← Statins × cardiovascular events

SynthesisThe Cochrane database of systematic reviews2009

HMG CoA reductase inhibitors (statins) for kidney transplant recipients.

Sankar D Navaneethan et al.PubMed ↗Publisher ↗

  • Statinslooks good hereLower end of treatment average total cholesterol, no clear effect on deaths, no clear effect on cardiovascular deaths.Randomised, large.

What the trial testedrandomised · 3,229 people · 2009

Randomised vs placebo

Lowered end of treatment average total cholesterol

−42.3mg/dL−53.0 to −31.6

statins vs placebo

As reported

difference −42.33 mg/dL, 95% CI −53.0 to −31.6

Range includes no effect

No clear effect on deaths

1.3×0.5× to 3.1×

statins vs placebo

Bigger than 7 in 10 for all-cause mortality

As reported

RR 1.30, 95% CI 0.54–3.12 · the paper's word: all-cause mortality

Range includes no effect

No clear effect on cardiovascular deaths

−32%−54% to +3%

statins vs placebo

Bigger than 7 in 10 for cardiovascular events

As reported

RR 0.68, 95% CI 0.46–1.03 · the paper's word: cardiovascular mortality

Range includes no effect

No clear effect on cardiovascular events

−30%−52% to +1%

Bigger than 7 in 10 for cardiovascular events

As reported

RR 0.70, 95% CI 0.48–1.01

Who was studied, and how

3,229people with cardiovascular disease, in this paper

The trial randomly assignedassigned by chance

statins
placebo

Lowered end of treatment average total cholesterol−42.3

No clear effect on deaths1.3×

No clear effect on cardiovascular deaths−32%

randomised

the abstract, start to end

… all-cause mortality (14 studies: RR 1.30, 95% CI 0.54 to 3.12).

… cardiovascular mortality (13 studies: RR 0.68, 95% CI 0.46 to 1.03) and non-fatal cardiovascular events (1 study: RR 0.70, 95% CI 0.48 to 1.01), however …

… total cholesterol (10 studies: MD -42.33 mg/dL (1.26 mmol/L), 95% CI …

← favours treatmentfavours comparator →
could be chance
All-cause mortalitystatins vs placebo
RR 1.300.54–3.12
Cardiovascular mortalitystatins vs placebo
RR 0.680.46–1.03
Cardiovascular events
RR 0.700.48–1.01
End of treatment average total cholesterolstatins vs placebo
−42.33−53.0 to −31.6
StatinsLipidsCardiovascular eventsAll-cause mortality

Statins × cardiovascular eventshelps?replicated

unlikelylikely
0.86not counted

Statins × all-cause mortalityhelps?mixed

unlikelylikely
0.50not counted

Statins × lipidshelps?mixed

unlikelylikely
0.50not counted
← favours treatmentfavours comparator →
more certainless certain
1 / 6

17 papers cite it

2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
this paperpooled ittrialcites it
Full record →Abstract, authors, funding and every citing paper · PMID 19370615