Association of Vitamin D and Incident Statin Induced Myalgia—A Retrospective Cohort Study
Publication Date
February 19, 2014
Journal
PLOS ONE
Authors
Ghanshyam Palamaner Subash Shantha, Julio Ramos, Linda Thomas Hemak & Samir Bipin Pancholy
Volume
9
Issue
2
Pages
e88877
DOI
https://dx.plos.org/10.1371/journal.pone.0088877
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0088877
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/24586424
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3929495
Europe PMC
http://europepmc.org/abstract/MED/24586424
Web of Science
000331711900056
Scopus
84896770249
Mendeley
http://www.mendeley.com/research/association-vitamin-d-incident-statin-induced-myalgia-retrospective-cohort-study
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Mendeley | Further Information

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Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1391037"], "description"=>"<p>*: estimates are Hazards ratio (95% C.I), #: estimates are odds ratios (95% C.I), $: sample restricted to those patients whose vitamin D levels were measured at the single lab associated with our clinic. &: study sample after excluding the 9 patients who re-entered cohort after restarting statins.</p>", "links"=>[], "tags"=>["cardiovascular", "atherosclerosis", "Coronary artery disease", "Clinical research design", "Cohort studies", "Retrospective studies", "epidemiology", "Cardiovascular disease epidemiology", "Clinical epidemiology", "Pharmacoepidemiology", "nutrition", "Micronutrient deficiencies", "vitamins", "Primary care", "Public health", "preventive medicine"], "article_id"=>938508, "categories"=>["Medicine"], "users"=>["Ghanshyam Palamaner Subash Shantha", "Julio Ramos", "Linda Thomas-Hemak", "Samir Bipin Pancholy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0088877.t002", "stats"=>{"downloads"=>1, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Association_of_vitamin_D_and_SIM_/938508", "title"=>"Association of vitamin D and SIM.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-02-19 02:58:44"}
  • {"files"=>["https://ndownloader.figshare.com/files/1391038"], "description"=>"<p>Predictive accuracy of vitamin D cut-offs.</p>", "links"=>[], "tags"=>["cardiovascular", "atherosclerosis", "Coronary artery disease", "Clinical research design", "Cohort studies", "Retrospective studies", "epidemiology", "Cardiovascular disease epidemiology", "Clinical epidemiology", "Pharmacoepidemiology", "nutrition", "Micronutrient deficiencies", "vitamins", "Primary care", "Public health", "preventive medicine"], "article_id"=>938509, "categories"=>["Medicine"], "users"=>["Ghanshyam Palamaner Subash Shantha", "Julio Ramos", "Linda Thomas-Hemak", "Samir Bipin Pancholy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0088877.t003", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Predictive_accuracy_of_vitamin_D_cut_offs_/938509", "title"=>"Predictive accuracy of vitamin D cut-offs.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-02-19 02:58:44"}
  • {"files"=>["https://ndownloader.figshare.com/files/1391039"], "description"=>"<p>PTSD: post-traumatic stress disorder, *represents statistically significant associations</p>", "links"=>[], "tags"=>["cardiovascular", "atherosclerosis", "Coronary artery disease", "Clinical research design", "Cohort studies", "Retrospective studies", "epidemiology", "Cardiovascular disease epidemiology", "Clinical epidemiology", "Pharmacoepidemiology", "nutrition", "Micronutrient deficiencies", "vitamins", "Primary care", "Public health", "preventive medicine", "cohort"], "article_id"=>938510, "categories"=>["Medicine"], "users"=>["Ghanshyam Palamaner Subash Shantha", "Julio Ramos", "Linda Thomas-Hemak", "Samir Bipin Pancholy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0088877.t001", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Baseline_characteristics_of_study_cohort_participants_by_vitamin_D_quartiles_/938510", "title"=>"Baseline characteristics of study cohort participants by vitamin D quartiles.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-02-19 02:58:44"}
  • {"files"=>["https://ndownloader.figshare.com/files/1391040"], "description"=>"<div><p>Background and Objectives</p><p>Evidence is conflicting with regards to the role of vitamin D in statin induced myalgia (SIM). Studies so far have assessed cross-sectional association and were limited by study sample selected predominantly from cardiology clinics. In this retrospective cohort study we assessed the association between vitamin D and SIM and attempted to establish a serum vitamin D cutoff to identify patients at risk for developing SIM.</p><p>Methods</p><p>Medical charts of 5526 consecutive patients from a primary care practice in Scranton, Pennsylvania from 2005–2012 were reviewed. Vitamin D level (25-hydroxy cholecalciferol) at statin initiation was considered “Exposure level”. Vitamin D levels were categorized into quartiles (≤ 10, 11–20, 21–30, >30 ng/ml). SIM was identified by patient report.</p><p>Results</p><p>1160 out of 5526 patients were treated with statins. The mean age was 55.9 years. 276 (24%) developed SIM. Unadjusted 7-yr cumulative incidences of SIM for quartiles 1–4 of vitamin D were 32.3, 21.5, 18.3 and 14.6% respectively. The lowest quartile of vitamin D was independently associated with 1.21 times the hazard of the fourth quartile for developing SIM (95% CI: 1.09, 1.33; P-trend  = 0.001). Vitamin D cut-off ≤15 ng/ml, showed a positive predictive value, negative predictive value, likelihood ratio (LR) + and LR- of 81, 90, 5.1 and 0.1, respectively for predicting SIM.</p><p>Conclusions</p><p>Low vitamin D level at statin initiation is associated with SIM, levels ≤15 ng/ml have a high predictive accuracy for SIM. Randomized controlled trials are needed to validate our results.</p></div>", "links"=>[], "tags"=>["cardiovascular", "atherosclerosis", "Coronary artery disease", "Clinical research design", "Cohort studies", "Retrospective studies", "epidemiology", "Cardiovascular disease epidemiology", "Clinical epidemiology", "Pharmacoepidemiology", "nutrition", "Micronutrient deficiencies", "vitamins", "Primary care", "Public health", "preventive medicine", "statin", "induced", "retrospective", "cohort"], "article_id"=>938511, "categories"=>["Medicine"], "users"=>["Ghanshyam Palamaner Subash Shantha", "Julio Ramos", "Linda Thomas-Hemak", "Samir Bipin Pancholy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0088877", "stats"=>{"downloads"=>2, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Association_of_Vitamin_D_and_Incident_Statin_Induced_Myalgia_8212_A_Retrospective_Cohort_Study_/938511", "title"=>"Association of Vitamin D and Incident Statin Induced Myalgia—A Retrospective Cohort Study", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-02-19 02:58:44"}

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