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. 2020 Jun 19;2020(6):CD012735. doi: 10.1002/14651858.CD012735.pub2

Shimabukuro 2011.

Study characteristics
Methods Study design: Historically controlled trial
Study grouping:
Method: 4‐week dietary lead‐in period; 3‐month before‐and‐after study
Participants Baseline Characteristics
2 mg
  • n: 16

  • Age (years): 65.6

  • Males (n): 5

  • Females (n): 11

  • BMI: 25

  • Total cholesterol: 6.50 mmol/L (251 mg/dL)

  • LDL cholesterol: 4.32 mmol/L (167 mg/dL)

  • HDL cholesterol: 1.34 mmol/L (52 mg/dL)

  • Triglycerides: 1.77 mmol/L (157 mg/dL)


Included criteria: men or women aged 30‐79 with type 2 diabetes with hypercholesterolaemia [total cholesterol ≥ 5.70 mmol/L (220 mg/dL)] and/or hypertriglyceridaemia [triglycerides 1.70–3.96 mmol/L (150–350 mg/dL)]
Excluded criteria: a past history of hypersensitivity to statins; hepatic dysfunction [serum levels of aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≥ 100 IU], suspected disorder of hepatic metabolism or biliary obstruction (acute hepatitis, acute exacerbation of chronic hepatitis, liver cirrhosis, liver cancer and jaundice); renal dysfunction [serum creatinine ≥ 133 umol/L(1.5 mg/dL)], pregnant, possibly pregnant or breastfeeding women; patients with poorly controlled diabetes mellitus [HbA1c > 9.4% (National Glycohemoglobin Standardization Program), 79 mmol/L (International Federation of Clinical Chemistry and Laboratory Medicine)], recent history of cerebrovascular disease, coronary heart disease or congestive heart failure; familial hypercholesterolaemia; secondary hyperlipidaemia other than that associated with diabetes mellitus
Baseline Group Characteristics: There were no differences in characteristics between two groups
Interventions Intervention Characteristics
2 mg
Outcomes Total cholesterol
  • Outcome type: Continuous

  • Reporting: Fully reported

  • Unit of measure: Percentage change from baseline

  • Direction: Lower is better


LDL cholesterol
  • Outcome type: Continuous

  • Reporting: Fully reported

  • Unit of measure: Percentage change from baseline

  • Direction: Lower is better


HDL cholesterol
  • Outcome type: Continuous

  • Reporting: Fully reported

  • Unit of measure: Percentage change from baseline

  • Direction: Higher is better


Triglycerides
  • Outcome type: Continuous

  • Reporting: Fully reported

  • Unit of measure: Percentage change from baseline

  • Direction: Lower is better

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Judgement Comment: Controlled before‐and‐after design
Allocation concealment (selection bias) High risk Judgement Comment: Controlled before‐and‐after design
Blinding of participants and personnel (performance bias)
All outcomes Low risk Judgement Comment: Lipid parameter measurements unlikely to be influenced by lack of blinding
Blinding of outcome assessment (detection bias)
All outcomes Low risk Judgement Comment: Lipid parameters were measured in a remote laboratory.
Selective reporting (reporting bias) Low risk Judgement Comment: LDL‐cholesterol outcome was reported.
Other bias Unclear risk Judgement Comment: Source of funding was not reported.
Incomplete outcome data (attrition bias) Total cholesterol Low risk All participants were included in the efficacy analysis.
Incomplete outcome data (attrition bias) LDL cholesterol) Low risk All participants were included in the efficacy analysis.
Incomplete outcome data (attrition bias) HDL cholesterol Low risk All participants were included in the efficacy analysis.
Incomplete outcome data (attrition bias) Triglycerides Low risk All participants were included in the efficacy analysis.
Blinding of outcome assessment (detection bias)WDAEs High risk No comparison possible
Selective reporting (reporting bias) for WDAEs High risk No WDAE outcome reported