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BMJ 2007;335:223 (4 August), doi:10.1136/bmj.39294.547326.DB
Janice Hopkins Tanne
New York
| The first 150 words of the full text of this article appear below. |
Vivian Fonseca, the editor of Diabetes Care, told the BMJ that he was surprised by the media's interest in a study that says that rosiglitazone (Avandia) and pioglitazone (Actos) doubled the risk of heart failure in patients with type 2 diabetes (Diabetes Care 2007;30:2148-53 doi: 10.2337/dc07-0141).
The authors said that although drugs in the thiazolidinedione class were known to increase the risk of heart failure in patients with type 2 diabetes, the magnitude of the risk had not been evaluated. They used teleoanalysis to look at results from many different types of trials, involving 78 000 patients, and concluded that one in every 50 patients with type 2 diabetes taking one of these drugs would develop heart failure in a period of 26 months and need admission to hospital (see BMJ 2003;327:616-8 doi: 10.1136/bmj.327.7415.616 for an explanation of teleoanalysis).
Heart failure occurred at low and high doses
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