Prevention & lipids

Low-density lipoprotein cholesterol response to statins according to comorbidities and co-medications: A population-based study

Am Heart JPublished Register-based cohort study

Main finding · PRD in statin responseResult — go to the resultPRD 5.18 percentage points 95% CI 4.79–5.57

Authors' conclusion

Most of the studied comorbidities and co-medications did not have a clinically important effect on statin response, suggesting no need to modify treatment regimens. However, use of metformin was associated with a significantly enhanced LDL-C response to statins

Study context

Population
Simvastatin or atorvastatin initiators with pre-statin and on-statin low-density lipoprotein cholesterol (LDL-C), Denmark, 2008–2018
Participants
89,006 participants
Exposure
LDL-C response to statins according to 175 chronic comorbidities and 99 co-medications
Outcome
Statin response: percentage reduction in LDL-C; PRD by comorbidity and co-medication (clinically important: PRD ≥5 percentage points)
Methodological detailspopulation-based
  • Population-based

Main finding

PRD in statin response

Percentage reduction differences (PRD)

5.18 percentage points

95% CI 4.79–5.57

As reported in the abstract

Observational data: associations, not effects.

Original publication

Low-density lipoprotein cholesterol response to statins according to comorbidities and co-medications: A population-based study. Am Heart J. Published 6 May 2024. doi:10.1016/j.ahj.2024.04.018

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