Evidence map›Paper›PMID 29473041›Full record

ReviewFrontiers in medicine2018

The Role of Statins in Disease Modification and Cardiovascular Risk in Rheumatoid Arthritis.

Stergios Soulaidopoulos, Elena Nikiphorou, Theodoros Dimitroulas, George D Kitas

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Frontiers in medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06724952 (Clinical Study Evaluating Anti Rheumatic Activity and The Role of Silymarin in Attenuating Methotrexate Toxicity in Patients With Rheumatoid Arthritis), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
7.3field-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.

NCT06724952 phase4not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Clinical Study Evaluating Anti Rheumatic Activity and The Role of Silymarin in Attenuating Methotrexate Toxicity in Patients With Rheumatoid Arthritis

TypeinterventionalSponsorTanta UniversityRan2024 to 2025Enrolled44ConditionsRheumatoid Arthritis (RA)ArmsMTX S.C or IM and Silymarin 140 mg tab, MTX S.C or IM
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Statins & risk ofThe Indian journal of medical research · 2019
    Pooled it
  2. Article
  3. Review
  4. Residual Traditional Risk in Non-Traditional Atherosclerotic Diseases.International journal of molecular sciences · 2025
    Review
  5. Off-label use of medicines in South Africa: a review.Orphanet journal of rare diseases · 2024
    Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Lipid metabolism and rheumatoid arthritis.Frontiers in immunology · 2023
    Review
  12. Review
  13. Article
  14. Review
  15. Immunity in Atherosclerosis: Focusing on T and B Cells.International journal of molecular sciences · 2021
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
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

4 authors at 3 institutions in 2 countries.

Stergios Soulaidopoulos4th Department of Internal Medicine, Hippokration University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Elena NikiphorouDepartment of Academic Rheumatology, King's College London, London, United Kingdom.
Theodoros Dimitroulas4th Department of Internal Medicine, Hippokration University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
George D KitasArthritis Research UK Centre for Epidemiology, University of Manchester, Manchester, United Kingdom.
Aristotle University of Thessaloniki · GRVersus Arthritis · GBWhittington Health NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is an autoimmune, inflammatory disorder associated with excess cardiovascular morbidity and mortality. A complex interplay between traditional risk factors (dyslipidemia, insulin resistance, arterial hypertension, obesity, smoking) and chronic inflammation is implicated in the development of premature atherosclerosis and consequently in the higher incidence of cardiovascular events observed in RA patients. Despite the acknowledgment of elevated cardiovascular risk among RA individuals, its management remains suboptimal. While statin administration has a crucial role in primary and secondary cardiovascular disease prevention strategies as lipid modulating factors, there are limited data concerning the precise benefit of such therapy in patients with RA. Systemic inflammation and anti-inflammatory treatments influence lipid metabolism, leading to variable states of dyslipidemia in RA. Hence, the indications for statin therapy for cardiovascular prevention may differ between RA patients and the general population and the precise role of lipid lowering treatment in RA is yet to be established. Furthermore, some evidence supports a potential beneficial impact of statins on RA disease activity, attributable to their anti-inflammatory and immunomodulatory properties. This review discusses existing data on the efficacy of statins in reducing RA-related cardiovascular risk as well as their potential beneficial effects on disease activity.

Indexed as

anti-inflammatory effectcardiovascular risklipid lowering actionrheumatoid arthritisstatins

Identifiers

PMID29473041
PMCPMC5809441
OpenAlexW2793074716

What OpenQuestion holds

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Registered trials

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.