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Bastian M. Seidel, MD, MRCGP, FRACGP; Nigel Stocks, BSc, MBBS, MD, Dip PH, FRACGP, FAFPHM

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In the May 28th issue of the Archives, Weymiller et al¹ highlight the significant benefit of patient-tailored decision aids on adherence to statin therapy in patients with type 2 diabetes mellitus. They also report that patients who used the decision aid were estimating their own cardiovascular risk and potential absolute cardiovascular risk reduction more accurately, indicating the importance of specifically designed decision aids to enhance knowledge and understanding of cardiovascular risk.

However, for estimating cardiovascular risk the authors used a pen-and-paper risk estimator based on data from the United Kingdom Prospective Diabetes Study (UKPDS).² This risk estimator calculates the coronary heart disease (CHD) risk rather than cardiovascular disease (CVD) risk.³ However, CVD is a combined end point of CHD (fatal and nonfatal myocardial infarction and new angina) plus stroke (fatal and nonfatal stroke and . . . [Full Text of this Article]

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