In article <qzkKc.2168$4L7.1160@newssvr33.news.prodigy.com>,
> > > "Bill" <xxx@yy.zz> wrote:
> > >
> > > > > > You are deliberately misreading what the words say. It means out
> of a
> > > > > > population of 1000 people 18 lives will be saved by those taking
> Zocor
> > > > over
> > > > > > the 5 year period. Do you agree or disagree with this?
> > >
> > > <SNIPing is GOOD>
> > >
> > > > Again, does or does not the sentence below mean that in tested
> population
> > had
> > > > a reduced risk of death over the 5 year period while taking Zocor? If
> not,
> > > > what does it mean to you.
> > > >
> > > > "Results showed that the participants who took Zocor decreased their
> odds
> > > > of overall mortality by 1.8% in the next five years, compared to
> those
> > who
> > > > were untreated (placebo group)"
> > >
> > >
> > > I think it's a convoluted sentence... It's not directly saying that it
> > > reduced deaths of the group by 1.8%, it's saying it reduced the odds of
> > > dying by 1.8%. Then you need to look at... What were the participants'
> > > odds of dying within 5 years without the Zocor treatment? If it was high
> > > risk, say 20% (just picking a number out of thin air), then after the 5
> > > years of Zocor was the risk then 19.64%? Or does it mean it was down to
> > > 18.2%?
> > >
> > > Working through the numbers: If you have your group of 1000, all at the
> > > same 20% high risk, by the odds, untreated, 200 would likely die within
> > > 5 years. According to the statement, after the Zocor treatment the
> > > overall risk is lowered by 1.8% to either 19.64% or 18.2%. Therefore
> > > you'd expect either 196 or 182 to die during the 5 years. Of your
> > > original 1000, either 4 or 18 would not die who had been expected to --
> > > by appearances the med "saved" either .4% or 1.8% of all participants.
> > > (This still means that182 or 196 taking Zocor died regardless of the
> > > treatment.)
> > >
> > > The question then to ask is whether it's cost effective, not only
> > > financially but side-effect-wise to medicate 1000 to save 18 - or less,
> > > 4. It would appear to me, given the percentage of patients who
> > > experience negative side-effects (roughly 5% according to some reports
> > > and Dr. Chung) that 3 times, or more, the number of patients are
> > > detrimentally affected than are helped.
> > >
> > > (I attempted to find where the statement entered into the thread to read
> > > the original context but wasn't successful.)
> >
> > Yes I agree we don't know the precise numbers because we do not have the
> > original article, but it does clearly say that less people in the Zocor
> group
> > died than in the placebo group - which is the only point I am trying to
> make.
> > <snip>
>
> Careful. You have not addressed the "unrelated" category of deaths.
>
For about the 10th time the quote said:
"Results showed that the participants who took Zocor decreased their odds
of overall mortality by 1.8% in the next five years, compared to those
who were untreated (placebo group)"
And I think "overall mortality" kinda means "overall mortality".
Bill
> In several studies there were deaths among the participants that were
> designated as "unrelated" but were due to causes, such as hemorrhagic
> stroke - yet no notation was added to point out that early statin trials
> showed that as a known side-effect. Dogs, in particular, had to be
> eliminated from drug company statin trials because they were regularly
> developing cognitive disorientation and hemorrhagic stroke. Yet these
> deaths in human trials were put down in the "unrelated" category.
>
> That is just one example. Further, there is evidence that memory loss -
> which is known to occur in statin users (and sometimes resolve itself upon
> discontinuation of the drug, only to reoccur upon rechallenge with the drug)
> is also related to a higher accidental death rate (e.g., forgetting to turn
> off the stove and letting something burn). Amnesia, which is listed on the
> Lipitor PI, can also be associated with a higher death rate (e.g., panic
> causing the victim to run into harm's way, or retrograding to a pre-driving
> age while operating a motor vehicle or jet plane).
>
> The margin of "benefit" is so slim in so many public trials as to be
> potentially negated if some of these "unrelated" deaths were examined and
> found to be caused or exacerbated by adverse-effects.
>
>
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