Evidence map›Paper›PMID 33705531›Full record

SynthesisCardiovascular research2022

Rosuvastatin for the prevention of venous thromboembolism: a pooled analysis of the HOPE-3 and JUPITER randomized controlled trials.

Philip Joseph, Robert Glynn, Eva Lonn, Chinthanie Ramasundarahettige, John Eikelboom, Jean MacFadyen, Paul Ridker, Salim Yusuf

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Cardiovascular research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Statins for the primary prevention of venous thromboembolism.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. The impact of statins on pulmonary embolism severity-a retrospective data analysis.Research and practice in thrombosis and haemostasis · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
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  14. Review
  15. Article
  16. Review
  17. Statins and Risk of Thrombosis in Critically ill Patients with COVID-19: A Multicenter Cohort Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

8 authors at 4 institutions in 2 countries.

Philip JosephPopulation Health Research Institute, Hamilton Health Sciences and McMaster University, 237 Barton St East, Hamilton, ON L8L 2X2, Canada.
Robert GlynnCenter for Cardiovascular Disease Prevention, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Eva LonnPopulation Health Research Institute, Hamilton Health Sciences and McMaster University, 237 Barton St East, Hamilton, ON L8L 2X2, Canada.
Chinthanie RamasundarahettigePopulation Health Research Institute, Hamilton Health Sciences and McMaster University, 237 Barton St East, Hamilton, ON L8L 2X2, Canada.
John EikelboomPopulation Health Research Institute, Hamilton Health Sciences and McMaster University, 237 Barton St East, Hamilton, ON L8L 2X2, Canada.
Jean MacFadyenCenter for Cardiovascular Disease Prevention, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Paul RidkerCenter for Cardiovascular Disease Prevention, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Salim YusufPopulation Health Research Institute, Hamilton Health Sciences and McMaster University, 237 Barton St East, Hamilton, ON L8L 2X2, Canada.
Hamilton Health Sciences · CABrigham and Women's Hospital · USHarvard University · USMcMaster University · CA

Funding

Determinants of Venous Thromboembolism in Older PeopleR01AG031061 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI GLYNN, ROBERT J · 2007 to 2010
$891k
NIA NIH HHS R01 AG031061
6 · The paper itself

Abstract

aimsTo examine the association between rosuvastatin and VTE risk, and whether effects vary in different subpopulations stratified by key demographic, cardiovascular disease (CVD) risk factors, and other risk factors associated with VTE. METHODS AND

resultsAn individual participant data meta-analysis was conducted across two randomized controlled trials in 30 507 participants over a mean follow-up of 3.62 years, individuals had no prior history of vascular disease but were at intermediate CV risk. In both trials, participants were randomized to receive rosuvastatin or matching placebo. The primary outcome was VTE during follow-up, defined as either deep vein thrombosis or pulmonary embolism. Associations between rosuvastatin and VTE were examined in the overall pooled cohort, and subpopulations stratified by demographic risk factors (i.e. age and sex), CVD risk factors (i.e. obesity, smoking, lipid levels, blood pressure levels, and C-reactive protein level), and a history of cancer. Mean age was 65.96 (SD 7.19) years of age, and 17 832 (58.45%) were male and 5434 (17.82%) were smokers, median BMI was 27.6 [interquartile range (IQR) 24.7-31.1] kg/m2, and median CRP level was 3.4 (IQR 2.1-6.0) mg/L. There were 139 VTE events. In the pooled cohort, rosuvastatin was associated with a large proportional reduction in the risk of VTE (hazard ratio 0.53, 95% CI 0.37-0.75). No significant interactions were observed between treatment with rosuvastatin and the risk of VTE across subpopulations stratified by demographic, CVD risk factors, or a history of cancer (P-values for interactions >0.05 for all subgroups).

conclusionRosuvastatin is associated with a 47% proportional reduction in the risk of VTE, and its effect is consistent both in the presence or absence of VTE-related clinical risk factors.

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsPulmonary EmbolismVenous ThromboembolismAgedHumansMaleRandomized Controlled Trials as TopicRisk FactorsRosuvastatin CalciumHydroxymethylglutaryl-CoA Reductase InhibitorsRosuvastatin CalciumStatinVenous thromboembolism

Identifiers

PMID33705531
PMCPMC8859624
OpenAlexW3133793751

What OpenQuestion holds

Textmetadata
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.