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Title:
Statin use and risk of breast cancer: a meta-analysis of observational studies | Breast Cancer Research and Treatment
Description:
Emerging evidence suggests that statinsā may decrease the risk of cancers. However, available evidence on breast cancer is conflicting. We, therefore, examined the association between statin use and risk of breast cancer by conducting a detailed meta-analysis of all observational studies published regarding this subject. PubMed database and bibliographies of retrieved articles were searched for epidemiological studies published up to January 2012, investigating the relationship between statin use and breast cancer. Before meta-analysis, the studies were evaluated for publication bias and heterogeneity. Combined relative risk (RR) and 95 % confidence interval (CI) were calculated using a random-effects model (DerSimonian and Laird method). Subgroup analyses, sensitivity analysis, and cumulative meta-analysis were also performed. A total of 24 (13 cohort and 11 caseācontrol) studies involving more than 2.4 million participants, including 76,759 breast cancer cases contributed to this analysis. We found no evidence of publication bias and evidence of heterogeneity among the studies. Statin use and long-term statin use did not significantly affect breast cancer risk (RR = 0.99, 95 % CI = 0.94, 1.04 and RR = 1.03, 95 % CI = 0.96, 1.11, respectively). When the analysis was stratified into subgroups, there was no evidence that study design substantially influenced the effect estimate. Sensitivity analysis confirmed the stability of our results. Cumulative meta-analysis showed a change in trend of reporting risk of breast cancer from positive to negative in statin users between 1993 and 2011. Our meta-analysis findings do not support the hypothesis that statinsā have a protective effect against breast cancer. More randomized clinical trials and observational studies are needed to confirm this association with underlying biological mechanisms in the future.
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cancer, article, google, scholar, pubmed, breast, cas, risk, statin, statins, study, metaanalysis, studies, research, clin, analysis, observational, cohort, epidemiology, casecontrol, drugs, res, privacy, cookies, content, evidence, access, health, data, publish, search, published, undela, cancers, association, bias, incidence, inhibitors, med, women, oncol, bmj, usage, information, log, journal, krishna, srikanth, bansal, abstract,
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vallakatla srikanthĀ &Ā dipika bansal month download article/chapter large population-based setting population-based cohort study nested case-control study hmg-coa reductase inhibitors cumulative meta-analysis showed nested case-control studies /issue/pharmacy/2009/2009-05/rxfocustop200drugs-0509 full article pdf privacy choices/manage cookies case-control study case control study caseācontrol study cohort study validated related subjects lovastatin 5-year safety cumulative meta-analysis simvastatin induces derepression prospective cohort study detailed meta-analysis meta-analysis findings meta-analysis detected breast cancer subtypes breast cancer recurrence cancerstats cancer worldwide global cancer statistics european economic area underlying biological mechanisms randomised controlled trial 3-hydroxy-3-methylglutaryl coenzyme lipid-lowering drug 3-hydroxy-3-methylglutaryl conenzyme tumor-specific apoptosis pubmed database public health foundation epidemiological studies published conditions privacy policy article undela female breast cancer org/cancerstats/world/ cholesterol-lowering drugs lipid-lowering drugs rank correlation test sensitivity analysis confirmed random-effects model observational studies published friedman gd accepting optional cookies post-diagnosis statin
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- Rogers MJ (2000) Statinsā: lower lipids and better bones?
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headline:Statin use and risk of breast cancer: a meta-analysis of observational studies
description:Emerging evidence suggests that statinsā may decrease the risk of cancers. However, available evidence on breast cancer is conflicting. We, therefore, examined the association between statin use and risk of breast cancer by conducting a detailed meta-analysis of all observational studies published regarding this subject. PubMed database and bibliographies of retrieved articles were searched for epidemiological studies published up to January 2012, investigating the relationship between statin use and breast cancer. Before meta-analysis, the studies were evaluated for publication bias and heterogeneity. Combined relative risk (RR) and 95Ā % confidence interval (CI) were calculated using a random-effects model (DerSimonian and Laird method). Subgroup analyses, sensitivity analysis, and cumulative meta-analysis were also performed. A total of 24 (13 cohort and 11 caseācontrol) studies involving more than 2.4 million participants, including 76,759 breast cancer cases contributed to this analysis. We found no evidence of publication bias and evidence of heterogeneity among the studies. Statin use and long-term statin use did not significantly affect breast cancer risk (RRĀ =Ā 0.99, 95Ā % CIĀ =Ā 0.94, 1.04 and RRĀ =Ā 1.03, 95Ā % CIĀ =Ā 0.96, 1.11, respectively). When the analysis was stratified into subgroups, there was no evidence that study design substantially influenced the effect estimate. Sensitivity analysis confirmed the stability of our results. Cumulative meta-analysis showed a change in trend of reporting risk of breast cancer from positive to negative in statin users between 1993 and 2011. Our meta-analysis findings do not support the hypothesis that statinsā have a protective effect against breast cancer. More randomized clinical trials and observational studies are needed to confirm this association with underlying biological mechanisms in the future.
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Breast cancer
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headline:Statin use and risk of breast cancer: a meta-analysis of observational studies
description:Emerging evidence suggests that statinsā may decrease the risk of cancers. However, available evidence on breast cancer is conflicting. We, therefore, examined the association between statin use and risk of breast cancer by conducting a detailed meta-analysis of all observational studies published regarding this subject. PubMed database and bibliographies of retrieved articles were searched for epidemiological studies published up to January 2012, investigating the relationship between statin use and breast cancer. Before meta-analysis, the studies were evaluated for publication bias and heterogeneity. Combined relative risk (RR) and 95Ā % confidence interval (CI) were calculated using a random-effects model (DerSimonian and Laird method). Subgroup analyses, sensitivity analysis, and cumulative meta-analysis were also performed. A total of 24 (13 cohort and 11 caseācontrol) studies involving more than 2.4 million participants, including 76,759 breast cancer cases contributed to this analysis. We found no evidence of publication bias and evidence of heterogeneity among the studies. Statin use and long-term statin use did not significantly affect breast cancer risk (RRĀ =Ā 0.99, 95Ā % CIĀ =Ā 0.94, 1.04 and RRĀ =Ā 1.03, 95Ā % CIĀ =Ā 0.96, 1.11, respectively). When the analysis was stratified into subgroups, there was no evidence that study design substantially influenced the effect estimate. Sensitivity analysis confirmed the stability of our results. Cumulative meta-analysis showed a change in trend of reporting risk of breast cancer from positive to negative in statin users between 1993 and 2011. Our meta-analysis findings do not support the hypothesis that statinsā have a protective effect against breast cancer. More randomized clinical trials and observational studies are needed to confirm this association with underlying biological mechanisms in the future.
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Breast cancer
Meta-analysis
Oncology
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