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Reply to Commentary by Richard Kronmal
The Lipid Research Clinics Program Investigators
JAMA. 1985;254(2):263-264.
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IN HIS commentary on the Lipid Research Clinics Coronary Primary Prevention Trial (LRC-CPPT),1-3 Richard Kronmal4 acknowledges the excellence of its design and conduct and the importance and timeliness of its findings. However, while he does not dispute the basic substantive accuracy of the two published reports of the trial's results,1,2 he takes issue with the interpretation of these findings. Chiefly, he believes that the statistical significance and generalizability of these findings have been overstated by the investigators.
With regard to the issue of significance, Dr Kronmal does not dispute that a reduction in the combined incidence of coronary heart disease (CHD) death and myocardial infarction at least as great as that observed in the LRC-CPPT would have arisen by chance alone in less than one experiment out of 20 (ie, P<.05). However, he criticizes our use of the conventional P equals .05 cutpoint in describing this result
. . . [Full Text PDF of this Article]
Author Affiliations
From the Lipid Metabolism-Atherogenesis Branch, Division of Heart and Vascular Diseases, National Heart, Lung, and Blood Institute, Bethesda, Md.
Footnotes
Reprint requests to the Lipid Metabolism-Atherogenesis Branch, Division of Heart and Vascular Diseases, National Heart, Lung, and Blood Institute, Federal 401, Bethesda, MD 20205.
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