More Confirmation Stents Overused

Merrill Goozner

First posted 7/6/11, 2011 on GoozNews

Another day, another study showing that invasive cardiologists overuse angioplasty and insert unneeded stents in patients without acute symptoms of coronary artery disease. The latest study, which appeared in today’s Journal of the American Medical Association, deemed 15 percent of the 600,000 angioplasties done every year are either inappropriate or their necessity is uncertain.

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The COURAGE Trial Aftermath – No Change in Practice

Merrill Goozner

First published 5/11/11 on Gooz News

The COURAGE trial, announced with great fanfare in 2007, showed giving drugs and counseling to people with stable coronary artery disease was just as effective in reducing heart attacks, strokes and early death as subjecting patients to balloon angioplasty and inserting stents, which are far more expensive procedures than giving drugs. And how did the nation’s cardiologists respond to this startling news, which, if you were a cardiologist, you had to be living in Abbottabad to miss? A study in today’s Journal of the American Medical Association showed (from MedPage Today):

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A Stent Anecdote from a Former FDA Associate Commissioner


Originally published 2/4/11 on KevinMD

As the saying goes, the plural of anecdote isn’t data.  That is unless the anecdote supports your theory.  Here’s a personal anecdote — a story of how the system works.

Read more here

Peter Pitts is Co-Founder and President of The Center for Medicine in the Public Interest, and a former FDA Associate Commissioner. He blogs at Drugwonks.