Evidence map›Paper›PMID 29116376›Full record

ArticleZeitschrift fur Gerontologie und Geriatrie2018

Gender differences in mortality among statin users aged 80 years or more.

Dan Justo, Mark Tchernichovsky, Anjelika Kremer, Erel Joffe, Shany Sherman, Marina Ioffe, Haim Mayan

Abstract read
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In one paragraph

Article in Zeitschrift fur Gerontologie und Geriatrie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 75% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Are statin side effects dependent on sex? A narrative review.Przeglad menopauzalny = Menopause review · 2025
    Review
  2. Italian Association of Hospital Cardiologists Position Paper 'Gender discrepancy: time to implement gender-based clinical management'.European heart journal supplements : journal of the European Society of Cardiology · 2024
    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

7 authors at 3 institutions in 1 country.

Dan JustoGeriatrics Division, Sheba Medical Center, Tel-Hashomer, Israel. dan.justo@sheba.health.gov.il.
Mark TchernichovskyRappaport School of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Anjelika KremerGeriatrics Division, Sheba Medical Center, Tel-Hashomer, Israel.
Erel JoffeSackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Shany ShermanInternal Medicine E, Sheba Medical Center, Tel-Hashomer, Israel.
Marina IoffeInternal Medicine E, Sheba Medical Center, Tel-Hashomer, Israel.
Haim MayanSackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Sheba Medical Center · ILTechnion – Israel Institute of Technology · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the prognosis associated with statin therapy and its gender differences in older adults aged ≥80 years.

objectiveTo study the mortality and survival associated with statin therapy and their gender differences in older adults aged ≥80 years.

methodThis was a historical prospective study conducted at a tertiary medical center. The medical charts of all older adults aged ≥80 years who had been admitted to a single internal medicine department during 1 year were reviewed. All-cause 3‑year mortality and survival rates following hospital admission in men and in women using statins were investigated.

resultsThe final cohort included 216 patients: 122 (56.5%) women, mean age 85.3 ± 3.9 years. Overall, 66 (53.2%) women and 58 (46.8%) men used statins for 3 years or more following hospital admission. During this time 48 (39.3%) women and 48 (51.1%) men died. The all-cause 3‑year mortality rates were significantly lower only in women who had used statins compared with women who had not used statins (24.2% vs. 57.1%; relative risk = 0.2; 95% confidence interval 0.1-0.5; p < 0.0001). The 3‑year cumulative survival rates were significantly higher in women who had used statins as part of primary as well as secondary cardiovascular prevention (p < 0.0001 and p = 0.014, respectively). A Cox regression analysis showed that statin therapy was independently associated with low 3‑year cumulative mortality rates in women (hazard ratio=0.3; 95% confidence interval=0.1-0.6; p = 0.001).

conclusionIn older adults aged ≥80 years, statin therapy is associated with high 3‑year cumulative survival rates only in women.

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsAged, 80 and overFemaleHumansMaleProportional Hazards ModelsProspective StudiesSecondary PreventionSex FactorsHydroxymethylglutaryl-CoA Reductase InhibitorsCardiovascular diseaseObservational studyPolypharmacyPrognosisSurvival

Identifiers

PMID29116376
OpenAlexW2767966320

What Socratic holds

Textmetadata
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.