Evidence mapPaperPMID 40557229Full record

ArticleProceedings (Baylor University. Medical Center)2025

Ezetimibe plus statin combination versus double-dose statin in patients with dyslipidemia and atherosclerotic cardiovascular disease risk: a comprehensive systematic review and meta-analysis of 47 randomized controlled trials.

Abdelrahman Mahmoud, Hazem Mohamed Salamah, Hazem Rezq, Yazan Al-Mohtasib, Ali Ashraf Salah Ahmed, Mohamed R Abdelraouf, Ahmed Mazen Amin, Ahmed A Ibrahim, Yasmine Adel Mohammed, Omar Ahmed Abdelwahab and 4 more

Abstract read
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 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. Advances in Non-statin Lipid Therapies: A Narrative Review of Evolving Strategies for Cardiovascular Risk Reduction.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2026
    Review
  2. 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

14 authors.

Abdelrahman MahmoudFaculty of Medicine, Minia University, Minia, Egypt.ORCID https://orcid.org/0000-0001-7514-1623
Hazem Mohamed SalamahFaculty of Medicine, Zagazig University, Zagazig, Egypt.ORCID https://orcid.org/0000-0002-2291-8862
Hazem RezqFaculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-8871-6921
Yazan Al-MohtasibInternal Medicine Department, University of Missouri - Kansas City, Kansas City, Missouri, USA.ORCID https://orcid.org/0009-0007-4331-9045
Ali Ashraf Salah AhmedFaculty of Medicine, Minia University, Minia, Egypt.
Mohamed R AbdelraoufFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID https://orcid.org/0009-0001-8261-9637
Ahmed Mazen AminFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Ahmed A IbrahimFaculty of Medicine, Menoufia University, Menoufia, Egypt.ORCID https://orcid.org/0000-0003-3669-5724
Yasmine Adel MohammedDepartment of Pharmacology, Faculty of Medicine, Assiut University, Assiut, Egypt.ORCID https://orcid.org/0000-0001-8359-0824
Omar Ahmed AbdelwahabFaculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0001-8266-0245
Majd M AlBarakatFaculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.ORCID https://orcid.org/0000-0002-4676-8942
Salem ElshenawyFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID https://orcid.org/0000-0001-8164-4358
Husam Abu SuilikFaculty of Medicine, The Hashemite University, Zarqa, Jordan.ORCID https://orcid.org/0000-0002-2807-3725
Basel AbdelazeemDepartment of Cardiology, West Virginia University, Morgantown, West Virginia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dyslipidemia is a major risk factor for atherosclerotic cardiovascular disease (ASCVD). Oral regimens to achieve blood lipid targets include increasing the statin dose or adding ezetimibe to statin therapy. The optimal strategy remains debated. This study evaluated the efficacy and safety of ezetimibe plus statin versus a double dose of the same statin in patients with ASCVD risk. Methods: We conducted a systematic review and meta-analysis of randomized controlled trials from PubMed, Embase, Cochrane, Scopus, and Web of Science through December 2023. A random-effects model was used to analyze outcomes, reporting risk ratio and mean difference with 95% confidence intervals. Results: Forty-seven randomized controlled trials involving 18,592 patients were included. Ezetimibe plus statin significantly reduced low-density lipoprotein (LDL) cholesterol ( Conclusion: Ezetimibe plus statin therapy demonstrated superior lipid-lowering efficacy compared with double-dose statin therapy, with no additional clinical benefit. There was no difference in overall adverse events. There was a higher incidence of severe adverse events with combination therapy compared to double-dose statin therapy, although these events were rare and not believed to be attributable to medication.

Indexed as

Ezetimibemeta-analysisstatinsystematic review

Identifiers

PMID40557229
PMCPMC12184127

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.