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

Abstract:

PURPOSE:To 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. METHODS:This 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. RESULTS:Out 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. CONCLUSIONS:This comprehensive assessment of risk factors can help support clinicians in reducing the incidence of SIM in their patient population on statins.

journal_name

Eur J Clin Pharmacol

authors

Nguyen KA,Li L,Lu D,Yazdanparast A,Wang L,Kreutz RP,Whipple EC,Schleyer TK

doi

10.1007/s00228-018-2482-9

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

1099-1109

issue

9

eissn

0031-6970

issn

1432-1041

pii

10.1007/s00228-018-2482-9

journal_volume

74

pub_type

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