← Statins × kidney outcomes

SynthesisLipids in health and disease2016

Efficacy of statins in patients with diabetic nephropathy: a meta-analysis of randomized controlled trials.

Xue Shen et al.PubMed ↗Full text ↗Publisher ↗

  • Statinlooks good hereLower albuminuria, lower urinary albumin excretion rates.Randomised, large.

What the trial testedrandomised · 2,866 people · 2016

Randomised vs placebo

Lowered albuminuria

−0.46−0.68 to −0.25

statin vs placebo

As reported

difference −0.46, 95% CI −0.68 to −0.25

Randomised vs placebo

Lowered urinary albumin excretion rates

−1.68−3.23 to −0.12

statin vs placebo

As reported

difference −1.68, 95% CI −3.23 to −0.12

One subgroup

May have lowered albuminuria in subjects with urinary protein excretion 30 to 300 mg/day

−0.71−1.09 to −0.33

statin vs placebo, in subjects with urinary protein excretion 30 to 300 mg/day

As reported

difference −0.71, 95% CI −1.09 to −0.33

One subgroup

May have lowered albuminuria in patients of type 2 diabetes mellitus with diabetic nephropathy

−0.56−0.80 to −0.32

statin vs placebo, in patients of type 2 diabetes mellitus with diabetic nephropathy

As reported

difference −0.56, 95% CI −0.80 to −0.32

+1 more in the walkthrough ↓

Who was studied, and how

2,866people with kidney disease, in this paper

The trial randomly assignedassigned by chance

statin
placebo

Lowered albuminuria−0.46

Lowered urinary albumin excretion rates−1.68

randomised

Among subjects with urinary protein excretion 30 to 300 mg/day, the trial randomly assignedassigned by chance

statin
placebo

May have lowered albuminuria−0.71

randomised · one subgroup

the abstract, start to end

… in the statin group were reduced by 0.46 [95 % confidence interval (CI),-0.68 to -0.25, P < 0.0001] and 1.68 (95 % CI, -3.23 to -0.12, …

… with pathologic albuminuria: change of -0.71 (95 % CI, -1.09 to -0.33, …

… [standardized mean difference (SMD), -0.56; 95 % CI, -0.80 to -0.32, P < 0.00001] and the decrease was significant during the 1 to 3 years period of statin therapy (SMD, -0.57; 95 % CI, -0.95 to -0.19, …

← favours treatmentfavours comparator →
could be chance
Albuminuriastatin vs placebo
−0.46−0.68 to −0.25
Albuminuriastatin vs placebo, in subjects with urinary protein excretion 30 to 300 mg/day
−0.71−1.09 to −0.33
Albuminuriastatin vs placebo, in patients of type 2 diabetes mellitus with diabetic nephropathy
−0.56−0.80 to −0.32
Urinary albumin excretion ratesstatin vs placebo
−1.68−3.23 to −0.12
Albuminuriastatin vs placebo, in 1 to 3 years period of statin therapy
−0.57−0.95 to −0.19
StatinsKidney outcomes

Statins × kidney outcomeshelps?mixed

unlikelylikely
0.00not counted
← favours treatmentfavours comparator →
more certainless certain
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Full record →Abstract, authors, funding and every citing paper · PMID 27733168