Evidence map›Paper›PMID 25104531›Full record

ReviewJournal of the American College of Cardiology2014

2013 ACC/AHA guideline recommends fixed-dose strategies instead of targeted goals to lower blood cholesterol.

Sidney C Smith, Scott M Grundy

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of the American College of Cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing 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

33 citing papers in PubMed.

  1. Trial
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  8. Review
  9. Cardiovascular risk assessment models: Have we found the perfect solution yet?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  10. Article
  11. Article
  12. Secular Trends in Lipid Profiles in Korean Adults Based on the 2005-2015 KNHANES.International journal of environmental research and public health · 2019
    Article
  13. Article
  14. Nutrition & metabolism · 2018
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Sidney C SmithCenter for Cardiovascular Science and Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina. Electronic address: scs@med.unc.edu.
Scott M GrundyUniversity of Texas, Southwestern Medical Center and VA Medical Center, Dallas, Texas. Electronic address: scott.grundy@utsouthwestern.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The American College of Cardiology (ACC)/American Heart Association (AHA) Task Force on Practice Guidelines recently issued the 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults. This new guideline endorses a paradigm shift in strategies for reducing atherosclerotic cardiovascular disease (ASCVD) events by lowering blood cholesterol. Whereas previous guidelines focused on therapy to decrease low-density lipoprotein and non-high-density lipoprotein cholesterol to specific target levels, the new guideline instead proposes implementation of cholesterol-lowering treatment using evidenced-based intensity of statin therapy without such targets. The guideline also provides a new risk estimator for primary prevention decisions, including stroke outcomes and data on African Americans, which will significantly increase the number of patients recommended for outcome-related benefits of cholesterol-lowering therapy. The first section of this paper reviews the process by which the task force developed the new evidence-based guideline, the major findings and recommendations, and their implications. The second section primarily focuses on the question of how much low-density lipoprotein cholesterol should be lowered and on additional considerations in risk assessment.

Indexed as

American Heart AssociationGoalsAdvisory CommitteesCardiologyCholesterolDrug Delivery SystemsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsPractice Guidelines as TopicRandomized Controlled Trials as TopicUnited StatesCholesterolHydroxymethylglutaryl-CoA Reductase Inhibitorsatherosclerosiscardiovascular diseasescholesterolhydroxymethylglutaryl-CoA reductase inhibitorsLDLlipoproteinsrisk assessmentrisk factors

Identifiers

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.