Evidence map›Paper›PMID 24219830›Full record

ArticleCurrent medical research and opinion2014

Statin use in asthmatics on inhaled corticosteroids is associated with decreased risk of emergency department visits.

Sze Man Tse, Scott L Charland, Eric Stanek, Vivian Herrera, Seth Goldfarb, Augusto A Litonjua, Scott T Weiss, Ann Chen Wu

Open access · greenAbstract read
In one paragraph

Article in Current medical research and opinion, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. The potential of Atorvastatin for chronic lung diseases therapy.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2020
    Review
  4. Article
  5. Innovations in asthma therapy: is there a role for inhaled statins?Expert review of respiratory medicine · 2018
    Review
  6. Article
  7. Review
  8. Article
  9. Article
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  11. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Sze Man TseChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School , Boston, MA , USA.
Scott L Charland
Eric Stanek
Vivian Herrera
Seth Goldfarb
Augusto A Litonjua
Scott T Weiss
Ann Chen Wu
Express Scripts Holding Company (United States) · USBrigham and Women's Hospital · USHarvard University · US

Funding

THE PHARMACOGENETICS OF ASTHMA TREATMENTU01HL065899 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI TANTISIRA, KELAN G, WEISS, SCOTT T · 2000 to 2014
$38.5M
INTEGRATIVE PHARMACOGENOMICS OF LEUKOTRIENE INHIBITION IN ASTHMAR01HL092197 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI TANTISIRA, KELAN G · 2009 to 2013
$3.6M
Effectiveness of Pharmacogenetic Testing in AsthmaK08HL088046 · NHLBI · HARVARD PILGRIM HEALTH CARE, INC. · PI WU, ANN CHEN · 2009 to 2013
$645k
NHLBI NIH HHS K08 HL088046NHLBI NIH HHS R01 HL092197NHLBI NIH HHS R01 HL92197NHLBI NIH HHS U01 HL065899NHLBI NIH HHS U01 HL65899
6 · The paper itself

Abstract

objectiveStatins are hypothesized to have beneficial effects in asthma management through their pleiotropic anti-inflammatory effects. Several studies have examined this relationship, but have yielded conflicting results. This study investigates the effect of statin use on asthma-related hospitalizations and/or emergency department (ED) visits, and whether this relationship varies by concomitant inhaled corticosteroid (ICS) in a large cohort of asthma patients.

methodsSubjects with asthma, a recent history of asthma exacerbation, and who were 18 years or older were selected from the population-based Medco Health Solutions administrative database over a 1 year period. Prescription claims for statins and asthma medications, and asthma-related hospitalizations and/or ED visits were ascertained over a 12 month follow-up period. Subjects were stratified into two groups based on their ICS use.

resultsA total of 3747 ICS users and 2905 non-ICS users were included in this study. Statin users represented 21% of ICS users and 11% of non-users. Among ICS users, statin use was significantly associated with decreased odds of asthma-related ED visits (OR = 0.77, 95% CI 0.64-0.94, p = 0.008), but not with asthma-related hospitalizations (OR = 1.09, 95% CI 0.92-1.30, p = 0.31). No significant associations were found among non-ICS users (for asthma-related ED visits: OR = 0.92, 95% CI 0.57-1.49, p = 0.73; asthma-related hospitalizations: OR = 1.10, 95% CI 0.85-1.41, p = 0.48). The statistical interactions between ICS and statin use on asthma-related hospitalizations and/or ED visits were not significant.

conclusionStatin use is associated with fewer ED visits in asthma patients who are using ICS.

Indexed as

Administration, InhalationAdrenal Cortex HormonesAdultAgedAsthmaCohort StudiesEmergency Service, HospitalFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedRiskAdrenal Cortex HormonesHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID24219830
PMCPMC7105171
OpenAlexW1980091213

What OpenQuestion holds

Textmetadata
LicenceTDM
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.