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. 2018 Nov 19;2018(11):CD012502. doi: 10.1002/14651858.CD012502.pub2

Kouvelos 2013.

Methods Design: prospective randomised, open‐label study
Number of study centres: single centre in Greece
Setting: inpatient and outpatient follow‐up
Patient recruitment: patients who underwent elective vascular surgery from January 2007 to June 2009
Duration of study: 12 months
Clinical setting: patients Undergoing elective vascular surgery
Participants Enrolment (N): 262
Randomised (N): intervention: 126; control: 136
Withdrawn (N): intervention: 4; control: 2
Lost to follow‐up (N): Eight patients did not attend their follow‐up visit but were reached via telephone
Completed the study (N): not reported
Analysed (N): intervention: 126; control: 136
Age (years) (range): intervention: 70 (41‐89); control: 72 (46‐88)
Sex (male, N, %): intervention: 113 (89.7%); control: 122 (89.7%)
Smoking history (N, %): intervention: 68 (54%); control: 78 (57.4%)
BMI (kg/m², mean ± SD):): not reported
Diabetes (N, %): intervention: 40 (31.7%); control: 39 (28.7%)
Hypertension (N, %): intervention: 103 (81.7%); control: 110 (80.9%)
Existing CHD: (N, %): intervention: 62 (49.2%); control: 67 (49.3%)
Statin pretreatment (N, %): intervention: 0%; control: 0%
Inclusion criteria:
Patients who underwent elective vascular surgery.
Exclusion criteria: any contraindication to the use of statins; emergency surgery; a re‐operation within 30 days after a previous procedure; liver disease; a history of a cardiovascular event within the previous 6 months prior to randomisation (MI or stroke).
Interventions Intervention: ezetimibe (10 mg/day) plus rosuvastatin (10 mg/day)
Comparison: rosuvastatin alone (10 mg/day)
Details of any 'run‐in' period: 8‐week washout period for the patients already on a statin
Concomitant medications: not reported
Excluded medications: not reported
Outcomes Primary: composite of death from cardiac causes, nonfatal acute MI, ischaemic stroke, and unstable angina.
Secondary: lipids and high‐sensitivity C‐reactive protein (hs‐CRP)
Others: serum creatine kinase (CK) and AST levels as well as clinical evaluation of any adverse event.
Notes Funding: Quote: "The author(s) received no financial support for the research, authorship, and/or publication of this article"
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk A computer algorithm was used in the randomisation
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Open‐label study
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Open‐label study, insufficient information to make a judgement
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Quote: "Eight patients did not attend their follow‐up visit but were reached via telephone."
Selective reporting (reporting bias) Unclear risk No protocol published, or trials registry record found.
Other bias Low risk Funding:Quote: "The author(s) received no financial support for the research, authorship, and/or publication of this article"
Declaration of Conflicting Interests: Quote: "no potential conflicts of interest with respect to the research, authorship, and/or publication of this article."