THERAPY | ESTIMATED BENEFIT (RELATIVE RISK REDUCTION), % | EXAMPLE IF BASELINE RISK ESTIMATED AT 20% OVER 10 Y | ||
---|---|---|---|---|
ABSOLUTE RISK REDUCTION, % | NUMBER NEEDED TO TREAT | NEW RISK ESTIMATE, % | ||
Smoking cessation | Recalculate risk without smoking | 9* | 12* | 11* |
Mediterranean diet | 30 | 6 | 17 | 14 |
Exercise | 30 | 6 | 17 | 14 |
Statin intensity | ||||
• Low | 25 | 5 | 20 | 15 |
• Moderate | 30 | 6 | 17 | 14 |
• High | 35 | 7 | 15 | 13 |
Acetylsalicylic acid | 12 | 2 | 50 | 18 |
↵* Example used a male smoker, 53 y old, with total cholesterol level of 5.0 mmol/L, high-density lipoprotein level of 1.2 mmol/L, and systolic blood pressure of 128 mm Hg; estimated risk from the Framingham risk assessment tool (from http://cvrisk.mvm.ed.ac.uk/calculator/calc.asp and http://bestsciencemedicine.com/chd/calc2.html) to attain a 20% risk over 10 y.
Adapted from Toward Optimized Practice.16