Comments on: Why doctors should reconsider ordering a CRP to screen patients for heart disease http://www.kevinmd.com/blog/2009/10/doctors-reconsider-ordering-crp-screen-patients-heart-disease.html Tue, 14 Feb 2012 23:00:00 +0000 hourly 1 By: Phillip Duncan, MDhttp://www.kevinmd.com/blog/2009/10/doctors-reconsider-ordering-crp-screen-patients-heart-disease.html#comment-116717 Phillip Duncan, MD Tue, 03 Nov 2009 20:11:05 +0000 http://www.kevinmd.com/blog/?p=40768#comment-116717 If used appropriately hs-CRP can be a very useful tool in achieving the types of lifestyle changes necessary to reduce risk. If a doc uses the information inappropriately to justify unnecessary procedures then it's not the fault of the test. The bottomline is we need to use our tools appropriately, whether that be lab tests, imaging or invasive procedures. If used appropriately hs-CRP can be a very useful tool in achieving the types of lifestyle changes necessary to reduce risk. If a doc uses the information inappropriately to justify unnecessary procedures then it’s not the fault of the test. The bottomline is we need to use our tools appropriately, whether that be lab tests, imaging or invasive procedures.

]]> By: Steve Parker, M.D.http://www.kevinmd.com/blog/2009/10/doctors-reconsider-ordering-crp-screen-patients-heart-disease.html#comment-114897 Steve Parker, M.D. Fri, 23 Oct 2009 18:16:53 +0000 http://www.kevinmd.com/blog/?p=40768#comment-114897 The JUPITER study from about a year ago showed a health benefit to using Crestor in middle-aged healthy people with elevated hs-CRP. The problem is, to prevent just one death, heart attack, or stroke over the course of two years, you have to treat 120 people with the drug. So 119 people are subjected to cost ($3.45/day for the pill), risk, and hassle . . . with no benefit.I'm not sure it's worth it.-SteveReference: http://advancedmediterraneandiet.com/blog/?p=88 The JUPITER study from about a year ago showed a health benefit to using Crestor in middle-aged healthy people with elevated hs-CRP. The problem is, to prevent just one death, heart attack, or stroke over the course of two years, you have to treat 120 people with the drug. So 119 people are subjected to cost ($3.45/day for the pill), risk, and hassle . . . with no benefit.

I’m not sure it’s worth it.

-Steve

Reference: http://advancedmediterraneandiet.com/blog/?p=88

]]> By: Dr. Chttp://www.kevinmd.com/blog/2009/10/doctors-reconsider-ordering-crp-screen-patients-heart-disease.html#comment-114791 Dr. C Fri, 23 Oct 2009 12:30:08 +0000 http://www.kevinmd.com/blog/?p=40768#comment-114791 Testing for test's sake only engenders more worry and uncertainty. Healthy lifestyle practices are abundantly more worthwhile than trendy tests. Testing for test’s sake only engenders more worry and uncertainty. Healthy lifestyle practices are abundantly more worthwhile than trendy tests.

]]> By: Michael Kirsch, M.D.http://www.kevinmd.com/blog/2009/10/doctors-reconsider-ordering-crp-screen-patients-heart-disease.html#comment-114790 Michael Kirsch, M.D. Fri, 23 Oct 2009 12:29:52 +0000 http://www.kevinmd.com/blog/?p=40768#comment-114790 I am wary of may of these surrogate tests that are easy for physicians to respond to, but may not help actual patients. The ESR is another example of a test that is often overused. "Wow! The ESR is 80, this guy must be sick!" The fever, abdominal pain and elevated WBC should have convinced us of this already. I am wary of may of these surrogate tests that are easy for physicians to respond to, but may not help actual patients. The ESR is another example of a test that is often overused. “Wow! The ESR is 80, this guy must be sick!” The fever, abdominal pain and elevated WBC should have convinced us of this already.

]]> By: christophil M.D.http://www.kevinmd.com/blog/2009/10/doctors-reconsider-ordering-crp-screen-patients-heart-disease.html#comment-114765 christophil M.D. Fri, 23 Oct 2009 11:41:45 +0000 http://www.kevinmd.com/blog/?p=40768#comment-114765 Well read physicians already know the data but patients are about to get a dose of reality. No more trendy tests, now that's reform! Well read physicians already know the data but patients are about to get a dose of reality. No more trendy tests, now that’s reform!

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