Evidence mapPaperPMID 27484241Full record

Observational studyEuropean journal of clinical pharmacology2016

Statin-induced myopathy in a usual care setting-a prospective observational study of gender differences.

Ilona Skilving, Mats Eriksson, Anders Rane, Marie-Louise Ovesjö

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European journal of clinical pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Are statin side effects dependent on sex? A narrative review.Przeglad menopauzalny = Menopause review · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Challenges in Optimizing Lipid Management in Women.Cardiovascular drugs and therapy · 2022
    Review
  9. Article
  10. Article
  11. Use of Statins in Kidney Transplant Recipients in Norway.International journal of environmental research and public health · 2022
    Observational
  12. Article
  13. Observational
  14. Statin therapy: does sex matter?Menopause (New York, N.Y.) · 2019
    Review
  15. 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 at 1 institution in 2 countries.

Ilona SkilvingDivision of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska University Hospital Huddinge, 141 86, Stockholm, SE, Sweden.
Mats ErikssonDepartment of Endocrinology, Metabolism and Diabetes; Center for Biosciences, Department of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, 141 86, Stockholm, SE, Sweden.
Anders RaneDivision of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska University Hospital Huddinge, 141 86, Stockholm, SE, Sweden.
Marie-Louise OvesjöDivision of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska University Hospital Huddinge, 141 86, Stockholm, SE, Sweden. marie-louise.ovesjo@ki.se.ORCID http://orcid.org/0000-0002-0591-6208
Karolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study aims to identify the occurrence and remission of statin-induced myopathy including patient perception and symptom characteristics with a gender perspective.

methodsThe study was designed as a prospective, non-interventional investigation in 192 outpatients receiving statin treatment in usual care with 12 months follow-up. Main outcome measure was myopathy related to statin treatment and classified as probable using WHO criteria for adverse drug reaction (ADR) assessment.

resultsFourteen percent developed myopathy, risk ratio for women 1.52 [95 % CI 1.37; 1.66] as compared to men. The majority graded their pain as "severe." CK values were within normal range. Eighty percent of the women compared to 43 % of the men reported that the muscular symptoms affected their daily life activities to a moderate or severe extent. For those who stopped treatment, mypopathy was the reason for 70 % of the women and 25 % of the men. There was a difference in mean dose between men with and without myopathy, but not in women. Among the patients with myopathy, 76 % reported other ADRs as compared to 21 % of the patients without myopathy (p = 0.002). Twenty-nine percent of the women and 18 % of the men reported other ADRs.

conclusionWomen reported a higher frequency of myopathy and other ADRs as well as a larger impact on daily life activities. In men, but not in women, the risk of myopathy was dose-dependent. Patients with myopathy were more susceptible to other statin-induced ADRs which raises the question about common underlying mechanisms.

Indexed as

AgedAmbulatory Care FacilitiesFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedMuscular DiseasesPrimary Health CareSex FactorsSwedenHydroxymethylglutaryl-CoA Reductase InhibitorsAdverse drug reactionClinical studyGenderMyopathyStatin

Identifiers

PMID27484241
PMCPMC5021730
OpenAlexW2503616087

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.