Evidence map›Paper›PMID 29208363›Full record

ArticleJournal of clinical lipidology

The UK Paediatric Familial Hypercholesterolaemia Register: Statin-related safety and 1-year growth data.

Steve E Humphries, Jackie Cooper, Peter Dale, Uma Ramaswami, FH Paediatric Register Steering Group

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical lipidology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
7.7field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Familial hypercholesterolemia - treatment update in children, systematic review.Pediatric endocrinology, diabetes, and metabolism · 2022
    Pooled it
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Case Studies in Pediatric Lipid Disorders and Their Management.The Journal of clinical endocrinology and metabolism · 2021
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Preventing Premature Atherosclerotic Disease.Current hypertension reports · 2020
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Steve E HumphriesCentre for Cardiovascular Genetics, Institute for Cardiovascular Science, University College London, London, UK. Electronic address: steve.humphries@ucl.ac.uk.
Jackie CooperCentre for Cardiovascular Genetics, Institute for Cardiovascular Science, University College London, London, UK.
Peter DaleDepartment of Paediatrics, Royal Gwent Hospital, Newport, Wales.
Uma RamaswamiLysosomal Disorders Unit, Royal Free Hospital, London, UK.
FH Paediatric Register Steering Group
University College London · GBRoyal Gwent Hospital · GBThe Royal Free Hospital · GB

Funding

British Heart Foundation PG08/008British Heart Foundation RG/08/008/25291
6 · The paper itself

Abstract

backgroundFor children with familial hypercholesterolemia (FH), UK guidelines recommend consideration of statin therapy by age 10 years and dietary and lifestyle advice to maintain an ideal body weight.

objectivesThe objective of the study is to use the UK Paediatric Familial Hypercholesterolemia Register to determine: (1) the prevalence of plasma markers of liver toxicity and muscle damage in statin-treated FH children; (2) the prevalence of obesity in FH children compared to the UK general population; and (3) to compare growth rates in statin-treated and nontreated children.

methodsDifferences in registration and 1-year characteristics were compared by Mann-Whitney U tests. Age and gender body mass index percentiles were compared to UK children's growth charts.

resultsIn 300 children (51% boys, 75% Caucasian, untreated mean [standard deviation] low-density lipoprotein cholesterol 5.50 [1.49] mmol/L), the proportion on statins varied significantly (P < .005) by age group (<5 years = 0%, 5-10 years = 16.7%, 10-15 years = 57.1%, and >15 years = 73.2%). Statin treatment reduced low-density lipoprotein cholesterol by 31% (1.84 [1.43] mmol/L), and no child showed elevated levels of markers of liver toxicity or muscle damage. At registration, 16.9% of the FH children were overweight (>85th percentile) and 11.1% were obese (>95th percentile) vs reported in 21.2% in UK non-FH children. There was no difference in annual growth rate in statin vs no-statin groups (age-adjusted weight increases 3.58 vs 3.53 kg; P = .91, height 4.45 vs 4.60 cm P = .73).

conclusionsWe show no evidence for statin-related safety or growth issues, but many FH children over the age of 10 years are not on statin treatment. Fewer UK children with FH are obese compared to UK non-FH children.

Indexed as

AdolescentBody Mass IndexChildChild, PreschoolCholesterol, LDLFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHyperlipoproteinemia Type IILongitudinal StudiesMaleRegistriesTreatment OutcomeUnited KingdomCholesterol, LDLHydroxymethylglutaryl-CoA Reductase InhibitorsFamilial hypercholesterolemiaLDL-C levelsObesityOverweightPediatric

Identifiers

PMID29208363
PMCPMC5821682
OpenAlexW2769190428

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.