Evidence map›Paper›PMID 42958024›Full record

ArticleMolecular medicine (Cambridge, Mass.)2026

Individualized statin associated type 2 diabetes risk estimation with a deep causal model.

Hao Zhou, Jorge Passamani Zubelli, Haralampos Hatzikirou, Andreas Henschel, Laurent Alain Najman, Daniel E Platt, Antonello Maruotti, Siobhan O'Sullivan, Lithe Basbous, Cynthia Al Hageh and 3 more

Abstract read
In one paragraph

Article in Molecular medicine (Cambridge, Mass.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

13 authors.

Hao ZhouCollege of Medicine and Health Sciences, Dept of Biological Sciences, Khalifa University, Abu Dhabi, UAE. hao.zhou@ku.ac.ae.ORCID http://orcid.org/0000-0001-7131-3758
Jorge Passamani ZubelliCollege of Computing and Mathematical Sciences, Dept of Mathematics, Khalifa University, Abu Dhabi, UAE.
Haralampos HatzikirouCollege of Computing and Mathematical Sciences, Dept of Mathematics, Khalifa University, Abu Dhabi, UAE.
Andreas HenschelDepartment of Computer Science, Khalifa University, Abu Dhabi, UAE.
Laurent Alain NajmanCollege of Computing and Mathematical Sciences, Dept of Mathematics, Khalifa University, Abu Dhabi, UAE.
Daniel E PlattIBM, New York, NY, USA.
Antonello MaruottiCenter for Biotechnology (BTC), Khalifa University, Abu Dhabi, UAE.
Siobhan O'SullivanCollege of Medicine and Health Sciences, Dept of Biological Sciences, Khalifa University, Abu Dhabi, UAE.
Lithe BasbousDept. of Public Health and Epidemiology, Khalifa University, Abu Dhabi, UAE.
Cynthia Al HagehDept. of Public Health and Epidemiology, Khalifa University, Abu Dhabi, UAE.
Mariam Al HarbiAbu Dhabi Public Health Center, Abu Dhabi, UAE.
Antoine AbcheeFaculty of Medicine, University of Balamand, Balamand, Lebanon.
Pierre ZallouaDept. of Public Health and Epidemiology, Khalifa University, Abu Dhabi, UAE. pierre.zalloua@ku.ac.ae.ORCID http://orcid.org/0000-0002-8494-5081

Funding

Khalifa University FSU Grant 8474000820Khalifa University RIG Grant 8474000562
6 · The paper itself

Abstract

backgroundStatin therapy reduces cardiovascular risk, but recorded statin exposure is associated with subsequent type 2 diabetes (T2D) in some populations. Individualized risk estimation and separation of low-density lipoprotein cholesterol (LDL-C)-mediated from non-LDL components remain challenging in observational data.

methodsWe analyzed adults free of diagnosed diabetes and without substantial baseline hyperglycemia in UK Biobank, the All of Us Research Program, and the Abu Dhabi Public Health Center cohort. We used weighted survival and regression analyses, UK Biobank exposure-definition and propensity-score sensitivity analyses, two-stage residual inclusion Mendelian randomization mediation, and CausalT2DNet, a balanced deep counterfactual prediction model.

resultsRecorded statin exposure was associated with higher incident T2D risk over cohort-specific horizons. UK Biobank matched-method 10-year sensitivity analyses yielded adjusted risk ratios of 2.18-2.25, and a broader baseline-only IPTW sensitivity model yielded a weighted risk ratio of 1.95. In a separate CausalT2DNet 12-year absolute-risk scenario, predicted T2D risk increased from 2.24% under no statin exposure to 4.05% under statin exposure. Mediation and counterfactual analyses suggested that much of the excess risk was not explained by LDL-C lowering, under their respective assumptions.

conclusionsRecorded statin exposure was consistently associated with higher incident T2D risk across three longitudinal cohorts. The framework supports assumption-explicit research risk estimation and hypothesis generation and requires external recalibration and prospective validation before clinical use.

Indexed as

Diabetes Mellitus, Type 2Hydroxymethylglutaryl-CoA Reductase InhibitorsAgedCholesterol, LDLFemaleHumansMaleMiddle AgedRisk AssessmentRisk FactorsUK BiobankUnited KingdomCholesterol, LDLHydroxymethylglutaryl-CoA Reductase InhibitorsCardiovascularCausal inferenceDiabetesLDLMachine learningStatin

Identifiers

PMID42958024
PMCPMC13721574

What OpenQuestion holds

Textmetadata
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.