Follow-up to: what is the absolute risk reduction of taking a statin
Question explored with the scientific record
why do doctors push statins then?
The short version: statin evidence was not provided, so the previous answer stands — no study means no number.
You asked why doctors push statins. The simple answer is that the system trains them to follow guidelines, and the guidelines are written by committees that include people with industry ties. Statins are cheap, patented, and backed by large trials funded by manufacturers. But the evidence retrieved for this follow-up contains zero studies on statins. Without a single trial, a single safety report, or a single cost analysis, I cannot analyze the data. I can only say that the mechanism of action is known — HMG-CoA reductase inhibition lowers cholesterol — and that absolute risk reduction depends entirely on baseline risk. For a healthy person with normal cholesterol, the benefit is negligible. For someone who already had a heart attack, it is real but modest.
The evidence gap matters here. The question is about the clinical culture as much as the pharmacology. Doctors push statins because they are trained to see LDL as a target and a statin as the tool, and because the liability shield and guideline structure make non-drug approaches invisible. But that is opinion, not evidence — none of it is in the provided records.
My call: the evidence retrieved does not support any conclusion about statin prescribing. Confidence: not clear.