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Correspondence
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Volume 340:476-480 February 11, 1999 Number 6
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Appetite-Suppressant Drugs and Valvular Heart Disease

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 by Devereux, R. B.
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 by Abenhaim, L.
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 by Khan, M. A.
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To the Editor: In his editorial1 accompanying the reports on appetite-suppressant drugs and valvular heart disease, by Jick, Khan, and Weissman and their colleagues (Sept. 10 issue),2,3,4 Dr. Devereux converted the "risks" reported by Jick et al.2 (e.g., 7.1 per 10,000 persons) to "rates" (e.g., 0.14 per 1000 patient-years), by dividing by 50 — (10,000 patients x 5 years) ÷ 1000. The use of patient-years assumes that Jick et al. knew the actual date of onset of valvulopathy, which they did not. Without knowledge of the date of onset, the use of patient-year rates assumes that all cases of valvulopathy . . . [Full Text of this Article]

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