Author Contributions: Dr Lipscombe and Ms Gomes had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Lipscombe, Gomes, Levesque, Hux, Juurlink, Alter.
Analysis and interpretation of data: Lipscombe, Gomes, Levesque, Hux, Juurlink, Alter.
Drafting of the manuscript: Lipscombe, Gomes, Levesque.
Critical revision of the manuscript for important intellectual content: Lipscombe, Gomes, Levesque, Hux, Juurlink, Alter.
Statistical analysis: Lipscombe, Gomes, Levesque, Juurlink.
Administrative, technical, or material support: Hux, Levesque.
Obtained funding: Hux.
Study supervision: Juurlink, Alter.
Financial Disclosures: Dr Alter reports that he is a consultant of INTERxVENT Canada, a cardiovascular lifestyle and disease management program, and is a limited partner in PrevCan. No other disclosures were reported.
Funding/Support: This study was funded by the Ontario Ministry of Health and Long-Term Care. Dr Lipscombe is supported by a Clinician Scientist Award from the Canadian Diabetes Association and the Canadian Institutes of Health Research and received support from a New Emerging Team Canadian Institutes of Health Research grant. Dr Juurlink is supported by a New Investigator Award from the Canadian Institutes of Health Research. Dr Alter is supported by a Career Investigator Award from the Heart and Stroke Foundation of Ontario.
Role of the Sponsor: The sponsor did not participate in the design and conduct of the study; collection, management, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript.
Disclaimer: The opinions, results, and conclusions are those of the authors, and no endorsement by the Ministry of Health and Long-Term Care or by the Institute for Clinical Evaluative Sciences is intended or should be inferred.
Additional Contributions: Alex Kopp, BA, Institute for Clinical Evaluative Sciences, provided statistical consultation and assistance with study design and received financial compensation for his contributions.