Evidence map›Paper›PMID 29473763›Full record

ReviewExpert review of clinical immunology2018

Statin-induced myalgia and myositis: an update on pathogenesis and clinical recommendations.

Albert Selva-O'Callaghan, Marcelo Alvarado-Cardenas, Iago Pinal-Fernández, Ernesto Trallero-Araguás, José Cesar Milisenda, María Ángeles Martínez, Ana Marín, Moisés Labrador-Horrillo, Cándido Juárez, Josep María Grau-Junyent

Open access · greenAbstract readReview
In one paragraph

Review in Expert review of clinical immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 3 pooled it
11.5field-weighted citation impact, top 1% 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

94 citing papers in PubMed, 3 syntheses or guidelines pooled it, 192 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Trial
  6. Rhabdomyolysis After COVID-19.The Medical journal of Australia · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Sex differences in LDL-C genetic architecture and statin efficacy in All of Us.medRxiv : the preprint server for health sciences · 2026
    Article
  13. Article
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  15. Article
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  18. Article
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  20. Review

34 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

10 authors at 3 institutions in 2 countries.

Albert Selva-O'Callaghana Systemic Autoimmune Diseases Unit, Vall d'Hebron General Hospital , Universitat Autonoma de Barcelona , Barcelona , Spain.
Marcelo Alvarado-Cardenasa Systemic Autoimmune Diseases Unit, Vall d'Hebron General Hospital , Universitat Autonoma de Barcelona , Barcelona , Spain.
Iago Pinal-Fernándezb National Institutes of Health, Muscle Diseases , NIAMS , Bethesda , MD , USA.
Ernesto Trallero-Araguásd Rheumatology Unit, Vall d'Hebron General Hospital , Universitat Autonoma de Barcelona , Barcelona , Spain.
José Cesar Milisendae Internal Medicine Department, Hospital Clinic , Universitat de Barcelona , CIBERER , Barcelona , Spain.
María Ángeles Martínezf Immunology Department, Hospital de la Santa Creu i Sant Pau , Universitat Autonoma de Barcelona , Barcelona , Spain.
Ana Maríng Immunology Department, Vall d'Hebron General Hospital , Universitat Autonoma de Barcelona , Barcelona , Spain.
Moisés Labrador-Horrilloa Systemic Autoimmune Diseases Unit, Vall d'Hebron General Hospital , Universitat Autonoma de Barcelona , Barcelona , Spain.
Cándido Juárezf Immunology Department, Hospital de la Santa Creu i Sant Pau , Universitat Autonoma de Barcelona , Barcelona , Spain.
Josep María Grau-Junyente Internal Medicine Department, Hospital Clinic , Universitat de Barcelona , CIBERER , Barcelona , Spain.
Universitat Autònoma de Barcelona · ESCentre for Biomedical Network Research on Rare Diseases · ESJohns Hopkins University · US

Funding

Intramural NIH HHS Z99 AR999999
6 · The paper itself

Abstract

introductionMusculoskeletal manifestations are well-recognized side effects of treatment with statins. New advances in this field have appeared in recent years. This review focuses on the diagnosis of these conditions and their underlying pathogenesis, in particular immune-mediated necrotizing myopathy. Areas covered: Clinical phenotypes including rhabdomyolysis, myalgia and/or mild hyperCKemia, self-limited toxin statin myopathy, and immune-mediated necrotizing myopathy are herein described. Therapeutic recommendations and a diagnostic algorithm in statin-associated myopathy are also proposed. The etiology and pathogenesis of statin-induced myopathy has mainly focused on the anti-HMGCR antibodies and the responsibility of the immune-mediated necrotizing myopathy is discussed. The fact that patients who have not been exposed to statins may develop statin-associated autoimmune myopathy with anti-HMGCR antibodies is also addressed. The literature search strategy included terms identified by searches of PubMed between 1969 and December 2017. The search terms 'myositis', 'statin-induced autoimmune myopathy', 'immune-mediate necrotizing myopathy', 'statins', 'muscular manifestations', and 'anti-HMGCR antibodies' were used. Expert commentary: Full characterization of the known phenotypes of statin toxicity and the specific role of the anti-HMGCR in those exposed and not exposed (i.e. juvenile forms) to statins and in some types of neoplasms is of paramount relevance.

Indexed as

AlgorithmsAutoantibodiesExpert TestimonyHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHydroxymethylglutaryl CoA ReductasesMusclesMyalgiaMyositisNecrosisAutoantibodiesHMGCR protein, humanHydroxymethylglutaryl-CoA Reductase InhibitorsHydroxymethylglutaryl CoA Reductasesanti-HMGCR antibodiesmuscular manifestationsMyositisstatin-induced autoimmune myopathy: immune-mediate necrotizing myopathystatins

Identifiers

PMID29473763
PMCPMC6019601
OpenAlexW2791516976

What OpenQuestion holds

Textmetadata
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.