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Table 2 Evidence Opposing Cognitive Impairment

From: The role of statins in both cognitive impairment and protection against dementia: a tale of two mechanisms

Study

Study Design

Statin

Participants

Findings/Relevance

Ott BR, et al., 2015, [5]

Systematic review and meta-analysis

All

56,655

Statin therapy was not associated with cognitive impairment in RCTs.

Richardson K, et al., 2013, [21]

Systematic review

All

56,043

Larger and better-designed studies are needed to draw unequivocal conclusions about the effect of statins on cognition. Published data do not suggest an adverse effect of statins on cognition; however, the strength of available evidence is limited, particularly with regard to high-dose statins.

Benito-LeĂłn J, et al., 2010, [22]

Population based study

Ator, flu, lova, prav, sim,

548

Statin users and controls performed similarly on neuropsychological tests.

Lilly SM, et al., 2014, [23]

Retrospective database investigational study

Ator, flu, lova, prava, rosu, sim

13,626

Non-persistent statin users had a greater risk of being diagnosed with schizophrenia/psychosis and cognitive disorders compared with persistent users.

Swiger KJ, et al., 2013, [24]

Systematic review and meta-analysis

All

23,541

In patients without baseline cognitive dysfunction, the results of the available studies are most compatible with no significant short-term cognitive detriments related to statin therapy, whereas long-term data suggest a beneficial role in the prevention of dementia.

McGuiness B, et al., 2016, [11]

Systematic review

Prava, Sim

26,340

There were no differences between statin and placebo groups on five different cognitive tests.

  1. ator atorvastatin, flu fluvastatin, lova lovastatin, prav pravastatin, rosu rosuvastatin, sim simvastatin