Evidence map›Paper›PMID 18401470›Full record

ReviewThe Canadian journal of cardiology2008

Clinical and public health assessment of benefits and risks of statins in primary prevention of coronary events: resolved and unresolved issues.

Yola Moride, Robert A Hegele, Anatoly Langer, Ruth McPherson, David B Miller, Stéphane Rinfret

Abstract readReview
In one paragraph

Review in The Canadian journal of cardiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Persistence with statin therapy in Hungary.Archives of medical science : AMS · 2013
    Article
  5. Practical use of the Framingham risk score in primary prevention: Canadian perspective.Canadian family physician Medecin de famille canadien · 2011
    Review
  6. Update on statin-mediated anti-inflammatory activities in atherosclerosis.Seminars in immunopathology · 2009 · on this map
    Review
  7. Statins for children? A word of caution.European journal of clinical pharmacology · 2009
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 2 countries.

Yola MorideFaculty of Pharmacy, Université de Montreal, Montréal, Quebec. yola.moride@umontreal.ca
Robert A Hegele
Anatoly Langer
Ruth McPherson
David B Miller
Stéphane Rinfret
Centre Hospitalier de l’Université de Montréal · CAIsland Health · CASt. Michael's Hospital · CAUniversité de Montréal · CAUniversity of Ottawa · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peer-reviewed, evidence-based recommendations for statin use in primary prevention of cardiovascular events are limited. A narrative review of published randomized controlled trials and meta-analyses was conducted to critically appraise the benefits and risks of statins in primary prevention. Statins effectively reduce plasma concentrations of low-density lipoprotein cholesterol, and reduce the risk of cardiovascular events and death. The greatest benefits are observed in high-risk subjects, such as patients with diabetes or hypertension. Serious cardiovascular events should not be included among serious adverse events because they are efficacy outcomes and are dependent on the baseline risk of patients. Rates of specific serious adverse events, such as cancer and rhabdomyolysis, seem to be similar between the statin and control arms of the clinical trials examined. Thus, the benefits of statins in primary prevention outweigh the risks, particularly among high-risk patients. However, the benefit-risk ratio would likely be optimized through interventions designed to increase persistence and adherence in a real-life setting.

Indexed as

Public HealthAdultAgedCause of DeathCholesterol, LDLCoronary DiseaseEvidence-Based MedicineFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHypercholesterolemiaMaleMeta-Analysis as TopicMiddle AgedMyocardial InfarctionRandomized Controlled Trials as TopicCholesterol, LDLHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID18401470
PMCPMC2644034
OpenAlexW2112976905

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.