Statins × cardiovascular events

SynthesisBMJ (Clinical research ed.)2008

Effects of statins in patients with chronic kidney disease: meta-analysis and meta-regression of randomised controlled trials.

Giovanni F M Strippoli et al.PubMed ↗Full text ↗Publisher ↗

  • Statinslooks good hereLower total cholesterol, fewer fatal cardiovascular events, fewer non-fatal cardiovascular events.Randomised, large.

What the trial testedrandomised · 6,390 people · 2008

Randomised vs placebo

Lowered total cholesterol

−42.3mg/dl−47.3 to −37.3

statins vs placebo

As reported

difference −42.28 mg/dl, 95% CI −47.3 to −37.3

Randomised vs placebo

Reduced fatal cardiovascular events

−19%−27% to −10%

statins vs placebo

Bigger than 4 in 10 for cardiovascular events

As reported

RR 0.81, 95% CI 0.73–0.90

Randomised vs placebo

Reduced non-fatal cardiovascular events

−22%−27% to −16%

statins vs placebo

Bigger than 5 in 10 for cardiovascular events

As reported

RR 0.78, 95% CI 0.73–0.84

Range includes no effect

No clear effect on deaths

−8%−18% to +3%

statins vs placebo

Bigger than 2 in 10 for all-cause mortality

As reported

RR 0.92, 95% CI 0.82–1.03 · the paper's word: all cause mortality

Who was studied, and how

6,390people with cardiovascular disease, in this paper

The trial randomly assignedassigned by chance

statins
placebo

Lowered total cholesterol−42.3

Reduced fatal cardiovascular events−19%

Reduced non-fatal cardiovascular events−22%

randomised

the abstract, start to end

6390 patients; weighted mean difference -42.28 mg/dl (1.10 mmol/l), 95%

studies, 23 266 patients; relative risk 0.81, 0.73 to 0.90) and non-fatal cardiovascular events (8 studies, 22 863 patients; 0.78, 0.73 to 0.84) were reduced with statins, but statins had no significant effect on all cause mortality (44 studies, 23 665 patients; 0.92, 0.82 to 1.03).

← favours treatmentfavours comparator →
could be chance
Total cholesterolstatins vs placebo
−42.28−47.3 to −37.3
Fatal cardiovascular eventsstatins vs placebo
RR 0.810.73–0.90
Non-fatal cardiovascular eventsstatins vs placebo
RR 0.780.73–0.84
All cause mortalitystatins vs placebo
RR 0.920.82–1.03
StatinsLipidsCardiovascular eventsAll-cause mortality

Statins × cardiovascular eventshelps?replicated

unlikelylikely
0.86not counted

Statins × lipidshelps?mixed

unlikelylikely
0.50not counted

Statins × all-cause mortalityhelps?mixed

unlikelylikely
0.50not counted
← favours treatmentfavours comparator →
more certainless certain
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Full record →Abstract, authors, funding and every citing paper · PMID 18299289