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Statins and Survival in Patients with Cancer
JAMA Oncol; ePub 2017 Aug 22; Emilsson, et al
Beginning statin treatment within 6 months after cancer diagnosis did not seem to improve 3-year cancer-related or overall survival, according to an observational study involving more than 17,000 individuals.
Participants averaged 76 years of age; were newly-diagnosed with colorectal, breast, prostate, or bladder cancer; and had not been prescribed statins in the 6 months prior to their diagnosis. Investigators compared mortality rates in patients prescribed statins within 6 months after diagnosis to those in whom statins were not initiated. They then compared their findings to those found in previous observational studies, and found that:
- The adjusted hazard ratio for cancer-specific mortality when comparing statin initiation to no initiation was 1.00.
- For overall mortality, the ratio was 1.07.
- The risk difference never exceeded 0.08%.
- Prior studies have noted an inverse link between statins and mortality, with a pooled hazard ratio of 0.70.
The authors noted that their results were not susceptible to selection bias from prevalent users or to immortal time bias.
Emilsson L, Garcia-Albeniz X, Logan R, et al. Examining bias in studies of statin treatment and survival in patients with cancer. [Published online ahead of print August 20, 2017]. JAMA Oncol. doi:10.1001/jamaoncol.2017.2752.