Jake Baker
jakebakermd.bsky.social
Jake Baker
@jakebakermd.bsky.social
ID doc at a community hospital in West Michigan, recovering MD/PhD (abramovitchlab, TB genetics and metabolism) with a soft spot for research, public health, and HIV.
5. There's a lot of chatter in my circles about the number needed to treat (NNT) from this figure. Here, the calculation for NNT used the overall 35% risk reduction and applied it to each subgroup, even though each subgroup has different risk reduction. Is this presentation of NNT legit stats-wise?
November 20, 2024 at 6:18 PM
4. Only the subgroup of 5-10% risk showed stat sig benefit. Combined, for 0-5% risk, statin had no effect (1.8% vs 1.7%). Reduced MACE was largely driven by patients with > 5% risk, and statins already should be considered here HIV or not. Should this change how we view statins in low risk PLHIV?
November 20, 2024 at 6:18 PM
1. First up, subgroups of Pooled Cohort Equations (PCE) can skew from the overall model. REPRIEVE carved out patients with elevated ASCVD risk but low LDL: a subgroup of the PCE. What is the MACE rate for this subgroup and is it underestimated in the PCE even for non-HIV?
November 20, 2024 at 6:18 PM