Evidence map›Paper›PMID 30549046›Full record

ArticleMuscle & nerve2019

Clinical features related to statin-associated muscle symptoms.

Heather M Ochs-Balcom, Ly Minh Nguyen, Changxing Ma, Paul J Isackson, Jasmine A Luzum, Joseph P Kitzmiller, Mark Tarnopolsky, Michael Weisman, Lisa Christopher-Stine, Wendy Peltier and 2 more

Abstract read
In one paragraph

Article in Muscle & nerve, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Heather M Ochs-BalcomDepartment of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, 270 Farber Hall, Buffalo, New York, 14214-8001, USA.
Ly Minh NguyenDepartment of Pharmaceutical Sciences, University at Buffalo, Buffalo, New York, USA.
Changxing MaDepartment of Biostatistics, School of Public Health and Health Professions, University at Buffalo, Buffalo, New York, USA.
Paul J IsacksonDepartment of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
Jasmine A LuzumDepartment of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, Michigan, USA.
Joseph P KitzmillerCenter for Pharmacogenomics, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Mark TarnopolskyDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Michael WeismanDepartment of Rheumatology, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Lisa Christopher-StineDepartment of Medicine, Division of Rheumatology, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Wendy PeltierDepartment of Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Robert L WortmannDepartment of Medicine, The Geisel School of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Georgirene D VladutiuDepartment of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.

Funding

GENETIC SUSCEPTIBILITY TO LIPID-LOWERING DRUG-INDUCED MYOPATHIESR01HL085800 · NHLBI · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI VLADUTIU, GEORGIRENE · 2008 to 2012
$2.0M
Translational Candidate-Gene Studies of Simvastatin-Induced Myopathy in African AmericansR01MD011307 · NIMHD · OHIO STATE UNIVERSITY · PI SMITH, SAKIMA AHMAD · 2017 to 2021
$1.9M
Statin Pharmacogenomics: A multi-gene PK-PD modeling approachK23GM100372 · NIGMS · OHIO STATE UNIVERSITY · PI KITZMILLER, JOSEPH PAUL · 2011 to 2015
$955k
Role of Narexin in Neuromuscular DiseaseR21AR055704 · NIAMS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI ISACKSON, PAUL J · 2008 to 2009
$384k
NHLBI NIH HHS L30 HL110279NHLBI NIH HHS R01 HL085800NIAMS NIH HHS R21 AR055704NIGMS NIH HHS K23 GM100372NIMHD NIH HHS R01 MD011307
6 · The paper itself

Abstract

introductionStatins reduce cardiovascular disease risk and are generally well tolerated, yet up to 0.5% of statin-treated patients develop incapacitating muscle symptoms including rhabdomyolysis. Our objective was to identify clinical factors related to statin-associated muscle symptoms (SAMS).

methodsClinical and laboratory characteristics were evaluated in 748 statin-treated Caucasians (634 with SAMS and 114 statin-tolerant controls). Information was collected on statin type, concomitant drug therapies, muscle symptom history, comorbidities, and family history. Logistic regression was used to identify associations.

resultsIndividuals with SAMS were 3.6 times (odds ratio [OR] 3.60, 95% confidence interval [CI] 2.08-6.22) more likely than statin-tolerant controls to have a family history of heart disease. Additional associations included obesity (OR 3.08, 95% CI 1.18, 8.05), hypertension (OR 2.24, 95% CI 1.33, 3.77), smoking (OR 2.08, 95% CI 1.16, 3.74), and statin type. DISCUSSION: Careful medical monitoring of statin-treated patients with the associated coexisting conditions may ultimately reduce muscle symptoms and lead to improved compliance. Muscle Nerve 59:537-537, 2019.

Indexed as

AgedAtorvastatinFemaleHeart DiseasesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHypertensionLogistic ModelsLovastatinMaleMedical History TakingMiddle AgedMuscle WeaknessMuscular DiseasesMyalgiaObesityAtorvastatinHydroxymethylglutaryl-CoA Reductase InhibitorsLovastatinPravastatinRosuvastatin CalciumSimvastatinmuscle diseaserhabdomyolysisrisk factorsstatin-associated muscle symptomsstatins

Identifiers

PMID30549046
PMCPMC6465106

What OpenQuestion holds

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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.