SynthesisAdvances in therapy2026
Efficacy and Safety of Statins in Patients with Liver Cirrhosis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials with Trial Sequential Analysis.
Synthesis in Advances in therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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.
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Authors and funding
7 authors.
Funding
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Abstract
introductionLiver cirrhosis is a global health burden with high morbidity and mortality. Recent evidence suggests the benefits of statins in liver cirrhosis due to its pleiotropic effects. This systematic review and meta-analysis was conducted to evaluate the efficacy and safety of statins in patients with liver cirrhosis.
methodsPubMed, EMBASE, and Cochrane Library databases were systematically searched to identify all relevant randomized controlled trials (RCTs) regarding use of statins in cirrhosis. Risk ratios (RRs) or mean differences (MDs) with their 95% confidence intervals (CIs) were pooled for the outcomes, including overall mortality, hepatic venous pressure gradient (HVPG), cirrhosis-related complications, and adverse events. Heterogeneity was calculated. Trial sequential analysis (TSA) was performed.
resultsThirteen RCTs were included. Statins significantly decreased the overall mortality (RR 0.63, 95% CI 0.47-0.84, I
conclusionsStatins may reduce the overall mortality and HVPG in patients with liver cirrhosis. Additionally, statins can prevent from spontaneous bacterial peritonitis, but not other cirrhosis-related complications. CLINICAL REGISTRATION: The protocol was prospectively registered on the PROSPERO database (CRD420251000903).
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