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What primary care clinicians should know about fenofibrate for people with diabetes Table 2. Percentage reduction of vascular complications with fenofibrate relative to placebo in the FIELD and ACCORD Lipid studies. Outcomes FIELD ACCORD Lipid Primary outcomes* -11 (Keech et al, 2005) Secondary outcomes Silent myocardial infarction -16 (Burgess et al, 2010) Not available Death from cardiovascular cause † -4 (Burgess et al, 2010) Coronary revascularisation ‡ -21 (Keech et al, 2005) Stroke (fatal or non-fatal) -10 (Keech et al, 2005) Any amputation due to diabetes Microvascular outcomes -36 (Rajamani et al, 2009) Not available Retinopathy § -37 (Keech et al, 2007) Albuminuria || -14 (Keech et al, 2005; Davis et al, 2011) First minor (only) amputation -46 (Rajamani et al, 2009) Not available -8 (ACCORD Study Group, 2010a) -14 (ACCORD Study Group, 2010a) -6 (ACCORD Study Group, 2010a) +5 (ACCORD Study Group, 2010a) -40 (ACCORD Study Group, 2010b) -8 (ACCORD Study Group, 2010a) *FIELD: First myocardial infarction or coronary heart disease death; ACCORD Lipid: First non-fatal myocardial infraction or stroke or death from cardiovascular causes. † FIELD: Fatal myocardial infarction; ACCORD Lipid: Death from cardiovascular cause. ‡ FIELD: Coronary revascularisation; ACCORD Lipid: Revascularisation or hospitalisation for congestive heart failure (together with primary outcome). § FIELD: All events, laser treatment; ACCORD Lipid: Laser treatment and/or vitrectomy and/or 3-step Early Treatment Diabetic Retinopathy (ETDR) scale progression. || FIELD: Progression (normo- to microalbuminuria or from micro- to macroalbuminuria) separately, FIELD study also reported a significant 18% increase in albuminuria regression (from macro- to microalbuminuria or from micro- to normoalbuminuria) in response to fenofibrate therapy versus placebo (Keech et al, 2005; Davis et al, 2011); ACCORD Lipid: microalbuminuria incidence (postrandomisation). P
What primary care clinicians should know about fenofibrate for people with diabetes with low rates (
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Page 3 and 4: Contents Diabetes & Primary Care Au
Page 5 and 6: Editorial Diabetes education We are
Page 7 and 8: From the desktop From the desktop P
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Page 15 and 16: Save the date: The 2 nd PCDSA Natio
Page 17 and 18: Clinical vascular screening of the
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