Evidence map›Paper›PMID 27648292›Full record

ArticleBMJ open diabetes research & care2016

Evaluation of statin prescriptions in type 2 diabetes: India Heart Watch-2.

Rajeev Gupta, Sailesh Lodha, Krishna K Sharma, Surendra K Sharma, Sunil Gupta, Arthur J Asirvatham, Bhupendra N Mahanta, Anuj Maheshwari, Dinesh C Sharma, Anand S Meenawat and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open diabetes research & care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

24 citing papers in PubMed, 43 citations in OpenAlex.

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  6. Lipid management strategies for diabetic patients align with an evidence-based guideline.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2024
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  19. Determinants of Statin Initiation Among Adult Diabetic Patients in Bonga, Ethiopia.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020
    Article
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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

11 authors at 6 institutions in 1 country.

Rajeev GuptaDepartments of Preventive Cardiology, Internal Medicine and Endocrinology , Eternal Heart Care Centre and Research Institute, Mount Sinai New York Affiliate , Jaipur, Rajasthan , India.
Sailesh LodhaDepartments of Preventive Cardiology, Internal Medicine and Endocrinology , Eternal Heart Care Centre and Research Institute, Mount Sinai New York Affiliate , Jaipur, Rajasthan , India.
Krishna K SharmaResearch Unit, Fortis Escorts Hospital , Jaipur, Rajasthan , India.
Surendra K SharmaDepartment of Endocrinology , Galaxy Specialty Centre , Jaipur, Rajasthan, India.
Sunil GuptaDepartment of Diabetes , Diabetes Care and Research Centre , Nagpur, Maharashtra , India.
Arthur J AsirvathamDepartment of Diabetes , Madurai Medical College , Madurai, Tamil Nadu , India.
Bhupendra N MahantaDepartment of Medicine , Assam Medical College , Dibrugarh, Assam , India.
Anuj MaheshwariDepartment of Medicine , BBD College of Dental Sciences , Lucknow, Uttar Pradesh , India.
Dinesh C SharmaDepartment of Endocrinology , RNT Medical College , Udaipur, Rajasthan , India.
Anand S MeenawatDepartment of Medicine , Satyam Hospital , Jodhpur, Rajasthan , India.
Raghubir S KhedarDepartments of Preventive Cardiology, Internal Medicine and Endocrinology , Eternal Heart Care Centre and Research Institute, Mount Sinai New York Affiliate , Jaipur, Rajasthan , India.
Eternal Hospital · INAssam Medical College · INDiabetes Care and Research Foundation · INFortis Escorts Hospital · INMadurai Medical College · INRabindranath Tagore Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContemporary treatment guidelines advise statin use in all patients with diabetes for reducing coronary risk. Use of statins in patients with type 2 diabetes has not been reported from India.

methodsWe performed a multisite (n=9) registry-based study among internists (n=3), diabetologists (n=3), and endocrinologists (n=3) across India to determine prescriptions of statins in patients with type 2 diabetes. Demographic and clinical details were obtained and prescriptions were audited for various medications with a focus on statins. Details of type of statin and dosage form (low, moderate, and high) were obtained. Patients were divided into categories based on presence of cardiovascular risk into low (no risk factors, n=1506), medium (≥1 risk factor, n=5425), and high (with vascular disease, n=1769). Descriptive statistics are presented.

resultsPrescription details were available in 8699 (men 5292, women 3407). Statins were prescribed in 55.2% and fibrates in 9.2%. Statin prescription was significantly greater among diabetologists (64.4%) compared with internists (n=53.3%) and endocrinologists (46.8%; p<0.001). Atorvastatin was prescribed in 74.1%, rosuvastatin in 29.2%, and others in 3.0%. Statin prescriptions were lower in women (52.1%) versus men (57.2%; p<0.001) and in patients aged <40 years (34.3%), versus those aged 40-49 (49.7%), 50-59 (60.1%), and ≥60 years (62.2%; p<0.001). Low-dose statins were prescribed in 1.9%, moderate dose in 85.4%, and high dose in 12.7%. Statin prescriptions were greater in the high-risk group (58.0%) compared with those in the medium-risk (53.8%) and low-risk (56.8%) groups (p <0.001). High-dose statin prescriptions were similar in the high-risk (14.5%), medium-risk (11.8%), and low-risk (13.5%) groups (p=0.31).

conclusionsStatins are prescribed in only half of the clinic-based patients in India with type 2 diabetes. Prescription of high-dose statins is very low.

Indexed as

Asian IndiansAtorvastatinHealth Service DeliveryLipid-Lowering Drugs/Medication

Identifiers

PMID27648292
PMCPMC5013346
OpenAlexW2517580808

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.