Evidence map›Paper›PMID 26408281›Full record

SynthesisBMJ open2015

The effect of statins on average survival in randomised trials, an analysis of end point postponement.

Malene Lopez Kristensen, Palle Mark Christensen, Jesper Hallas

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Frailty and Cardiovascular Risk.European cardiology · 2026
    Review
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  9. Review
  10. Article
  11. Article
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  14. Article
  15. Review
  16. Review
  17. Article
  18. Cholesterol trials and mortality.British journal of clinical pharmacology · 2016
    Article
  19. Article
  20. Statins and oral ulceration.British dental journal · 2016
    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

3 authors.

Malene Lopez KristensenDepartment of Clinical Pharmacology, University of Southern Denmark, Odense, Denmark.
Palle Mark ChristensenDepartment of Clinical Pharmacology, University of Southern Denmark, Odense, Denmark.
Jesper HallasDepartment of Clinical Pharmacology, University of Southern Denmark, Odense, Denmark Department of Clinical Biochemistry and Pharmacology, Odense University Hospital, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the average postponement of death in statin trials.

settingA systematic literature review of all statin trials that presented all-cause survival curves for treated and untreated.

interventionStatin treatment compared to placebo. PRIMARY OUTCOME MEASURES: The average postponement of death as represented by the area between the survival curves.

results6 studies for primary prevention and 5 for secondary prevention with a follow-up between 2.0 and 6.1 years were identified. Death was postponed between -5 and 19 days in primary prevention trials and between -10 and 27 days in secondary prevention trials. The median postponement of death for primary and secondary prevention trials were 3.2 and 4.1 days, respectively.

conclusionsStatin treatment results in a surprisingly small average gain in overall survival within the trials' running time. For patients whose life expectancy is limited or who have adverse effects of treatment, withholding statin therapy should be considered.

Indexed as

HumansHydroxymethylglutaryl-CoA Reductase InhibitorsMyocardial InfarctionPrimary PreventionSecondary PreventionSurvival AnalysisHydroxymethylglutaryl-CoA Reductase InhibitorsCLINICAL PHARMACOLOGY

Identifiers

PMID26408281
PMCPMC4593138

What OpenQuestion holds

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LicenceCC BY-NC
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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.