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 |
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Participants |
Baseline Characteristics 2 mg
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 |
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Interventions |
Intervention Characteristics 2 mg |
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Outcomes |
Total cholesterol
LDL cholesterol
HDL cholesterol
Triglycerides
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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 |