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Table 2 Treatment effect of simvastatin versus placebo on primary and secondary outcomes

From: Simvastatin reduces chronic kidney disease and renal failure risk in type 2 diabetes patients: post hoc ACCORD trial analysis

 

Statin, n = 2753

Statin-free, n = 866

Statin vs. Statin-free

Events, n(%)

Annual rate, %/y

Events, n(%)

Annual rate, %/y

Unadjusted

Adjusted*

Adjusted#

Hazard Ratio, (95%CI)

p

Hazard Ratio, (95%CI)

p

Hazard Ratio, (95%CI)

p

Chronic kidney disease

433(15.7)

3.9

134(15.5)

4.9

0.75 (0.62,0.91)

< 0.01

0.54 (0.43,0.67)

< 0.01

0.29(0.27,0.31)

< 0.01

Renal failure

72(2.6)

0.56

19(2.2)

0.53

1.06 (0.64,1.75)

0.83

1.14 (0.65,2.01)

0.65

0.53(0.44,0.65)

< 0.01

Renal function decline

1322(48)

15.5

416(48)

19.5

0.82 (0.73,0.91)

< 0.01

0.87 (0.79,0.99)

0.04

0.54(0.52,0.56)

< 0.01

Microalbuminuria

456(16.6)

6.1

87(10.0)

4.4

1.40 (1.11,1.76)

< 0.01

1.31 (1.02,1.68)

0.04

0.81(0.73,0.89)

< 0.01

Macroalbuminuria

189(6.9)

1.7

38(4.4)

1.3

1.37 (0.97,1.94)

0.08

1.25 (0.85,1.83)

0.26

1.05(0.91,1.22)

0.49

  1. * Adjusted for sex, race, HbA1c, SBP(BL), DBP(BL), HDL cholesterol, LDL cholesterol, VLDL cholesterol and eGFR
  2. # Adjusted for sex, race, HbA1c, HDL cholesterol, LDL cholesterol, VLDL cholesterol, eGFR, SBP, DBP and ACEi/ARB, where SBP, DBP, and ACEI/ARB were treated as time-dependent covariates