Evidence map›Paper›PMID 24400085›Full record

ArticlePloS one2014

Results of the Dyslipidemia International Study (DYSIS)-Middle East: clinical perspective on the prevalence and characteristics of lipid abnormalities in the setting of chronic statin treatment.

Saud N Al Sifri, Wael Almahmeed, Sami Azar, Osama Okkeh, Peter Bramlage, Claus Jünger, Islam Halawa, Baishali Ambegaonkar, Sameh Wajih, Philippe Brudi

Full text readMulticenter Study
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
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

36 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Lipid-lowering prescription patterns after a non-fatal acute coronary syndrome: A retrospective cohort study.International journal of cardiology. Cardiovascular risk and prevention · 2025
    Article
  6. Review
  7. Real-World safety and effectiveness of evolocumab in primary hypercholesterolemia and mixed dyslipidemia in Saudi Arabia.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Observational
  15. Review
  16. Observational
  17. Review
  18. Article
  19. Improvement initiative in LDL-C management in Saudi Arabia: A call to action.International journal of cardiology. Heart & vasculature · 2020
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Saud N Al SifriEndocrinology Department, Al Hada Military Hospitals, Taif, Saudi Arabia.
Wael AlmahmeedInstitute of Cardiac Sciences, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Sami AzarAmerican University of Beirut Medical Center, Beirut, Lebanon.
Osama OkkehIstishari Hospital, Amman, Jordan.
Peter BramlageInstitut für Pharmakologie und präventive Medizin, Mahlow, Germany.
Claus JüngerInstitut für Herzinfarktforschung, Ludwigshafen, Germany ; University Medical Center, Johannes Gutenberg University, Mainz, Germany.
Islam HalawaMedical Department, MSD Saudi Arabia, Riyadh, Saudi Arabia.
Baishali AmbegaonkarMerck & Co., Inc., Whitehouse Station, New Jersey, United States of America.
Sameh WajihMedical Department, MSD United Arab Emirates, Abu Dhabi, United Arab Emirates.
Philippe BrudiMerck & Co., Inc., Whitehouse Station, New Jersey, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTherapeutic intervention with low-density lipoprotein cholesterol-lowering agents known as statins has been demonstrated to reduce cardiovascular risk. However, many patients on statin treatment have persistent dyslipidemia and remain at a high risk of cardiovascular disease. Therefore, the objective of this study was to assess the frequency of lipid abnormalities in patients receiving chronic statin treatment.

methodsAs part of an international, cross-sectional, observational study, DYSIS-Middle East enrolled 2,182 patients in the United Arab Emirates (UAE), Saudi Arabia, Lebanon and Jordan. All patients were over 45 years of age and had been on statin treatment for at least three months. Data on demographics, lipid parameters and cardiovascular risk profile were recorded. Cardiovascular risk was defined according the guidelines of the European Society of Cardiology.

resultsThe majority of patients (82.6%) were classified as being at very high risk of cardiovascular events, and 61.8% of all patients did not attain LDL-C target levels. Low high-density lipoprotein cholesterol levels and elevated triglyceride levels were noted in 55.5% and 48.5% of patients, respectively. Multivariate logistical regression modeling indicated that factors independently associated with LDL-C levels not being at goal were lifestyle choices, diabetes mellitus, ischemic heart disease, and blood pressure ≥ 140/90 mmHg.

conclusionsAlmost two-thirds of statin-treated patients in the United Arab Emirates, Saudi Arabia, Lebanon and Jordan had inadequately controlled lipid levels. More comprehensive surveillance, awareness and treatment regimens, as well as modification of lifestyle choices, is necessary to halt the rise in cardiovascular disease-related mortality.

Indexed as

AgedComorbidityCross-Sectional StudiesDyslipidemiasFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsLipidsMaleMiddle AgedMiddle EastPrevalenceRisk FactorsHydroxymethylglutaryl-CoA Reductase InhibitorsLipids

Identifiers

PMID24400085
PMCPMC3882235

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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.