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A Meta-analysis on Treatment Effects of Thiazolidinediones for Type 2 Diabetes Mellitus in Asian Populations
Oleh:
Louisa, Melva
;
Takeuchi, Madoka
;
Takeuchi, Masahiro
;
Nafrialdi
;
Setiabudy, Rianto
Jenis:
Article from Journal - ilmiah nasional - terakreditasi DIKTI
Dalam koleksi:
Acta Medica Indonesiana vol. 43 no. 1 (Jan. 2011)
,
page 39-52.
Topik:
Thiazolidinediones
;
pioglitazone
;
rosiglitazone
;
type 2 diabetes mellitus
;
Asian population.
Fulltext:
A Meta-analysis on Treatment Effects.pdf
(2.72MB)
Ketersediaan
Perpustakaan FK
Nomor Panggil:
A02.K
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Aim: to assess the effects of thiazolidinediones (pioglitazone and rosiglitazone) in the treatment of T2DM in Asian population. Methods: randomized controlled trials of T2DM patients in Asian population that compared pioglitazone or rosiglitazone with other treatments for more than 3 months and reported HbA1c data were included. Analyses for all outcomes were calculated using random effect model. Results: the analyses included 37 studies in approximately 3,000 patients. Thiazolidinediones had beneficial effect on HbA1c (glycosylated hemoglobin/ hemoglobin A1c) compared with control (weighted mean difference (WMD) -0.12%; 95% CI [confidence interval], -0.54 to -0.19% for pioglitazone and -0.47%; 95% CI, -0.89 to -0.40% for rosiglitazone). Overall, TZDs showed significant benefit on glycemic outcomes measured by HbA1c as main surrogate outcome compared with previous glycemic control but not with other anti-diabetics. Conclusion: thiazolidinediones treatment resulted in favorable effects on glycemic control in Asian patients with T2DM. Long-term efficacy and safety data of TZD could not yet be confirmed due to the lack of randomized studies with patient-oriented outcomes.
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