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September 27, 2019BMJOpen Access

The risk of composite cardiovascular events was significantly reduced in the combined treatment group compared with statin group (adjusted hazard ratio 0.74, 95% CI 0.58 to 0.93; P=0.01).

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Why the study?

To investigate whether fenofibrate as an add-on to statin treatment reduces persistent cardiovascular risk in adults with metabolic syndrome in a real-world setting.

Does fenofibrate added to statin treatment reduce composite cardiovascular events in adults with metabolic syndrome?

Population

29 771 adults (≥40 years) with metabolic syndrome receiving statin treatment in Korea

Comparison

Combined treatment (statin plus fenofibrate) vs statin only treatment

Design

Population-based propensity matched cohort study

Authors

NKNam Hoon KimKHKi Hoon HanJCJimi Choi

Discussion

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Member takes

Overview

May support fenofibrate add-on in statin-treated metabolic syndrome; hypothesis-generating and requires randomized confirmation before practice change.

Structured PICO

Does fenofibrate added to statin treatment reduce composite cardiovascular events in adults with metabolic syndrome?

P
Population
29,771 adults (≥40 years) with metabolic syndrome receiving statin treatment in Korea. The propensity matched cohort included 2,156 participants receiving combined treatment and 8,549 participants receiving statin only.
I
Intervention
Fenofibrate added to statin treatment
C
Comparator
Statin treatment alone
O
Outcome
Composite cardiovascular events including incident coronary heart disease, ischaemic stroke, and death from cardiovascular causescomposite

Fenofibrate added to statin therapy significantly reduces the risk of major cardiovascular events in adults with metabolic syndrome compared to statin therapy alone.

Cite This Study

Kim et al. (2019) studied this question.

synapsesocial.com/papers/6a70558053da1ffdb507a2d4https://doi.org/10.1136/bmj.l5125
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical efficacy of combining fenofibrate with statins in patients with diabetes and hyperlipidemia: a meta-analysis2026
  2. 2Fenofibrate therapy and risk of heart failure outcomes in patients with Type 2 diabetes: a propensity-matched cohort study2025 · 5 citations
  3. 3Fenofibrate’s impact on cardiovascular risk in patients with diabetes: a nationwide propensity-score matched cohort study2024 · 9 citations
  4. 4Fenofibrate and risk of end‐stage renal disease: A nationwide cohort study2024 · 6 citations
  5. 5Fenofibrate to prevent amputation and reduce vascular complications in patients with diabetes: FENO-PREVENT2024 · 13 citations