Evidence map›Paper›PMID 27138586›Full record

ArticleThe American journal of psychiatry2016

The Effect of Concomitant Treatment With SSRIs and Statins: A Population-Based Study.

Ole Köhler, Christiane Gasse, Liselotte Petersen, Katja G Ingstrup, Andrew A Nierenberg, Ole Mors, Søren D Østergaard

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in The American journal of psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Ole KöhlerFrom the Psychosis Research Unit, Aarhus University Hospital, Risskov, Denmark; the Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Denmark; the National Center for Register-Based Research, Aarhus University, Aarhus, Denmark; the Depression Clinical and Research Program and the Bipolar Clinic and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston; the Center for Integrated Register-Based Research at Aarhus University (CIRRAU), Aarhus, Denmark; and the Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Christiane GasseFrom the Psychosis Research Unit, Aarhus University Hospital, Risskov, Denmark; the Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Denmark; the National Center for Register-Based Research, Aarhus University, Aarhus, Denmark; the Depression Clinical and Research Program and the Bipolar Clinic and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston; the Center for Integrated Register-Based Research at Aarhus University (CIRRAU), Aarhus, Denmark; and the Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Liselotte PetersenFrom the Psychosis Research Unit, Aarhus University Hospital, Risskov, Denmark; the Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Denmark; the National Center for Register-Based Research, Aarhus University, Aarhus, Denmark; the Depression Clinical and Research Program and the Bipolar Clinic and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston; the Center for Integrated Register-Based Research at Aarhus University (CIRRAU), Aarhus, Denmark; and the Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Katja G IngstrupFrom the Psychosis Research Unit, Aarhus University Hospital, Risskov, Denmark; the Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Denmark; the National Center for Register-Based Research, Aarhus University, Aarhus, Denmark; the Depression Clinical and Research Program and the Bipolar Clinic and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston; the Center for Integrated Register-Based Research at Aarhus University (CIRRAU), Aarhus, Denmark; and the Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Andrew A NierenbergFrom the Psychosis Research Unit, Aarhus University Hospital, Risskov, Denmark; the Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Denmark; the National Center for Register-Based Research, Aarhus University, Aarhus, Denmark; the Depression Clinical and Research Program and the Bipolar Clinic and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston; the Center for Integrated Register-Based Research at Aarhus University (CIRRAU), Aarhus, Denmark; and the Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Ole MorsFrom the Psychosis Research Unit, Aarhus University Hospital, Risskov, Denmark; the Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Denmark; the National Center for Register-Based Research, Aarhus University, Aarhus, Denmark; the Depression Clinical and Research Program and the Bipolar Clinic and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston; the Center for Integrated Register-Based Research at Aarhus University (CIRRAU), Aarhus, Denmark; and the Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Søren D ØstergaardFrom the Psychosis Research Unit, Aarhus University Hospital, Risskov, Denmark; the Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Denmark; the National Center for Register-Based Research, Aarhus University, Aarhus, Denmark; the Depression Clinical and Research Program and the Bipolar Clinic and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston; the Center for Integrated Register-Based Research at Aarhus University (CIRRAU), Aarhus, Denmark; and the Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Aarhus University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveBoth preclinical studies and clinical trials have indicated that the combination of a selective serotonin reuptake inhibitor (SSRI) and a statin may have superior antidepressant effects compared with SSRI treatment alone. The authors sought to assess whether this beneficial effect can be generalized to a more heterogeneous population of SSRI users.

methodIn a nationwide cohort study that included all incident SSRI users in Denmark between 1997 and 2012, the authors compared people who had periods of concomitant use of SSRIs and statins with people who had periods of SSRI treatment alone. Outcomes included the rates of psychiatric hospital contacts (any cause), psychiatric hospital contacts due to depression, suicidal behavior, and all-cause mortality. Using Cox regression and competing risk analysis, the authors calculated crude and adjusted hazard ratios for these outcomes.

resultsThe authors identified 872,216 incident SSRI users, of whom 113,108 (13.0%) used a statin concomitantly. Compared with SSRI treatment alone, the combined use of an SSRI and a statin was associated with a significantly lower risk for both psychiatric hospital contacts (adjusted hazard ratio=0.75 (95% CI=0.69, 0.82) and psychiatric hospital contacts due to depression (adjusted hazard ratio=0.64, 95% CI=0.55, 0.75). Compared with SSRI treatment alone, the concomitant use of SSRIs and statins was not associated with significant increases in all-cause mortality (adjusted hazard ratio=1.04, 95% CI=0.96, 1.12) or suicidal behavior (adjusted hazard ratio=0.85, 95% CI=0.61, 1.18).

conclusionsIn a large naturalistic cohort, concomitant treatment with SSRIs and statins resulted in robust advantages compared with SSRIs alone.

Indexed as

Cohort StudiesDenmarkDepressive DisorderDrug SynergismDrug Therapy, CombinationHumansHydroxymethylglutaryl-CoA Reductase InhibitorsPatient AdmissionPopulation SurveillanceProportional Hazards ModelsRiskSelective Serotonin Reuptake InhibitorsHydroxymethylglutaryl-CoA Reductase InhibitorsSelective Serotonin Reuptake Inhibitors

Identifiers

PMID27138586
OpenAlexW2345663658

What OpenQuestion holds

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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.