Evidence mapPaperPMID 37417539Full record

ArticlePharmacology research & perspectives2023

Impact of metformin on statin-associated myopathy risks in dyslipidemia patients.

Keunhyeong Bak, Suhyeon Moon, Minjung Ko, Yeo Jin Choi, Sooyoung Shin

Open access · goldAbstract read
In one paragraph

Article in Pharmacology research & perspectives, 2023. 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
1.3field-weighted citation impact, top 20% 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, 4 citations in OpenAlex.

  1. Review
  2. 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

5 authors at 2 institutions in 1 country.

Keunhyeong BakCollege of Pharmacy, Ajou University, Suwon, Republic of Korea.
Suhyeon MoonCollege of Pharmacy, Ajou University, Suwon, Republic of Korea.
Minjung KoCollege of Pharmacy, Ajou University, Suwon, Republic of Korea.
Yeo Jin ChoiDepartment of Pharmacy, College of Pharmacy, Kyung Hee University, Seoul, Republic of Korea.ORCID 0000-0002-0635-4374
Sooyoung ShinCollege of Pharmacy, Ajou University, Suwon, Republic of Korea.ORCID 0000-0003-2388-1122
Ajou University · KRKyung Hee University · KR

Funding

Ministry of Education 2021R1I1A1A01044500National Research Foundation of Korea 2021R1C1C1003735
6 · The paper itself

Abstract

A growing number of patients with metabolic disorders are receiving statin and antidiabetic therapies as comedications. A signal of increased risk of myotoxicity due to potential interactions between antidiabetics and statins has been detected in previous studies. To investigate the effects of metformin on myopathy risks when added to preexisting statin therapy in dyslipidemia patients, we performed a retrospective cohort study using the Korean national health insurance data in statin-treated dyslipidemia patients with or without concomitant metformin use. We compared the risk of myopathy in statin + metformin users against statin-only users. Hazard ratios (HRs) and 95% confidence intervals (CIs) have been calculated following propensity score (PS) matching between study groups and subsequent stratification per patient factors. We included 4092 and 8161 patients in PS-matched statin + metformin and statin-only groups, respectively. The risk of myopathy decreased when metformin was used together with statins (adjusted HR 0.84; 95% CI 0.71-0.99). In subgroup analyses per individual statin agent and in stratified risk analyses, no specific statin agents or patient factors were associated with statistically significant myopathy risk. This study found that a comedication with metformin was associated with decreased myopathy risk in statin-treated dyslipidemia patients compared to statin-only users. Our findings suggest that metformin may provide protective effects on potential muscle toxicities induced by statin therapy.

Indexed as

DyslipidemiasHydroxymethylglutaryl-CoA Reductase InhibitorsMetforminMuscular DiseasesCohort StudiesHumansHypoglycemic AgentsRetrospective StudiesHydroxymethylglutaryl-CoA Reductase InhibitorsHypoglycemic AgentsMetformindrug interactionsmetforminmyopathystatin

Identifiers

PMID37417539
PMCPMC10327420
OpenAlexW4383484236

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC-ND
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.