Evidence map›Paper›PMID 27837448›Full record

ArticleAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2017

Consensus on the Statin of Choice in Patients with Impaired Glucose Metabolism: Results of the DIANA Study.

Jesús Millán Núñez-Cortés, Aleix Cases Amenós, Juan Francisco Ascaso Gimilio, Vivencio Barrios Alonso, Vicente Pascual Fuster, Juan Carles Pedro-Botet Montoya, Xavier Pintó Sala, Adalberto Serrano Cumplido

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 21 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

8 authors at 7 institutions in 1 country.

Jesús Millán Núñez-CortésInternal Medicine Department, Hospital General Universitario Gregorio Marañón, School of Medicine of the Universidad Complutense, Madrid, Spain. jesus.millan@salud.madrid.org.
Aleix Cases AmenósNephrology Department, Hospital Clínic de Barcelona, Barcelona, Spain.
Juan Francisco Ascaso GimilioEndocrinology and Nutrition Department, Hospital Clínico Universitario, Universitat de Valencia, Valencia, Spain.
Vivencio Barrios AlonsoCardiology Department, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Madrid, Spain.
Vicente Pascual FusterCentro de Salud Palleter, Castellón, Spain.
Juan Carles Pedro-Botet MontoyaUnit of Lipids and Vascular Risk, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain.
Xavier Pintó SalaUnit of Lipids and Vascular Risk, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
Adalberto Serrano CumplidoCentro de Salud de Repélega, Repélega, Portugalete, Vizcaya, Spain.
Bellvitge University Hospital · ESCentro de Salud Casa del Barco · ESHospital Clínic de Barcelona · ESHospital General Universitario Gregorio Marañón · ESUniversidad de Alcalá · ESUniversitat Autònoma de Barcelona · ESUniversitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

objectivesDespite the recognized clinical benefit of statins on cardiovascular prevention, providing correct management of hypercholesterolaemia, possible adverse effects of their use cannot be disregarded. Previously published data shows that there is a risk of developing diabetes mellitus or experiencing changes in glucose metabolism in statin-treated patients. The possible determining factors are the drug characteristics (potency, dose), patient characteristics (kidney function, age, cardiovascular risk and polypharmacy because of multiple disorders) and the pre-diabetic state.

methodsIn order to ascertain the opinion of the experts (primary care physicians and other specialists with experience in the management of this type of patient) we conducted a Delphi study to evaluate the consensus rate on diverse aspects related to the diabetogenicity of different statins, and the factors that influence their choice.

resultsConsensus was highly significant concerning aspects such as the varying diabetogenicity profiles of different statins, as some of them do not significantly worsen glucose metabolism. There was an almost unanimous consensus that pitavastatin is the safest statin in this regard.

conclusionsFactors to consider in the choice of a statin regarding its diabetogenicity are the dose and patient-related factors: age, cardiovascular risk, diabetes risk and baseline metabolic parameters (which must be monitored during the treatment), as well as kidney function.

Indexed as

Diabetes Mellitus, Type 2GlucoseHydroxymethylglutaryl-CoA Reductase InhibitorsPrediabetic StateDelphi TechniqueHumansHypercholesterolemiaPhysicians, Primary CareSurveys and QuestionnairesGlucoseHydroxymethylglutaryl-CoA Reductase InhibitorsDiabetesImpaired glucose tolerance ConsensusStatins

Identifiers

PMID27837448
PMCPMC5340834
OpenAlexW2552653985

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC
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.