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. 2013 Jan 31;2013(1):CD004816. doi: 10.1002/14651858.CD004816.pub5

CARDS 2008.

Study characteristics
Methods Randomised control trial.
Participants 2838 participants with diabetes based in UK and Ireland aged 40‐75 years (mean 61.7); 68% men; 94.5% Caucasian. None with any clinical evidence of CVD.
Interventions 10 mg atorvastatin, all patients were given counselling on cessation of smoking; follow up of 3.9‐4 years.
Outcomes Primary: composite of fatal and non‐fatal MI, acute CHD death, resuscitated cardiac arrest. Single outcomes included: all‐cause mortality, fatal and non‐fatal or silent MI + stroke, revascularisation, resuscitated cardiac arrest, total CVD events, adverse events and cholesterol.
Notes Trial stopped prematurely due to large beneficial treatment effect.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated randomisation code
Allocation concealment (selection bias) Low risk Staff and patients unaware of computer‐generated randomisation code
Blinding (performance bias and detection bias)
All outcomes Low risk Triple‐blind: participants, personnel and outcome assessors
Incomplete outcome data (attrition bias)
All outcomes Low risk ITT used, no drop‐outs reported
Selective reporting (reporting bias) Low risk  
Other bias Unclear risk Funded by pharmaceutical industry