Abstract | BACKGROUND: OBJECTIVE: METHODS: Publications were identified using PubMed, the Cochrane Central Register of Controlled Trials, clinicaltrials.gov, the World Health Organization International Clinical Trials Registry Platform, and Internet Stroke Center. Random-effects meta-analysis models were used to generate summary relative risk estimates and 95% confidence intervals. Heterogeneity was assessed by χ(2) and I(2) statistics, and the impact of each trial was assessed in one study-removed sensitivity analyses. RESULTS: Six trials of fibrates, 2 of niacin, 1 of fibrate + niacin, and 1 of omega-3 eicosapentaenoic acid ethyl esters were identified. For the prespecified primary cardiovascular disease or coronary heart disease end point used in each trial, the summary relative risk estimate (95% confidence interval) for subjects with elevated TG was 0.82 (0.73-0.91), p-heterogeneity = 0.13, I(2) = 36.2, and for subjects with elevated TG and low-HDL-C, it was 0.71 (0.63-0.81), p-heterogeneity = 0.52, I(2) = 0.0. There was no evidence of publication bias, and the results remained statistically significant when each individual trial was removed. CONCLUSION: Drugs that substantially, but not exclusively, lower TG and TG-rich lipoprotein cholesterol may have cardiovascular benefits in individuals with elevated TG, particularly if accompanied by low HDL-C.
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Authors | Kevin C Maki, John R Guyton, Carl E Orringer, Ian Hamilton-Craig, Dominik D Alexander, Michael H Davidson |
Journal | Journal of clinical lipidology
(J Clin Lipidol)
2016 Jul-Aug
Vol. 10
Issue 4
Pg. 905-914
ISSN: 1933-2874 [Print] United States |
PMID | 27578122
(Publication Type: Journal Article, Meta-Analysis, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2016 National Lipid Association. Published by Elsevier Inc. All rights reserved. |
Chemical References |
- Hypolipidemic Agents
- Triglycerides
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Topics |
- Cardiovascular Diseases
(complications)
- Humans
- Hypertriglyceridemia
(complications, drug therapy, metabolism)
- Hypolipidemic Agents
(pharmacology, therapeutic use)
- Risk
- Triglycerides
(metabolism)
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