Evidence map›Paper›PMID 40018472›Full record

ReviewCureus2025

Role of Statins in Reducing Cardiovascular Mortality: A Systematic Review of Long-Term Outcomes.

Bipasha Seth, David Okello, Syed Saad Ullah, Rabia Yousaf, Shaikha B Alfalasi, Muhammad Hafeez, Naveed Rasool, Gurman Bhullar, Tchapleu Nana Ian Gidley, Syed Ali Hussein Abdi and 1 more

RetractedAbstract readReviewRetracted Publication
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Bipasha SethIntensive Care Unit, Niraj Intensive and Anesthesia Care Private Limited, Delhi, IND.
David OkelloInternal Medicine, Ministry of Health, Lusaka, ZMB.
Syed Saad UllahPulmonology, Jinnah Postgraduate Medical Center, Karachi, PAK.
Rabia YousafInternal Medicine, Shifa College of Medicine, Islamabad, PAK.
Shaikha B AlfalasiGeneral Surgery, Dubai Medical College for Girls, Dubai, ARE.
Muhammad HafeezPharmacology, Quetta Institute of Medical Sciences, Quetta, PAK.
Naveed RasoolInternal Medicine, East and North Hertfordshire NHS Trust, London, GBR.
Gurman BhullarInternal Medicine, Sri Guru Ram Das University of Health Sciences and Research, Amritsar, IND.
Tchapleu Nana Ian GidleyInternal Medicine, Faculty of Medicine and Biomedical Sciences, Yaoundé, CMR.
Syed Ali Hussein AbdiInternal Medicine, Ajman University College of Medicine, Dubai, ARE.
Khakan MurtazaInternal Medicine, Nishtar Medical University, Multan, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular diseases (CVDs) remain the leading cause of mortality worldwide, highlighting the critical need for effective preventive therapies. Statins, or HMG-CoA reductase inhibitors, are widely prescribed for their ability to lower low-density lipoprotein (LDL) cholesterol and reduce CV risk. This systematic review evaluates the long-term impact of statins on CV and all-cause mortality across diverse populations, including those with chronic kidney disease, chronic heart failure, and other comorbid conditions. A comprehensive search of major databases identified randomized controlled trials and large observational cohort studies with follow-up periods exceeding one year. Findings demonstrated significant reductions in CV mortality (hazard ratio (HR) range: 0.38-0.76) and all-cause mortality (HR range: 0.55-0.80) with statin therapy, particularly among high-risk groups, such as individuals with elevated LDL-C and moderate chronic kidney disease. Additional benefits were observed in preventing major adverse cardiovascular events (MACEs). Subgroup analyses revealed variations in efficacy based on age, sex, comorbidities, and statin type or dosage, with some populations, such as those with chronic heart failure and chronic obstructive pulmonary disease, showing limited benefit. Geographic and ethnic diversity were underrepresented in the included studies, and data on long-term effects in populations with advanced renal impairment or inflammatory conditions remain insufficient. These gaps underscore the need for methodologically robust studies and tailored approaches to statin therapy that account for individual patient profiles, including comorbidities and demographic factors. Practical steps include integrating statins with newer lipid-lowering agents and developing personalized treatment protocols to maximize their benefits and minimize risks. This review reinforces the critical role of statins in reducing the global burden of CVDs while emphasizing areas for future research.

Indexed as

all-cause mortalitycardiovascular mortalitychronic heart failure (chf)chronic kidney disease (ckd)hmg-coa reductase inhibitorslow-density lipoprotein (ldl) cholesterolmajor adverse cardiovascular events (maces)primary preventionsecondary preventionstatins

Identifiers

PMID40018472
PMCPMC11867218

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Registered trials

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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.