Table .
2 Outcomes important to patients in decision to use rosiglitazone to prevent diabetes
End point | Rosiglitazone (n=10 000) | No rosiglitazone (n=10 000) | Hazard ratio (95% CI ) |
---|---|---|---|
Drug use | |||
Patient years of use of ≥1 diabetes drug at end of trial (3 years) | 30 000 | 3 650 | — |
No of patients with new diagnosis of diabetes at end of trial (3 years)* | 1060 | 2500 | 0.38 (0.33 to 0.44) |
Projected patient years taking ≥1 diabetes drug at 10 years, assuming 3% annual incidence of diabetes | 43 637 | 33 856 | — |
Projected patient years taking ≥1 diabetes drug at 10 years, assuming 8% annual incidence of diabetes | 52 566 | 33 856 | — |
Diabetes related outcomes | |||
Anxiety about diabetes | ? | ? | ? |
Costs and inconvenience associated with glucose self monitoring | ? | ? | ? |
Costs and inconvenience associated with medical care | ? | ? | ? |
Cardiovascular end points (myocardial infarction, stroke, cardiovascular death) at 3 years | 120 | 90 | 1.39 (0.81 to 2.37) |
Cardiovascular end points at 10 years | ? | ? | ? |
Heart failure at 3 years | 50 | 10 | 7.03 (1.6 to 30.9) |
Heart failure at 10 years | ? | ? | ? |
Retinopathy, nephropathy, or neuropathy | ? | ? | ? |
Common adverse effects | |||
Peripheral oedema at 3 years | 680 | 490 | 1.4§(1.1 to 1.8) |
Weight gain (kg) at 3 years † | 2.0 | −0.2 | — |
Peripheral oedema or weight gain at 10 years | ? | ? | ? |
Rare adverse effects | |||
Bone fractures at 4 years‡ | 632 | 373 | 1.7§ (1.3 to 2.2) |
Macular oedema | ? | ? | ? |
*Assuming that clinicians immediately prescribe diabetes drugs (metformin) to patients who have diabetes diagnosed given that they were already receiving limited lifestyle interventions in DREAM.
†from the DREAM slide set (www.ccc.mcmaster.ca/dream.htm).
‡From the ADOPT trial18
§Risk ratio.