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Comment & Response |

Factors Affecting the Preventability of Stroke

Tomoyuki Kawada, MD1
[+] Author Affiliations
1Department of Hygiene and Public Health, Nippon Medical School, Bunkyo-Ku, Tokyo, Japan
JAMA Neurol. 2016;73(7):890. doi:10.1001/jamaneurol.2016.1025.
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To the Editor Fisher and colleagues1 conducted an evaluation of factors affecting the preventability of stroke, with special reference to treatment and comorbidity. Preventability of the presenting stroke was scored and univariate analysis was selected for the limited number of patients. I have some queries on their study approach.

First, the procedure for scoring preventability of stroke was not described precisely, although this score was the most important indicator in their study.1 In addition, the category of each comorbid disease, such as hypertension, dyslipidemia, atrial fibrillation, and vascular history, did not adhere to the standard criteria. I feel that the empirical method is not suitable for scientific research, and the difference in the prevalence of each comorbid disease should be considered in their analysis to determine factors for the preventability of stroke.

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February 1, 2016
Mark Fisher, MD; Lisa Moores, RN; Mohamad N. Alsharif, MD; Annlia Paganini-Hill, PhD
1Department of Neurology, University of California Irvine
2Department of Nursing Quality, Research, & Education, University of California Irvine Medical Center, Orange
JAMA Neurol. 2016;73(2):186-189. doi:10.1001/jamaneurol.2015.3587.
July 1, 2016
Mark Fisher, MD; Lisa Moores, RN; Annlia Paganini-Hill, PhD
1Department of Neurology, University of California Irvine
2University of California Irvine Medical Center
JAMA Neurol. 2016;73(7):890-891. doi:10.1001/jamaneurol.2016.1028.
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