Evidence map›Paper›PMID 30565854›Full record

Trial reportJournal of thrombosis and haemostasis : JTH2019

Rosuvastatin use reduces thrombin generation potential in patients with venous thromboembolism: a randomized controlled trial.

Fernanda A Orsi, Joseph S Biedermann, Marieke J H A Kruip, Felix J van der Meer, Frits R Rosendaal, Astrid van Hylckama Vlieg, Mettine H A Bos, Frank W G Leebeek, Suzanne C Cannegieter, Willem M Lijfering

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of thrombosis and haemostasis : JTH, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Statins for adults with a first episode of venous thromboembolic disease.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Statins for the primary prevention of venous thromboembolism.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Trial
  4. Trial
  5. Prospective Assessment of Biomarkers of Hypercoagulability for the Identification of Patients With Severe Coronary Artery Disease. The ROADMAP-CAD Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Trial
  6. Coronary plaque healing: a safety net or a hazard indicator?Journal of thrombosis and thrombolysis · 2026
    Review
  7. Article
  8. The role of statins in mitigating venous thromboembolism incidence and severity.Research and practice in thrombosis and haemostasis · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Statins and Hemostasis: Therapeutic Potential Based on Clinical Evidence.Advances in experimental medicine and biology · 2023
    Review
  14. D-dimer, thrombin generation, and risk of a first venous thrombosis in the elderly.Research and practice in thrombosis and haemostasis · 2021
    Article
  15. Article
  16. Review
  17. Article
  18. Article
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 4 institutions in 2 countries.

Fernanda A OrsiDepartment of Clinical Pathology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil.
Joseph S BiedermannStar-Medical Anticoagulation Clinic, Rotterdam, the Netherlands.
Marieke J H A KruipStar-Medical Anticoagulation Clinic, Rotterdam, the Netherlands.
Felix J van der MeerDepartment of Internal Medicine, Section of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
Frits R RosendaalDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
Astrid van Hylckama VliegDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
Mettine H A BosEinthoven Laboratory for Vascular and Regenerative Medicine, Leiden University Medical Center, Leiden, the Netherlands.
Frank W G LeebeekDepartment of Hematology, Erasmus University Medical Center, Rotterdam, the Netherlands.
Suzanne C CannegieterDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
Willem M LijferingDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
Leiden University Medical Center · NLErasmus MC · NLStar Medisch Diagnostisch Centrum · NLUniversidade Estadual de Campinas (UNICAMP) · BR

Funding

Dutch Heart Foundation NHS 2011T012São Paulo Research Foundation 2017/09506-5
6 · The paper itself

Abstract

Essentials The role of statins in hemostasis and venous thromboembolism (VTE) prophylaxis is not clear. This trial assessed whether rosuvastatin use affects thrombin generation in patients with VTE. Endogenous thrombin potential and peak were decreased by 10% and 5% with rosuvastatin therapy. These results provide basis for trials on the efficacy of statins in reducing recurrent VTE risk. SUMMARY: Background Statin therapy could form an alternative prophylactic treatment for venous thromboembolism (VTE) if statins are proven to downregulate hemostasis and prevent recurrent VTE, without increasing bleeding risk. Objectives The STAtins Reduce Thrombophilia (START) trial investigated whether statin affects coagulation in patients with prior VTE. Patients/methods After anticoagulation withdrawal, patients were randomized to rosuvastatin 20 mg day

Indexed as

AdultAgedAged, 80 and overBlood CoagulationFemaleFibrinolytic AgentsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedNetherlandsRecurrenceRosuvastatin CalciumThrombinTime FactorsTreatment OutcomeFibrinolytic AgentsHydroxymethylglutaryl-CoA Reductase InhibitorsRosuvastatin CalciumThrombinhydroxymethylglutaryl-CoA reductase inhibitorsrandomized clinical trialthrombin generationthrombophiliavenous thrombosis

Identifiers

PMID30565854
PMCPMC6850636
OpenAlexW2904204835

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.