Evidence map›Paper›PMID 27100788›Full record

Trial reportPloS one2016

Effect of Statins on the Progression of Coronary Calcification in Kidney Transplant Recipients.

Daniel Constantino Yazbek, Aluizio Barbosa de Carvalho, Cinara Sá Barros, Jose Osmar Medina Pestana, Maria Eugênia F Canziani

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
2.0field-weighted citation impact, top 15% of its field
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

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 19 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Daniel Constantino YazbekNephrology Division, Federal University of São Paulo, São Paulo, SP, Brazil.
Aluizio Barbosa de CarvalhoNephrology Division, Federal University of São Paulo, São Paulo, SP, Brazil.
Cinara Sá BarrosNephrology Division, Federal University of São Paulo, São Paulo, SP, Brazil.
Jose Osmar Medina PestanaNephrology Division, Federal University of São Paulo, São Paulo, SP, Brazil.
Maria Eugênia F CanzianiNephrology Division, Federal University of São Paulo, São Paulo, SP, Brazil.
Universidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary calcification (CAC) is highly prevalent in kidney transplant recipients (KTRs) and has been associated with cardiovascular morbidity and mortality. Some studies have shown a reduction in CAC progression with statin therapy in the general and chronic kidney disease (CKD) populations. OBJECTIVES AND

methodsThe aim of the present study was to evaluate the effect of statins on CAC progression in incident kidney transplant recipients. Patients were randomly assigned to the statin (n = 61, 10 mg daily) and control group (n = 59). CAC and biochemical analyses were performed at baseline and 12 months.

resultsAt baseline, CAC was observed in 30% and 21% of patients in the statin and control groups, respectively (p = 0.39). The calcium score at baseline and its absolute and relative changes over 12 months of follow up were similar among the groups. In the statin group, total cholesterol (p < 0.001), low density lipoprotein cholesterol (p < 0.001) and triglycerides (p = 0.005) decreased, and the estimated glomerular function rate increased (p<0.001) significantly. CRP levels remained stable (p = 0.52) in the statin group but increased in the control group (p = 0.01). In the multivariate model, there was no difference in CAC progression between the groups (group effect p = 0.034; time-effect p = 0.23; interaction p = 0.74). Similar results were obtained when only patients with ≥ 10AU calcium score (calcified) were analyzed (group effect p = 0.051; time-effect p = 0.58; interaction p = 0.99).

conclusionAlthough statins reduce the levels of cholesterol, triglycerides, inflammation and improve graft function, the dose adopted in the current study did not delay CAC progression within 12 months of follow up.

trial registrationBrazilian Clinical Trials Registry RBR-32RFMB.

Indexed as

AdultCalcification, PhysiologicCalcinosisCholesterolCholesterol, LDLCoronary Artery DiseaseDisease ProgressionFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsKidney TransplantationMaleProspective StudiesRenal Insufficiency, ChronicTransplant RecipientsCholesterolCholesterol, LDLHydroxymethylglutaryl-CoA Reductase InhibitorsTriglycerides

Identifiers

PMID27100788
PMCPMC4839705
OpenAlexW2335824247

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.