Evidence mapPaperPMID 39696786Full record

Trial reportJournal of the American Geriatrics Society2025

Effects of statins on kidney function in older adults.

Michelle A Fravel, Michael E Ernst, Robyn L Woods, Suzanne G Orchard, Kevan R Polkinghorne, Rory Wolfe, James B Wetmore, Mark R Nelson, Elisa Bongetti, Anne M Murray and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2025. 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
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. Effects of statins on kidney function in older adults.Journal of the American Geriatrics Society · 2025
    Trial
  2. Current perspectives on lipid management in diabetic kidney disease: Can fibrates offer advantages over statins for renal outcomes?Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2026
    Review
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

12 authors.

Michelle A FravelDepartment of Pharmacy Practice and Science, College of Pharmacy, The University of Iowa, Iowa City, Iowa, USA.
Michael E ErnstDepartment of Pharmacy Practice and Science, College of Pharmacy, The University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0003-0267-4888
Robyn L WoodsSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Suzanne G OrchardSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Kevan R PolkinghorneSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Rory WolfeSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
James B WetmoreDepartment of Medicine, Hennepin Healthcare, Minneapolis, Minnesota, USA.
Mark R NelsonSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Elisa BongettiDepartment of Nephrology, Monash Medical Centre, Monash Health, Melbourne, Victoria, Australia.
Anne M MurrayBerman Center for Outcomes and Clinical Research, Hennepin-Health Research Institute, Minneapolis, Minnesota, USA.
Sophia ZoungasSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Zhen ZhouSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Funding

GYNECOLOGIC ONCOLOGY GROUPR03CA062682 · AMERICAN COLLEGE OF OB AND GYN · 1995 to 1996
Monash UniversityNational Health and Medical Research Council 1127060National Health and Medical Research Council 334047NCI NIH HHS U01AG029824NCI NIH HHS U19AG062682NIA NIH HHS U01 AG029824NIA NIH HHS U19 AG062682the Victorian Cancer Agency
6 · The paper itself

Abstract

backgroundThe effect of statin therapy on kidney function among older adults is unclear.

objectivesTo examine the association between statin use and changes in estimated glomerular filtration rate (eGFR) and urine albumin-to-creatinine ratio (UACR), positive or negative, in an older adult cohort with versus without chronic kidney disease (CKD) at baseline.

methodsThis analysis included 18,056 participants aged ≥65 years with versus without CKD at baseline in a randomized trial of low-dose aspirin, who had no prior cardiovascular events, major physical disability, or dementia initially. Outcome measures included eGFR and UACR. Linear mixed-effects models were used to estimate the associations of baseline statin use versus no use with eGFR and UACR changes over time. The inverse-probability of treatment-weighting technique was used for all analyses to address confounding by indication due to the lack of randomization in treatment assignment.

resultsStatin use was not associated with change in eGFR, UACR, or incident CKD in participants with or without CKD at baseline (p > 0.05 for all associations). Subgroup analyses found no significant interactions between statin and age, sex, diabetes, country, and frailty status on any of the study outcomes.

conclusionsAmong adults ≥65 years of age, with and without CKD, statin therapy was not associated with improved or worsened kidney function. This data suggests that the decision to use versus not use statins in this population may be ideally guided by factors other than kidney health.

Indexed as

Glomerular Filtration RateHydroxymethylglutaryl-CoA Reductase InhibitorsKidneyRenal Insufficiency, ChronicAgedAged, 80 and overAlbuminuriaCreatinineFemaleHumansMaleCreatinineHydroxymethylglutaryl-CoA Reductase InhibitorsACReGFRolder adultstatins

Identifiers

PMID39696786
PMCPMC11970218

What Socratic holds

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Registered trials

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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.