Document Detail


Achieving lipid goals in real life: the Dutch DISCOVERY study.
MedLine Citation:
PMID:  16351669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
DISCOVERY Netherlands was an open-label, randomised, multicentre study (D3560/L00003) designed to compare the effects of rosuvastatin with those of atorvastatin, simvastatin or pravastatin on low-density lipoprotein cholesterol (LDL-C) goal achievement in a primary care setting. Patients (n = 1,215) with type IIa or type IIb hypercholesterolaemia and cardiovascular risk of >20% or a history of coronary heart or other atherosclerotic vascular disease were randomised to receive treatment with rosuvastatin 10 mg (n = 621), atorvastatin 10 mg (n = 189), simvastatin 20 mg (n = 194) or pravastatin 40 mg (n = 211) for 12 weeks. Significantly, more patients achieved 1998 and 2003 European LDL-C goals with rosuvastatin than with other statins after 12 weeks (p < 0.001). Rosuvastatin reduced LDL-C and total cholesterol levels significantly more than other statins, both in patients who were statin-na?ve and in patients who had received previous statin treatment (p < 0.05). All treatments were similarly well tolerated. In conclusion, greater reductions in LDL-C were achieved with rosuvastatin compared with atorvastatin, simvastatin and pravastatin, enabling more patients to achieve European LDL-C goals.
Authors:
A F E Bots; J J P Kastelein;
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of clinical practice     Volume:  59     ISSN:  1368-5031     ISO Abbreviation:  Int. J. Clin. Pract.     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-14     Completed Date:  2006-05-25     Revised Date:  2007-02-14    
Medline Journal Info:
Nlm Unique ID:  9712381     Medline TA:  Int J Clin Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  1387-94     Citation Subset:  IM    
Affiliation:
Zuiderhoed General Practice, 's-Hertogenbosch, Amsterdam, the Netherlands. a.bots@zuiderhoed.nl
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MeSH Terms
Descriptor/Qualifier:
Anticholesteremic Agents / therapeutic use*
Atherosclerosis / blood,  prevention & control
Cholesterol, HDL / blood
Cholesterol, LDL / blood
Coronary Disease / blood,  prevention & control
Female
Fluorobenzenes / therapeutic use
Heptanoic Acids / therapeutic use
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
Hypercholesterolemia / drug therapy*
Male
Middle Aged
Netherlands
Pravastatin / therapeutic use
Pyrimidines / therapeutic use
Pyrroles / therapeutic use
Simvastatin / therapeutic use
Sulfonamides / therapeutic use
Treatment Outcome
Triglycerides / blood
Chemical
Reg. No./Substance:
0/Anticholesteremic Agents; 0/Cholesterol, HDL; 0/Cholesterol, LDL; 0/Fluorobenzenes; 0/Heptanoic Acids; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 0/Pyrimidines; 0/Pyrroles; 0/Sulfonamides; 0/Triglycerides; 110862-48-1/atorvastatin; 287714-41-4/rosuvastatin; 79902-63-9/Simvastatin; 81093-37-0/Pravastatin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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