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. 2020 Jun 5;2020(6):CD012906. doi: 10.1002/14651858.CD012906.pub2

Kiyici 2009.

Study characteristics
Methods Study design: parallel RCT
Participants Inclusion criteria: T2DM, age between 30 to 65 years, HbA1c < 8% and BMI < 40 kg/m2
Exclusion criteria: use of hypoglycaemic agents, cardiovascular, gastrointestinal, hepatic, renal, rheumatological, neoplastic, infectious and other endocrine diseases (except T2DM and hyperlipidaemia), micro‐ and macrovascular complications of T2DM, smoker, previous history of substance abuse
Diagnostic criteria: ADA 2006
Interventions Intervention(s): metformin
Comparator(s): rosiglitazone, no intervention
Duration of intervention: 52 weeks
Duration of follow‐up: 52 weeks
Run‐in period: none
Number of study centres: 1
Outcomes Reported outcome(s) in full text of publication: safety, glycaemic variables, anthropometric measures, lipid profile, arterial stiffness
Study details Trial identifier: not reported
Trial terminated early: no
Publication details Language of publication: English
Funding: not reported
Publication status: peer‐reviewed journal/full article
Stated aim for study Quote from publication: "...to investigate the long‐term effects of metformin and rosiglitazone monotherapy with medical nutrition treatment (MNT) and of MNT alone on SAEI, LAEI, and serum MCP‐1 and MMP‐9 levels in drug‐naive type 2 diabetic patients"
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote from publication: "... patients were randomized..."
Comment: method of random sequence generation inadequately described
Allocation concealment (selection bias) Unclear risk Quote from publication: "... patients were randomized..."
Comment: method of allocation concealment inadequately described
Blinding of participants and personnel (performance bias)
all‐cause mortality Low risk Quote from publication: "... open‐labeled..."
Comment: investigator‐assessed outcome measurement. No blinding, however, outcome not judged to be influenced by a lack of blinding
Blinding of participants and personnel (performance bias)
cardiovascular mortality Low risk Quote from publication: "... open‐labeled..."
Comment: investigator‐assessed outcome measurement. No blinding, however, outcome not judged to be influenced by a lack of blinding
Blinding of participants and personnel (performance bias)
serious adverse events Low risk Quote from publication: "... open‐labeled..."
Comment: investigator‐assessed outcome measurement. No blinding, however, outcome not judged to be influenced by a lack of blinding
Blinding of outcome assessment (detection bias)
all‐cause mortality Low risk Quote from publication: "... open‐labeled..."
Comment: investigator‐assessed outcome measurement. No blinding, however, outcome not judged to be influenced by a lack of blinding
Blinding of outcome assessment (detection bias)
cardiovascular mortality Low risk Quote from publication: "... open‐labeled..."
Comment: investigator‐assessed outcome measurement. No blinding, however, outcome not judged to be influenced by a lack of blinding
Blinding of outcome assessment (detection bias)
serious adverse events Low risk Quote from publication: "... open‐labeled..."
Comment: investigator‐assessed outcome measurement. No blinding, however, outcome not judged to be influenced by a lack of blinding
Incomplete outcome data (attrition bias)
all‐cause mortality Low risk Quote from publication: "All patients completed the study"
Comment: 100% of participants included in the analysis, all participants completed the study
Incomplete outcome data (attrition bias)
cardiovascular mortality Low risk Quote from publication: "All patients completed the study"
Comment: 100% of participants included in the analysis, all participants completed the study
Incomplete outcome data (attrition bias)
serious adverse events Low risk Quote from publication: "All patients completed the study. No serious adverse effect was seen during the study period"
Comment: 100% of participants included in the analysis, all participants completed the study
Selective reporting (reporting bias) High risk Comment: study protocol not available
Other bias Unclear risk Comment: funding source not reported