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. 2007 Apr 28;334(7599):882–884. doi: 10.1136/bmj.39169.447488.94

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.