TY - CHAP M1 - Book, Section TI - Understanding Class Effects A1 - Mills, Edward J. A1 - Gardner, David A1 - Thorlund, Kristian A1 - Briel, Matthias A1 - Bucher, Heiner C. A1 - Bryan, Stirling A1 - Hutton, Brian A1 - Guyatt, Gordon A2 - Guyatt, Gordon A2 - Rennie, Drummond A2 - Meade, Maureen O. A2 - Cook, Deborah J. Y1 - 2015 N1 - T2 - Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed AB - CLINICAL SCENARIOAs a cost-cutting strategy, your hospital's Phar—macy and Therapeutics Committee is recommending a strategy wherein drugs within the same class can be substituted at the level of the pharmacy for the generic or least costly within-class option. As a physician dealing predominantly with cardiovascular prevention, this would have important implications on your practice. Your clinical team questions the new policy, and several members argue that assuming that drugs with a similar chemical structure exert similar effect on patient-important outcomes without direct evidence is misguided. Statins are the most widely prescribed drug within your practice, and you wonder whether there is a therapeutic class effect for statins. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - jamaevidence.mhmedical.com/content.aspx?aid=1183878502 ER -