Evidence map›Paper›PMID 14744838›Full record

ReviewArchives of internal medicine2004

Conceptual foundations of the UCSD Statin Study: a randomized controlled trial assessing the impact of statins on cognition, behavior, and biochemistry.

Beatrice Alexandra Golomb, Michael H Criqui, Halbert White, Joel E Dimsdale

Registry-linked trialAbstract readReview
In one paragraph

Review in Archives of internal medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT00330980. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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.

NCT00330980 phase4completed

Statins and Noncardiovascular Endpoints

Ran2000Enrolled1,000Registered outcomes2Posted comparisons0ConditionsDyslipidemiasArms20 mg Simvastatin, 40 mg Pravastatin (Pravachol), Placebo
PMID 15020036other papers from this trial
Open the trial in the graph
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Statins, mood, sleep, and physical function: a systematic review.European journal of clinical pharmacology · 2014
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Neurobiology of aggression and violence.The American journal of psychiatry · 2008
    Review
  15. Article
  16. Review
  17. Effects of atorvastatin on higher functions.European journal of clinical pharmacology · 2006
    Article
  18. 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

4 authors.

Beatrice Alexandra GolombDepartment of Medicine, University of California, San Diego, La Jolla, CA 92093, USA.
Michael H Criqui
Halbert White
Joel E Dimsdale

Funding

STATINS AND NON-CARDIAC ENDPOINTSR01HL063055 · NHLBI · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI GOLOMB, BEATRICE A · 1999 to 2003
$4.8M
NHLBI NIH HHS 5 R01 HL 63055NHLBI NIH HHS R01 HL063055
6 · The paper itself

Abstract

backgroundStatin cholesterol-lowering drugs are among the most prescribed drugs in the United States. Their cardiac benefits are substantial and well supported. However, there has been persistent controversy regarding possible favorable or adverse effects of statins or of cholesterol reduction on cognition, mood, and behavior (including aggressive or violent behavior).

methodsThe literature pertaining to the relationship of cholesterol or statins to several noncardiac domains was reviewed, including the link between statins (or cholesterol) and cognition, aggression, and serotonin.

resultsThere are reasons to think both favorable and adverse effects of statins and low cholesterol on cognition may pertain; the balance of these factors requires further elucidation. A substantial body of literature links low cholesterol level to aggressive behavior; statin randomized trials have not supported a connection, but they have not been designed to address this issue. A limited number of reports suggest a connection between reduced cholesterol level and reduced serotonin level, but more information is needed with serotonin measures that are practical for clinical use. Whether lipophilic and hydrophilic statins differ in their impact should be assessed.

conclusionThere is a strong need for randomized controlled trial data to more clearly establish the impact of hydrophilic and lipophilic statins on cognition, aggression, and serotonin, as well as on other measures relevant to risks and quality-of-life impact in noncardiac domains.

Indexed as

Randomized Controlled Trials as TopicAggressionAngiotensin-Converting Enzyme InhibitorsCholesterolCognitionHumansHypercholesterolemiaPravastatinSerotoninSimvastatinUnited StatesAngiotensin-Converting Enzyme InhibitorsCholesterolPravastatinSerotoninSimvastatin

Identifiers

PMID14744838
PMCPMC4714865

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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 Socratic graph.