Evidence map›Paper›PMID 34315986›Full record

ArticleScientific reports2021

Association between statin use and Alzheimer's disease with dose response relationship.

Su-Min Jeong, Dong Wook Shin, Tae Gon Yoo, Mi Hee Cho, Wooyoung Jang, Jinkook Lee, SangYun Kim

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Medication Exposure and Risk of Dementia and Alzheimer's Disease.International journal of molecular sciences · 2024
    Review
  10. Review
  11. Review
  12. Article
  13. The role of CD56Journal of neuroinflammation · 2024
    Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

7 authors at 5 institutions in 2 countries.

Su-Min JeongDepartment of Family Medicine, Samsung Medical Center, Supportive Care Center, Samsung Comprehensive Cancer Hospital, 81 Irwon-Ro, Gangnam-gu, Seoul, Republic of Korea.
Dong Wook ShinDepartment of Family Medicine, Samsung Medical Center, Supportive Care Center, Samsung Comprehensive Cancer Hospital, 81 Irwon-Ro, Gangnam-gu, Seoul, Republic of Korea. dwshin.md@gmail.com.
Tae Gon YooDepartment of Family Medicine, Hongseong Medical Center, Hongseong, Republic of Korea.
Mi Hee ChoSamsung C&T Medical Clinic, Kangbuk Samsung Hospital, Seoul, Republic of Korea.
Wooyoung JangDepartment of Neurology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Republic of Korea.
Jinkook LeeDepartment of Economics & Center for Economic & Social Research, Los Angeles, & RANC Corporation, University of Southern California, Santa Monica, CA, USA.
SangYun KimDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Samsung Medical Center · KRGangneung Asan Hospital · KRKangbuk Samsung Hospital · KRSeoul National University Bundang Hospital · KRUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to determine the dose-response relationship between the levels of statin exposure and the incidence of Alzheimer's disease (AD). We included 119,013 Korean adults (≥ 60 years old) using a database from the Korean National Health Insurance Service (2002-2013). Statin exposure was treated as a time-varying variable. Incidence of AD was defined by the first claim code for AD with anti-Alzheimer drugs. AD occurred in 9467 cases during a median 7.2 years of follow-up. Overall, statin use was not associated with an increased risk of AD incidence [adjusted hazard ratio (aHR) = 1.04; 95% confidence interval (CI) = 0.99-1.10]. When examined by level of statin exposure, statin prescription < 540 days during a 2-year window time was associated with a higher risk for incidence of AD compared to statin non-use. However, days of prescription ≥ 540 and cumulative defined daily dose ≥ 540 of statin were associated with decreased risk of AD [aHR (95% CI) = 0.87 (0.80-0.95) and 0.79 (0.68-0.92), respectively]. Our findings indicate that less persistent statin use is associated with increased risk of AD, whereas persistent and adherent statin use is associated with decreased risk of AD.

Indexed as

Alzheimer DiseaseDose-Response Relationship, DrugFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsIncidenceMaleMiddle AgedProportional Hazards ModelsRepublic of KoreaRisk FactorsHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID34315986
PMCPMC8316580
OpenAlexW3183415643

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.