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Meta-Analysis Comparing Rosuvastatin and Atorvastatin in Reducing Concentration of C-Reactive Protein in Patients With Hyperlipidemia

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机构: [1]Capital Med Univ, Dept Cardiol, Beijing An Zhen Hosp, Anzhenli Ave, Beijing 100029, Peoples R China; [2]Beijing Inst Heart Lung & Blood Vessel Dis, Anzhenli Ave, Beijing 100029, Peoples R China
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关键词: meta-analysis C-reactive protein rosuvastatin atorvastatin hyperlipidemia inflammation

摘要:
We conducted a meta-analysis of 13 randomized trials comparing the efficacy of rosuvastatin versus atorvastatin in reducing concentrations of C-reactive protein (CRP). We searched PubMed, Ovid, and Elsevier databases until June 2014. Search terms included C-reactive protein or CRP, rosuvastatin, atorvastatin, randomized, randomly, and randomization; 13 trials (3798 patients) were included. Funnel plots for CRP were inspected to assess publication bias. The pooled analysis demonstrated the benefit of rosuvastatin over atorvastatin therapy for all 13 trials (mean difference [MD] = -0.11, which is standardized mean with no unit although the raw data before pooling is mg/L, 95% confidence interval -0.15 to -0.07, P < .0001) with no evidence of significant publication bias (I-2 = 6.9%, P = .377). Subgroup analysis indicated a significant benefit of rosuvastatin over atorvastatin regarding the 1/1 dose ratio (MD = -0.14, 95% CI -0.21 to -0.06) and 1/2 dose ratio (MD= -0.11, 95% CI -0.16 to -0.05). Cumulative and influence analyses showed accuracy and stability for the estimation mentioned earlier. Our meta-analysis shows that rosuvastatin produces better reduction in CRP concentrations than atorvastatin at a dose ratio of 1/1 and 1/2 (rosuvastatin/atorvastatin), respectively.

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出版当年[2015]版:
大类 | 3 区 医学
小类 | 4 区 外周血管病
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 外周血管病
JCR分区:
出版当年[2014]版:
Q2 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q2 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

第一作者:
第一作者机构: [1]Capital Med Univ, Dept Cardiol, Beijing An Zhen Hosp, Anzhenli Ave, Beijing 100029, Peoples R China; [2]Beijing Inst Heart Lung & Blood Vessel Dis, Anzhenli Ave, Beijing 100029, Peoples R China
通讯作者:
通讯机构: [1]Capital Med Univ, Dept Cardiol, Beijing An Zhen Hosp, Anzhenli Ave, Beijing 100029, Peoples R China; [2]Beijing Inst Heart Lung & Blood Vessel Dis, Anzhenli Ave, Beijing 100029, Peoples R China
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