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This calculator applies the medical establishment’s equations, specifically the CTT Collaborators’ estimate of relative risk reduction.
Reference 1: The CTT acknowledged that statin efficacy is not based on the “intensity” label of the drug, but linearly on how much the drug actually lowers your absolute LDL-C.
Reference 2: This 2022 paper confirms the CTT’s claim, saying that “A key finding has been that relative risk reduction (RRR) of CVD from statin therapy is near constant at ≈22% per 1.0 mmol/L reduction in low-density lipoprotein cholesterol (LDL-C) level over 5 years.
Reference 3: Validates the individualized benefit model: multiplying baseline predicted risk by randomized-trial relative risk reductions to yield an N-of-1 Absolute Risk Reduction
Reference 4: Presents the foundational statistical model used by the 2026 guidelines to estimate the 10-year baseline cardiovascular risk.
Reference 5: Effect sizes of different statins at different doses.
If your physician questions your numbers, direct them to the following foundational texts.
Reference: Cholesterol Treatment Trialists C. Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170,000 participants in 26 randomised trials. Lancet 2010.
Reference: Kohli-Lynch CN, et al. Beyond 10-Year Risk: A Cost-Effectiveness Analysis of Statins for the Primary Prevention of Cardiovascular Disease. Circulation 2022
Reference 3: Absolute Risk Reduction Math (Thanassoulis et al., 2026):
Reference: Thanassoulis G, et al. Individualized Statin Benefit for Determining Statin Eligibility in the Primary Prevention of Cardiovascular Disease. Circulation 2016;133:1574–81
Reference 4: The PREVENT Equation (Khan et al., 2024):
Reference: Khan SS, et al. Development and Validation of the American Heart Association’s PREVENT Equations. Circulation 2024;149:430–49
Reference 5: The Net Effects of Statin doses (Law et al., 2002):
Reference: Law MR, Wald NJ, Rudnicka AR. Quantifying effect of statins on low density lipoprotein cholesterol, ischaemic heart disease, and stroke: systematic review and meta-analysis. BMJ 2003;326:1423
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