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. 2023 Oct 18;383:e075837. doi: 10.1136/bmj-2023-075837

Table 2.

Primary and secondary outcomes at three years in adults assigned to receive rosuvastatin or atorvastatin.* Values are number (percentage) unless stated otherwise

Outcome Rosuvastatin group (n=2204) Atorvastatin group (n=2196) Absolute difference (95% CI) Hazard ratio (95% CI) P value†
Primary outcome          
Death, myocardial infarction, stroke, or any coronary revascularisation 189 (8.7) 178 (8.2) 0.5 (−1.2 to 2.1) 1.06 (0.86 to 1.30) 0.58
Components of primary outcome          
Death: 57 (2.6) 51 (2.3) 0.3 (−0.7 to 1.2) 1.12 (0.77 to 1.63) 0.57
 Cardiac death (No) 14 15      
Myocardial infarction 34 (1.5) 26 (1.2) 0.3 (−0.4 to 1.0) 1.27 (0.76 to 2.12) 0.37
Stroke: 24 (1.1) 20 (0.9) 0.2 (−0.4 to 0.8) 1.20 (0.66 to 2.17) 0.55
 Ischaemic (No) 16 16      
 Haemorrhagic (No) 8 4      
Coronary revascularisation‡ 115 (5.3) 111 (5.2) 0.2 (−1.2 to 1.5) 1.03 (0.80 to 1.34) 0.81
Secondary outcomes          
New onset diabetes mellitus 152 (7.1) 119 (5.5) 1.5 (0.1 to 3.0) 1.29 (1.01 to 1.63) 0.04
New onset diabetes mellitus among participants without diabetes mellitus at baseline § 152/1479 (10.4) 119/1453 (8.4) 2.1 (−0.0 to 4.2) 1.26 (0.99 to 1.60) 0.06
Initiation of antidiabetics among participants without diabetes mellitus at baseline § 104/1479 (7.2) 74/1453 (5.3) 2.0 (0.2 to 3.7) 1.39 (1.03 to 1.87) 0.03
Hospital admission due to heart failure 12 (0.6) 8 (0.4) 0.2 (−0.2 to 0.6) 1.50 (0.61 to 3.66) 0.37
Deep vein thrombosis or pulmonary embolism: 7 (0.3) 2 (0.1) 0.2 (−0.0 to 0.5) 3.50 (0.73 to 16.84) 0.10
 Deep vein thrombosis (No) 5 2      
 Pulmonary embolism (No) 3 0      
Peripheral artery revascularisation 12 (0.5) 17 (0.8) −0.3 (−0.8 to 0.2) 0.65 (0.30 to 1.38) 0.25
Aortic intervention or surgery: 3 (0.1) 2 (0.1) 0.0 (−0.2 to 0.3) 1.50 (0.25 to 8.94) 0.66
 Endovascular treatment (No) 3 0      
 Surgical treatment (No) 0 2      
End stage kidney disease 9 (0.4) 4 (0.2) 0.2 (−0.1 to 0.6) 2.25 (0.69 to 7.30) 0.17
Discontinuation of statin treatment 40 (1.8) 37 (1.7) 0.1 (−0.7 to 0.9) 1.08 (0.69 to 1.69) 0.74
Cataract surgery 53 (2.5) 32 (1.5) 1.0 (1.4 to 1.8) 1.66 (1.07 to 2.58) 0.02
Composite of laboratory detected abnormalities¶: 26 (1.2) 22 (1.0) 0.2 (−0.4 to 0.8) 1.24 (0.70 to 2.20) 0.47
 Increase in aminotransferase (No) 10 10      
 Increase in creatine kinase (No) 5 6      
 Increase in creatinine (No) 11 7      

CI=confidence interval.

*

Primary and secondary outcomes were evaluated in the intention-to-treat population three years after randomisation. The listed percentages were estimated using the Kaplan-Meier method, so values might not calculate mathematically.

Calculated using log rank test.

All coronary revascularisations were clinically indicated by a diameter stenosis ≥50% on invasive coronary angiography with ischaemic symptoms or signs or ≥70% even in the absence of symptoms or signs.

§

Data are number of patients/total number of patients (%).

An increase in aminotransferase level was defined as more than baseline level and >3 times the upper reference limit; an increase in creatine kinase level was defined as more than baseline level and >5 times the upper reference limit; and an increase in creatinine level was defined as >50% increase from baseline and greater than the upper reference limit.