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Title:
Post-diagnosis statin use and breast cancer recurrence in a prospective cohort study of early stage breast cancer survivors | Breast Cancer Research and Treatment
Description:
We examined the association between post-diagnosis statin use (3-hydroxy-3-methylglutaryl-coenzyme A [HMG-CoA] inhibitors) and risk of breast cancer recurrence. The study included 1945 early stage breast cancer survivors participating in the Life After Cancer Epidemiology (LACE) Study. Women who were diagnosed from 1997 to 2000 and identified from the Kaiser Permanente Northern California (KPNC) Cancer Registry entered the cohort on average 2 years post-diagnosis. Information on statin use was obtained from the KPNC pharmacy database. A total of 210 breast cancer recurrences were reported and verified by medical record review. Cox proportional hazard models were used to estimate rate ratios (RR) and 95% confidence intervals (CI). The mean duration of statin use in the cohort among those who initiated use post-diagnosis was 1.96 years, and lipophilic statins were mainly used (97.8%). Starting statins after diagnosis was suggestive of a decreased risk of breast cancer recurrence (RR = 0.67; 95% CI: 0.39–1.13). Risk of recurrence decreased with increasing duration of statin use after diagnosis (p linear trend = 0.02). Our findings provide initial support for an inverse association between post-diagnosis, lipophilic statin use and risk of breast cancer recurrence.
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Keywords {🔍}
cancer, breast, article, google, scholar, pubmed, statins, risk, statin, cas, study, clin, research, recurrence, oncol, postdiagnosis, cohort, privacy, cookies, content, data, support, access, author, information, publish, search, treatment, prospective, early, stage, survivors, epidemiology, kwan, association, analysis, log, journal, marilyn, habel, flick, quesenberry, caan, lace, kaiser, permanente, lipophilic, survival, therapy, clinical,
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[hmg-coa] inhibitors long-term lipid-lowering therapy month download article/chapter quesenberry & bette caan population-based cohort study average 2 years post-diagnosis full article pdf breast cancer recurrence privacy choices/manage cookies related subjects prospective meta-analysis lipid-lowering drugs breast cancer inhibition breast cancer subtypes breast cancer incidence human receptor-positive mammary carcinoma cells de lorenzo ms medical record review breast cancer risk cancer registry entered national cancer institute breast carcinoma risk statistical programming support applied survival analysis european economic area 3-hydroxy-3-methylglutaryl-coenzyme estimate rate ratios 3-hydroxy-3-methylglutaryl conenzyme farina hg utah cancer registry cholesterol-lowering treatment case-control study case control study conditions privacy policy kpnc pharmacy database prospective cohort study womens health initiative inhibits experimental metastasis sentara health plan author information authors meta-analysis lace study staff accepting optional cookies check access alonso df instant access article log randomized clinical trials breast cancer
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headline:Post-diagnosis statin use and breast cancer recurrence in a prospective cohort study of early stage breast cancer survivors
description:We examined the association between post-diagnosis statin use (3-hydroxy-3-methylglutaryl-coenzyme A [HMG-CoA] inhibitors) and risk of breast cancer recurrence. The study included 1945 early stage breast cancer survivors participating in the Life After Cancer Epidemiology (LACE) Study. Women who were diagnosed from 1997 to 2000 and identified from the Kaiser Permanente Northern California (KPNC) Cancer Registry entered the cohort on average 2 years post-diagnosis. Information on statin use was obtained from the KPNC pharmacy database. A total of 210 breast cancer recurrences were reported and verified by medical record review. Cox proportional hazard models were used to estimate rate ratios (RR) and 95% confidence intervals (CI). The mean duration of statin use in the cohort among those who initiated use post-diagnosis was 1.96 years, and lipophilic statins were mainly used (97.8%). Starting statins after diagnosis was suggestive of a decreased risk of breast cancer recurrence (RR = 0.67; 95% CI: 0.39–1.13). Risk of recurrence decreased with increasing duration of statin use after diagnosis (p linear trend = 0.02). Our findings provide initial support for an inverse association between post-diagnosis, lipophilic statin use and risk of breast cancer recurrence.
datePublished:2007-08-03T00:00:00Z
dateModified:2007-08-03T00:00:00Z
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Statins
HMG-CoA inhibitors
Breast cancer
Recurrence
Prognosis
Oncology
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headline:Post-diagnosis statin use and breast cancer recurrence in a prospective cohort study of early stage breast cancer survivors
description:We examined the association between post-diagnosis statin use (3-hydroxy-3-methylglutaryl-coenzyme A [HMG-CoA] inhibitors) and risk of breast cancer recurrence. The study included 1945 early stage breast cancer survivors participating in the Life After Cancer Epidemiology (LACE) Study. Women who were diagnosed from 1997 to 2000 and identified from the Kaiser Permanente Northern California (KPNC) Cancer Registry entered the cohort on average 2 years post-diagnosis. Information on statin use was obtained from the KPNC pharmacy database. A total of 210 breast cancer recurrences were reported and verified by medical record review. Cox proportional hazard models were used to estimate rate ratios (RR) and 95% confidence intervals (CI). The mean duration of statin use in the cohort among those who initiated use post-diagnosis was 1.96 years, and lipophilic statins were mainly used (97.8%). Starting statins after diagnosis was suggestive of a decreased risk of breast cancer recurrence (RR = 0.67; 95% CI: 0.39–1.13). Risk of recurrence decreased with increasing duration of statin use after diagnosis (p linear trend = 0.02). Our findings provide initial support for an inverse association between post-diagnosis, lipophilic statin use and risk of breast cancer recurrence.
datePublished:2007-08-03T00:00:00Z
dateModified:2007-08-03T00:00:00Z
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HMG-CoA inhibitors
Breast cancer
Recurrence
Prognosis
Oncology
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