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. 2013 Jul 3;2013(7):CD009971. doi: 10.1002/14651858.CD009971.pub2

Rahman 1995.

Methods Single‐centre randomized controlled trial.
Participants 40 participants undergoing open repair of > 5.5 cm. Academic vascular surgery unit, Hull, UK.
Statin naive.
Mean age (years)/% female: atorvastatin group, ‐ 77.5 years/14%. Placebo: 72.0 years/15%.
Interventions Intervention (N = 20) 80 mg/day atorvastatin. Placebo (N = 20). Therapy given for 4 weeks before surgery. After surgery, statin prescription dealt with by primary care (communication from authors), so duration unclear but likely to have lasted at least 48 hours.
Outcomes Primary outcome: level of MMP‐9 in aortic wall.
Secondary outcome: levels of MMP‐2, MMP‐8 and other enzymes in arterial wall.
Length of stay reported in Table.
Funding sources No statement about funding sources.
Duration of statin use before surgery Four weeks before surgery.
Notes Additional information obtained from authors 28/9/12.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Computer‐generated sequence, with a subgroup size of 4".
Allocation concealment (selection bias) Low risk Carried out by pharmacy.
Blinding of participants and personnel (performance bias) 
 Length of stay Low risk Paper and personal communication report that study was double‐blind; thus neither participants nor staff members were aware of allocation. Placebo tablets were identical in shape and colour (but were possibly missing numbers and letters).
Blinding of outcome assessment (detection bias) 
 Length of stay Low risk Personal communication from authors. The clinical team (including physiotherapists) assessed fitness for discharge. No formal criteria but that participant was "generally independent and safe". Clinical team unaware of allocation.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All participants included in analyses. No details of loss to follow‐up but all outcomes during hospital stay.
Selective reporting (reporting bias) Low risk All outcomes reported.
Other bias Low risk Baseline characteristics and type of operation similar in both groups.