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Cardiovascular & Hematological Disorders-Drug Targets
(Formerly Current Drug Targets - Cardiovascular & Hematological Disorders)
ISSN (Print): 1871-529X
ISSN (Online): 2212-4063
VOLUME: 14
ISSUE: 3
DOI: 10.2174/1871529X14666140401114301      Price:  $58









Statins for Early Stage Chronic Kidney Disease: An Overview of Reviews

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Author(s): Tais F. Galvao, Maria Elizete A. Araujo, Anderson P. Penha and Marcus T. Silva
Pages 205-211 (7)
Abstract:
Objective: To assess the efficacy of statin therapy on early stage chronic kidney disease through an overview of systematic reviews.

Methods: We searched for systematic reviews of randomized clinical trials (RCT) on MEDLINE, Embase, Cochrane Library, CRD, and Scopus. Independent reviewers selected the studies and extracted the relevant data. We critically appraised the included systematic reviews with the AMSTAR tool and presented the available data in the studies.

Results: From 731 retrieved records, we included three systematic reviews. Statins reduced the risk of mortality for all causes and for cardiovascular causes in patients with early stage chronic kidney disease as compared to the control (highquality evidence). Statins also reduced the incidence of any myocardial infarction, non-fatal myocardial infarction, and stroke (moderate- to high-quality evidence). No differences were observed between statins and control upon the incidence of end-stage renal disease or on the outcomes assessed in patients with coronary artery disease and diabetes.

Conclusion: Statins reduce the incidence of death and other relevant outcomes in patients with early stage chronic kidney disease and should be considered for such individuals who also present hyperlipidemia.

Keywords:
Chronic renal insufficiency, hydroxymethylglutaryl-CoA reductase inhibitors, kidney diseases, review
Affiliation:
Faculty of Medicine, University of Brasilia, P.O. Box 4472, CEP 70904-970. Brasilia, DF, Brazil.