Niacin therapy and the risk of new-onset diabetes: a meta-analysis of randomised controlled trials. (Record no. 1776)

MARC details
000 -LEADER
fixed length control field 03607nam a22004577a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 160603s20162016 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1355-6037
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 26370223
245 ## - TITLE STATEMENT
Title Niacin therapy and the risk of new-onset diabetes: a meta-analysis of randomised controlled trials.
251 ## - Source
Source Heart. 102(3):198-203, 2016 Feb.
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Abbreviated source Heart. 102(3):198-203, 2016 Feb.
253 ## - Journal Name
Journal name Heart (British Cardiac Society)
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2016
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Manufacturer FY2016
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Date added to catalog 2016-06-03
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1939 - present, Available in print through MWHC library: 1996 - 2006
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: Niacin therapy is associated with a moderately increased risk of developing diabetes regardless of background statin or combination laropiprant therapy.Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
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Abstract METHODS: We searched Medline, EMBASE and the Cochrane Central Register of Controlled Trials, from 1975 to 2014, for randomised controlled trials of niacin primarily designed to assess its effects on cardiovascular endpoints and cardiovascular surrogate markers. We included trials with >50 non-diabetic participants and average follow-up of >24 weeks. Published data were tabulated and unpublished data sought from investigators. We calculated risk ratios (RR) for new-onset diabetes with random-effects meta-analysis. Heterogeneity between trials was assessed using the I(2) statistic.
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Abstract OBJECTIVE: Previous studies have suggested that niacin treatment raises glucose levels in patients with diabetes and may increase the risk of developing diabetes. We undertook a meta-analysis of published and unpublished data from randomised trials to confirm whether an association exists between niacin and new-onset diabetes.
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Abstract RESULTS: In 11 trials with 26 340 non-diabetic participants, 1371 (725/13 121 assigned niacin; 646/13 219 assigned control) were diagnosed with diabetes during a weighted mean follow-up of 3.6 years. Niacin therapy was associated with a RR of 1.34 (95% CIs 1.21 to 1.49) for new-onset diabetes, with limited heterogeneity between trials (I(2)=0.0%, p=0.87). This equates to one additional case of diabetes per 43 (95% CI 30 to 70) initially non-diabetic individuals who are treated with niacin for 5 years. Results were consistent regardless of whether participants received background statin therapy (p for interaction=0.88) or combined therapy with laropiprant (p for interaction=0.52).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Diabetes Mellitus/ep [Epidemiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Hydroxymethylglutaryl-CoA Reductase Inhibitors/tu [Therapeutic Use]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Hypercholesterolemia/dt [Drug Therapy]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Hypolipidemic Agents/tu [Therapeutic Use]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Niacin/tu [Therapeutic Use]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Drug Therapy, Combination
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Dyslipidemias/dt [Drug Therapy]
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Topical term or geographic name entry element Humans
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Topical term or geographic name entry element Randomized Controlled Trials as Topic
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Topical term or geographic name entry element Risk Factors
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Institution MedStar Heart & Vascular Institute
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Medline publication type Journal Article
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Medline publication type Meta-Analysis
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Medline publication type Research Support, Non-U.S. Gov't
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Local Authors Taylor, Allen J
790 ## - Authors
All authors Goldie C, McCoy C, Nguyen P, Preiss D, Taylor AJ, Zhao XQ
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DOI <a href="http://dx.doi.org/10.1136/heartjnl-2015-308055">http://dx.doi.org/10.1136/heartjnl-2015-308055</a>
Public note http://dx.doi.org/10.1136/heartjnl-2015-308055
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 06/03/2016   26370223 26370223 06/03/2016 06/03/2016 Journal Article

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