Evidence map›Paper›PMID 37671618›Full record

Observational studyJournal of the American Heart Association2023

Intensive Statin Therapy Versus Upfront Combination Therapy of Statin and Ezetimibe in Patients With Acute Coronary Syndrome: A Propensity Score Matching Analysis Based on the PL-ACS Data.

Joanna Lewek, Jacek Niedziela, Piotr Desperak, Krzysztof Dyrbuś, Tadeusz Osadnik, Piotr Jankowski, Adam Witkowski, Agata Bielecka-Dąbrowa, Dariusz Dudek, Marek Gierlotka and 2 more

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
14.9field-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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  8. Effects of the 2019 guideline update on lipid-lowering therapy in patients with acute coronary syndromes.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Joanna LewekDepartment of Preventive Cardiology and Lipidology Medical University of Lodz Lodz Poland.ORCID 0000-0001-8737-2453
Jacek Niedziela3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze Medical University of Silesia Katowice Poland.ORCID 0000-0001-5016-8862
Piotr Desperak3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze Medical University of Silesia Katowice Poland.ORCID 0000-0002-1210-0565
Krzysztof Dyrbuś3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze Medical University of Silesia Katowice Poland.ORCID 0000-0003-1323-1089
Tadeusz OsadnikDepartment of Pharmacology, Faculty of Medical Sciences in Zabrze Medical University of Silesia Katowice Poland.ORCID 0000-0002-3202-6972
Piotr JankowskiDepartment of Internal Medicine and Geriatric Cardiology Centre of Postgraduate Medical Education Warsaw Poland.ORCID 0000-0001-6223-8821
Adam WitkowskiDepartment of Interventional Cardiology and Angiology National Institute of Cardiology Warszawa Poland.ORCID 0000-0002-3514-2047
Agata Bielecka-DąbrowaDepartment of Preventive Cardiology and Lipidology Medical University of Lodz Lodz Poland.ORCID 0000-0001-6666-3999
Dariusz DudekInterventional Cardiology Unit GVM Care and Research, Maria Cecilia Hospital Cotignola Italy.
Marek GierlotkaDepartment of Cardiology, Institute of Medical Sciences University of Opole Opole Poland.ORCID 0000-0001-5639-2128
Mariusz Gąsior3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze Medical University of Silesia Katowice Poland.ORCID 0000-0001-6775-1392
Maciej BanachDepartment of Preventive Cardiology and Lipidology Medical University of Lodz Lodz Poland.ORCID 0000-0001-6690-6874
Medical University of Silesia · PLMedical University of Lodz · PLInstitute of Cardiology · PLJagiellonian University · PLPostgraduate School of Molecular Medicine · PLUniversity of Opole · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background We aimed to compare statin monotherapy and upfront combination therapy of statin and ezetimibe in patients with acute coronary syndromes (ACSs). Methods and Results The study included consecutive patients with ACS included in the PL-ACS (Polish Registry of Acute Coronary Syndromes), which is a national, multicenter, ongoing, prospective observational registry that is mandatory for patients with ACS hospitalized in Poland. Data were matched using the Mahalanobis distance within propensity score matching calipers. Multivariable stepwise logistic regression analysis, including all variables, was next used in propensity score matching analysis. Finally, 38 023 consecutive patients with ACS who were discharged alive were included in the analysis. After propensity score matching, 2 groups were analyzed: statin monotherapy (atorvastatin or rosuvastatin; n=768) and upfront combination therapy of statin and ezetimibe (n=768 patients). The difference in mortality between groups was significant during the follow-up and was present at 1 (5.9% versus 3.5%;

Indexed as

Acute Coronary SyndromeHydroxymethylglutaryl-CoA Reductase InhibitorsAtorvastatinEzetimibeHumansPropensity ScoreRosuvastatin CalciumAtorvastatinEzetimibeHydroxymethylglutaryl-CoA Reductase InhibitorsRosuvastatin Calciumacute coronary syndromecombination therapylipidsmonotherapyprevention

Identifiers

PMID37671618
PMCPMC10547305
OpenAlexW4386466506

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.