Evidence map›Paper›PMID 37761518›Full record

ReviewChildren (Basel, Switzerland)2023

Statins in Children with Neurofibromatosis Type 1: A Systematic Review of Randomized Controlled Trials.

Aris P Agouridis, Nikoletta Palli, Vasiliki-Eirini Karagiorga, Afroditi Konsoula, Lamprini Markaki, Nikolaos Spernovasilis, Constantinos Tsioutis

Open access · goldAbstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. 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 4 institutions in 3 countries.

Aris P AgouridisSchool of Medicine, European University Cyprus, 2404 Nicosia, Cyprus.ORCID 0000-0002-9749-5075
Nikoletta PalliSchool of Medicine, European University Cyprus, 2404 Nicosia, Cyprus.ORCID 0009-0004-2907-0958
Vasiliki-Eirini KaragiorgaDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.ORCID 0000-0002-8677-0182
Afroditi KonsoulaDepartment of Pediatrics, General Hospital of Sitia, 72300 Sitia, Greece.ORCID 0000-0002-1868-1559
Lamprini Markaki"Iliaktida" Pediatric & Adolescents Medical Center, 4001 Limassol, Cyprus.ORCID 0000-0003-3786-9706
Nikolaos SpernovasilisDepartment of Infectious Diseases, German Oncology Center, 4108 Limassol, Cyprus.ORCID 0000-0002-6981-8535
Constantinos TsioutisSchool of Medicine, European University Cyprus, 2404 Nicosia, Cyprus.ORCID 0000-0002-7865-8529
European University Cyprus · CYLimassol General Hospital · CYIcahn School of Medicine at Mount Sinai · USThe Sitia Development Organisation · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStatins, apart from their plasma-cholesterol-lowering ability, exert several pleiotropic effects, making them a potential treatment for other diseases. Animal studies have showed that statins, through the inhibition of 3-hydroxy-3-methylglutaryl coenzyme A reductase, can affect the Ras/MAPK pathway, thus providing impetus to examine the efficacy of statins in the pediatric population with neurofibromatosis type 1 (NF1). We aimed to systematically address all relevant evidence of statin treatment in children with NF1.

methodsWe searched PubMed and Cochrane Library resources up to 2 June 2023 for randomized controlled trials (RCTs) written in English and evaluating statins versus placebo in children with NF1 (PROSPERO registration number: CRD42023439424).

resultsSeven RCTs were suitable to be included in this qualitative synthesis, with a total participation of 336 children with NF1. The duration of the studies ranged from 12 to 52 weeks. The mean age of the pediatric population was 10.9 years old. Three studies investigated the role of simvastatin, while four studies examined lovastatin. According to our analysis, neither simvastatin nor lovastatin improved cognitive function, full-scale intelligence, school performance, attention problems, or internalizing behavioral problems when compared with placebo in children with NF1. Statins were well tolerated in all included RCTs.

conclusionAlthough safe, current evidence demonstrates that statins exert no beneficial effect in cognitive function and behavioral problems in children with NF1.

Indexed as

childrenneurofibromatosis type 1NF1pediatric populationstatinssystematic review

Identifiers

PMID37761518
PMCPMC10528298
OpenAlexW4386779757

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.