Evidence map›Paper›PMID 41890876›Full record

ReviewFrontiers in cardiovascular medicine2026

Anti-inflammatory therapies to prevent cardiovascular events: systematic review and network meta-analysis of randomised controlled trials.

Kevin E Boczar, Alexander L Pearson, Ramtin Hakimjavadi, Sheojung Shin, Saba Shahab, Aishwarya Geejo, Sarah M Visintini, Christopher A Fehlmann, Kathryn A Bezzina, Rob S B Beanlands and 1 more

Abstract readReview
In one paragraph

Review in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

11 authors.

Kevin E BoczarDepartment of Cardiology, University of Ottawa Heart Institute, Ottawa, ON, Canada.
Alexander L PearsonDepartment of Cardiology, University of Ottawa Heart Institute, Ottawa, ON, Canada.
Ramtin HakimjavadiDepartment of Cardiology, University of Ottawa Heart Institute, Ottawa, ON, Canada.
Sheojung ShinDepartment of Cardiology, University of Ottawa Heart Institute, Ottawa, ON, Canada.
Saba ShahabDepartment of Cardiology, University of Ottawa Heart Institute, Ottawa, ON, Canada.
Aishwarya GeejoDepartment of Cardiology, University of Ottawa Heart Institute, Ottawa, ON, Canada.
Sarah M VisintiniBerkman Library, University of Ottawa Heart Institute, Ottawa, ON, Canada.
Christopher A FehlmannSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.
Kathryn A BezzinaDepartment of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Rob S B BeanlandsDepartment of Cardiology, University of Ottawa Heart Institute, Ottawa, ON, Canada.
George A WellsDepartment of Cardiology, University of Ottawa Heart Institute, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anti-inflammatory therapies have been increasingly investigated for the reduction of cardiovascular (CV) events. The objective of this paper was to summarize and compare the relative effectiveness of anti-inflammatory medications for the reduction of CV events in patients with known coronary artery disease (CAD), either acute coronary syndromes (ACS) or stable CAD. Methods: Systematic review and network meta-analysis of randomised controlled trials (RCTs) that included at least one anti-inflammatory treatment and involved patients with CAD. Databases searched: Medline, Embase, Cochrane Central Register of Controlled Trials, clinical trial registry websites, Europe PMC, and conference abstracts. Bayesian network meta-analysis was performed to calculate risk estimates using fixed-effects analyses in patients with ACS and stable CAD. Risk of bias assessments were performed using the Cochrane Risk of Bias 2 (RoB2) tool. Results: 17,021 studies were screened; 41 met inclusion criteria. 29,487 patients were included in the ACS network and 41,791 in the stable CAD network. In the ACS network analysis, both non-steroidal anti-inflammatory drugs [OR: 0.30, 95% Credible Limits (CrI): 0.11-0.74] and colchicine (OR: 0.77, CrI: 0.62-0.95) were associated with a significant reduction in major adverse cardiac events (MACE) compared to control. In the stable CAD analysis, both corticosteroids (OR: 0.44, 95% CrI: 0.26-0.72) and colchicine (OR: 0.65, CrI: 0.54-0.77) were associated with a significant reduction in MACE compared to control. Conclusions: In patients with ACS, colchicine was associated with a reduction in MACE, while observed associations for NSAIDs were derived from sparse and predominantly indirect evidence. In patients with stable CAD, colchicine and corticosteroids were associated with a reduction in MACE, although these findings were informed largely by indirect comparisons. Systematic Review Registration: Identifier CRD42022303289.

Indexed as

acute coronary syndromeanti-inflammatorycoronary artery diseasenetwork meta-analysestherapeutics

Identifiers

PMID41890876
PMCPMC13013507

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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.