The recently published meta-analysis by Nissen and Wolski,1which suggested a significant increase in the risk of myocardialinfarction associated with treatment with rosiglitazone (Avandia)and an increase of similar magnitude, albeit nonsignificant,in the risk of death from cardiovascular causes, has createda furor in the press and a quandary for physicians and theirpatients. Given the vagaries of meta-analyses in general andof this meta-analysis in particular owing to the absenceof primary or time-to-event data, as acknowledged both in thearticle and in the accompanying editorial2 clinicianshave been left uncertain as to whether rosiglitazone . . . [Full Text of this Article]
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From the Diabetes Center at Massachusetts General Hospital, and Harvard Medical School, Boston.
This article (10.1056/NEJMe078117) was published at www.nejm.org on June 5, 2007.
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