Evidence mapPaperPMID 29785580Full record

SynthesisEuropean journal of clinical pharmacology2018

A comprehensive review and meta-analysis of risk factors for statin-induced myopathy.

Khoa A Nguyen, Lang Li, Deshun Lu, Aida Yazdanparast, Lei Wang, Rolf P Kreutz, Elizabeth C Whipple, Titus K Schleyer

Registry-linked trialAbstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in European journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04826354 (Effects of High-dose StAtin Versus Low-dose Statin Plus Ezetimibe on Statin-Associated Muscle Symptoms & on Reaching Target LDL-C Levels Among Elderly Patients With Atherosclerotic Cardiovascular Disease), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
8.5field-weighted citation impact, top 2% 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.

NCT04826354 phase4completedstarted 2021, after this paper: background citation

Effects of High-dose StAtin Versus Low-dose Statin Plus Ezetimibe on Statin-Associated Muscle Symptoms & on Reaching Target LDL-C Levels Among Elderly Patients With Atherosclerotic Cardiovascular Disease

Ran2021Enrolled582Registered outcomes11Posted comparisons0ConditionsAtheroscleroses, CoronaryArmsRosuvastatin, rosuvastatin and ezetimibe
Open the trial in the graph
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 73 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Evaluating genotype-treatment interactions for high-risk medications in British general practice: a retrospective cohort study using UK Biobank.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  4. Rhabdomyolysis associated withFrontiers in pharmacology · 2026
    Article
  5. Review
  6. Are statin side effects dependent on sex? A narrative review.Przeglad menopauzalny = Menopause review · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Ticagrelor and Statins: Dangerous Liaisons?Cardiovascular drugs and therapy · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. A Computational Framework for Identifying Age Risks in Drug-Adverse Event Pairs.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2022
    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

8 authors at 4 institutions in 1 country.

Khoa A NguyenCenter for Health Information and Communication, Department of Veterans Affairs (VA), Veterans Health Administration, Health Service Research and Development Service (CIN 13-416), Richard L. Roudebush VA Medical Center, D6004-02, 1481 West 10th Street, Indianapolis, IN, 46202, USA. ngkhoa@umich.edu.
Lang LiDepartment of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH, USA.
Deshun LuDivision of Clinical Pharmacology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Aida YazdanparastCenter for Computational Biology and Bioinformatics, Indiana University School of Medicine, Indianapolis, IN, USA.
Lei WangDepartment of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH, USA.
Rolf P KreutzDepartment of Medicine, Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, IN, USA.
Elizabeth C WhippleResearch and Translational Sciences, Indiana University School of Medicine, Indianapolis, IN, USA.
Titus K SchleyerDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Indiana University School of MedicineThe Ohio State University · USIndiana University – Purdue University Indianapolis · USVeterans Health Administration · US

Funding

The Indiana Training Program in Public & Population Health InformaticsT15LM012502 · INDIANA UNIVERSITY INDIANAPOLIS · 2025 to 2025
$599k
NLM NIH HHS T15 LM012502
6 · The paper itself

Abstract

purposeTo aid prescribers in assessing a patient's risk for statin-induced myopathy (SIM), we performed a comprehensive review of currently known risk factors and calculated aggregated odds ratios for each risk factor through a meta-analysis.

methodsThis meta-analysis was done through four phases: (1) Identification of the relevant primary literature; (2) abstract screening using inclusion and exclusion criteria; (3) detailed review and data extraction; and (4) synthesis and statistical analysis.

resultsOut of 44 papers analyzed from 836 papers searched from MEDLINE, 18 different potential risk factors were collected, divided into three categories: three demographics (11 papers), ten clinical factors (31 papers), and five pharmacogenetics/biomarkers (12 papers). Risk factors significant for myopathy and/or rhabdomyolysis included age, gender, diabetes, renal impairment, cardiovascular disease, certain interacting drugs, and mutations of the SLCO1B1 gene, which encodes a transporter protein in the liver. Several factors, such as gender, race, cardiovascular disease, and the GATM gene, which encodes a protein for creatine synthesis, appeared to be protective in terms of the outcomes of interest.

conclusionsThis comprehensive assessment of risk factors can help support clinicians in reducing the incidence of SIM in their patient population on statins.

Indexed as

AgedAge FactorsClinical Decision-MakingFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedMuscular DiseasesPatient SelectionPharmacogenomic VariantsRacial GroupsRisk AssessmentRisk FactorsSex FactorsHydroxymethylglutaryl-CoA Reductase InhibitorsComprehensive reviewMyotoxicityRisk factorsRisksStatin-induced myopathyStatins

Identifiers

PMID29785580
OpenAlexW2803843543

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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.