Evidence map›Paper›PMID 25964070›Full record

Trial reportDiabetes, obesity & metabolism2015

Rosiglitazone treatment and cardiovascular disease in the Veterans Affairs Diabetes Trial.

H Florez, P D Reaven, G Bahn, T Moritz, S Warren, J Marks, D Reda, W Duckworth, C Abraira, R Hayward and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Thiazolidinediones for people with chronic kidney disease and diabetes.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Review
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  7. Identification of potential molecular mechanisms and small molecule drugs in myocardial ischemia/reperfusion injury.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 1 country.

H FlorezMiami VA Healthcare System, GRECC, University of Miami, Miami, FL, USA.
P D ReavenPhoenix VA Health Care Center, Department of Medicine, Phoenix, AZ, USA.
G BahnHines VA Cooperative Studies Program, Coordinating Center, Hines VA Hospital, Hines, IL, USA.
T MoritzHines VA Cooperative Studies Program, Coordinating Center, Hines VA Hospital, Hines, IL, USA.
S WarrenVA Cooperative Studies Program, Clinical Research Pharmacy Coordinating Center, University of New Mexico, Albuquerque, NM, USA.
J MarksMiami VA Healthcare System, GRECC, University of Miami, Miami, FL, USA.
D RedaHines VA Cooperative Studies Program, Coordinating Center, Hines VA Hospital, Hines, IL, USA.
W DuckworthPhoenix VA Health Care Center, Department of Medicine, Phoenix, AZ, USA.
C AbrairaMiami VA Healthcare System, GRECC, University of Miami, Miami, FL, USA.
R HaywardVA Center for Practice Management & Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
N EmanueleHines VA Cooperative Studies Program, Coordinating Center, Hines VA Hospital, Hines, IL, USA.
VADT Research Group
Edward Hines, Jr. VA Hospital · USMiami VA Healthcare System · USPhoenix VA Health Care System · USThe Coordinating Center · USUniversity of Miami · USVA Center for Clinical Management Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo evaluate the relationship between patterns of rosiglitazone use and cardiovascular (CV) outcomes in the Veterans Affairs Diabetes Trial (VADT).

methodsTime-dependent survival analyses, case-control and 1 : 1 propensity matching approaches were used to examine the relationship between patterns of rosiglitazone use and CV outcomes in the VADT, a randomized controlled study that assessed the effect of intensive glycaemic control on CV outcomes in 1791 patients with type 2 diabetes (T2D) whose mean age was 60.4 ± 9 years. Participants were recruited between 1 December 2000 and 31 May 2003, and were followed for 5-7.5 years (median 5.6) with a final visit by 31 May 2008. Rosiglitazone (4 mg and 8 mg daily) was initiated per protocol in both the intensive-therapy and standard-therapy groups. Main outcomes included a composite CV outcome, CV death and myocardial infarction (MI).

resultsBoth daily doses of rosiglitazone were associated with lower risk for the primary composite CV outcome [4 mg: hazard ratio (HR) 0.63, 95% confidence interval (CI) 0.49-0.81 and 8 mg: HR 0.60, 95% CI 0.49-0.75] after adjusting for demographic and clinical covariates. A reduction in CV death was also observed (HR 0.25, p < 0.001, for both 4 and 8 mg/day rosiglitazone); however, the effect on MI was less evident for 8 mg/day and not significant for 4 mg/day.

conclusionsIn older patients with T2D the use of rosiglitazone was associated with decreased risk of the primary CV composite outcome and CV death. Rosiglitazone use did not lead to a higher risk of MI.

Indexed as

AgedBlood GlucoseCardiovascular DiseasesDiabetes Mellitus, Type 2FemaleHumansHypoglycemic AgentsMaleMiddle AgedMyocardial InfarctionPropensity ScoreProportional Hazards ModelsRisk FactorsRosiglitazoneThiazolidinedionesTime FactorsBlood GlucoseHypoglycemic AgentsRosiglitazoneThiazolidinedionescardiovascular diseaseolder adultsrosiglitazonetype 2 diabetes

Identifiers

PMID25964070
PMCPMC4676911
OpenAlexW1574929565

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.