Evidence map›Paper›PMID 29292104›Full record

ReviewMedicina clinica2018

Statins: pros and cons.

Iago Pinal-Fernandez, Maria Casal-Dominguez, Andrew L Mammen

Open access · greenAbstract readReview
In one paragraph

Review in Medicina clinica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 4 pooled it
4.0field-weighted citation impact, top 6% 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

97 citing papers in PubMed, 4 syntheses or guidelines pooled it, 166 citations in OpenAlex.

  1. Pooled it
  2. Statins for the primary prevention of venous thromboembolism.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Sjogren's Disease and Elevated Cardiovascular Risk: Mechanisms and Treatment.Journal of cardiovascular development and disease · 2025
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article

37 more citing papers are in PubMed but not listed here.

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 at 2 institutions in 1 country.

Iago Pinal-FernandezNational Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, United States; Johns Hopkins University School of Medicine, Baltimore, United States. Electronic address: iago.pinalfernandez@nih.gov.
Maria Casal-DominguezNational Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, United States; Johns Hopkins University School of Medicine, Baltimore, United States.
Andrew L MammenNational Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, United States; Johns Hopkins University School of Medicine, Baltimore, United States.
National Institutes of Health · USJohns Hopkins University · US

Funding

Clinical Support Services for the NIAMS Intramural Research ProgramZIDAR041180 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI COLBERT, ROBERT · 2009 to 2025
$119.2M
Intramural NIH HHS Z99 AR999999
6 · The paper itself

Abstract

Statins inhibit the critical step of cholesterol synthesis in which 3-hydroxy-3-methylglutaryl coenzyme A (HMGC) is transformed to mevalonate by the enzyme HMGC reductase. By doing so, they have a potent lipid-lowering effect that reduces cardiovascular risk and decreases mortality. Since the mevalonate pathway also influences endothelial function, the inflammatory response, and coagulation, the effects of statins reach well beyond their cholesterol lowering properties. As with all drugs, statins may have adverse effects; these include musculoskeletal symptoms, increased risk of diabetes, and higher rates of hemorrhagic stroke. However, the frequency of adverse effects is extremely low and, in selected patient populations, the benefits of statins considerably outweigh the potential risks.

Indexed as

Anticholesteremic AgentsAnti-Inflammatory AgentsAtherosclerosisBlood CoagulationCardiovascular DiseasesCerebral HemorrhageCholesterolDiabetes Mellitus, Type 2Endothelium, VascularFibrinolytic AgentsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsImmunologic FactorsInflammationMevalonic AcidMusculoskeletal DiseasesAnticholesteremic AgentsAnti-Inflammatory AgentsCholesterolFibrinolytic AgentsHydroxymethylglutaryl-CoA Reductase InhibitorsImmunologic FactorsMevalonic AcidAccidenteAdverse effectsDiabetesEfectos adversosEstatinasMiositisMyositisStatinsStroke

Identifiers

PMID29292104
PMCPMC6019636
OpenAlexW2776306725

What OpenQuestion holds

Texttitle and abstract
LicenceTDM
Read underepoch 390

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.