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Title:
Statin use and breast cancer survival โ a Swedish nationwide study | BMC Cancer
Description:
Background A sizeable body of evidence suggests that statins can cease breast cancer progression and prevent breast cancer recurrence. The latest studies have, however, not been supportive of such clinically beneficial effects. These discrepancies may be explained by insufficient power. This considerably sized study investigates the association between both pre- and post-diagnostic statin use and breast cancer outcome. Methods A Swedish nation-wide retrospective cohort study of 20,559 Swedish women diagnosed with breast cancer (July 1st, 2005 through 2008). Dispensed statin medication was identified through the Swedish Prescription Registry. Breast cancer related death information was obtained from the national cause-of-death registry until December 31st, 2012. Cox regression models yielded hazard ratios (HR) and 95% confidence intervals (CI) regarding associations between statin use and breast cancer-specific and overall mortality. Results During a median follow-up time of 61.6โmonths, a total of 4678 patients died, of which 2669 were considered breast cancer related deaths. Compared to non- or irregular use, regular pre-diagnostic statin use was associated with lower risk of breast cancer related deaths (HRโ=โ0.77; 95% CI 0.63โ0.95, Pโ=โ0.014). Similarly, post-diagnostic statin use compared to non-use was associated with lower risk of breast cancer related deaths (HRโ=โ0.83; 95% CI 0.75โ0.93, Pโ=โ0.001). Conclusion This study supports the notion that statin use is protective regarding breast cancer related mortality in agreement with previous Scandinavian studies, although less so with studies in other populations. These disparities should be further investigated to pave the way for future randomized clinical trials investigating the role of statins in breast cancer.
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Keywords {๐}
cancer, breast, statin, study, article, swedish, mortality, statins, survival, related, users, time, google, scholar, data, diagnosis, patients, women, table, dose, risk, cas, death, postdiagnostic, cohort, registry, prediagnostic, analyses, results, prescribed, analysis, nationwide, studies, december, deaths, age, information, effects, diagnosed, compared, regular, lower, years, cholesterol, treatment, access, borgquist, national, daily, lag,
Topics {โ๏ธ}
low-density-lipoprotein receptor resulting statin-induced anti-proliferative effects modeling exposure-lag-response associations inhibiting hmg-coa reductase early-stage breast cancer breast cancer-specific mortality reduced cancer-related mortality breast cancer recurrence/mortality population-based cohort study potential confounding factors post-diagnostic statin user regular-user criteria stated life-style factors regular pre-diagnostic statin regular pre-diagnostic users article download pdf post-diagnostic statin users mortality pre-diagnostic statin breast cancer related pre-diagnostic statin users pre-diagnostic statin users swedish research council reasonable lag-time estimate disease-specific survival pre-diagnostic statin usage breast cancer survival breast cancer prognosis evaluating pre-diagnostic statin randomized clinical trials privacy choices/manage cookies mortality significantly compared year lag-time based breast cancer-specific previously published studies swedish cancer registry breast cancer progression breast cancer recurrence breast cancer cases breast cancer stage breast cancer recurrences breast cancer outcomes breast cancer pathogenesis breast cancer pathophysiology female breast cancer male breast cancer primary breast cancer positive breast cancer swedish nationwide study prospective cohort study creative commons license
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headline:Statin use and breast cancer survival โ a Swedish nationwide study
description:A sizeable body of evidence suggests that statins can cease breast cancer progression and prevent breast cancer recurrence. The latest studies have, however, not been supportive of such clinically beneficial effects. These discrepancies may be explained by insufficient power. This considerably sized study investigates the association between both pre- and post-diagnostic statin use and breast cancer outcome. A Swedish nation-wide retrospective cohort study of 20,559 Swedish women diagnosed with breast cancer (July 1st, 2005 through 2008). Dispensed statin medication was identified through the Swedish Prescription Registry. Breast cancer related death information was obtained from the national cause-of-death registry until December 31st, 2012. Cox regression models yielded hazard ratios (HR) and 95% confidence intervals (CI) regarding associations between statin use and breast cancer-specific and overall mortality. During a median follow-up time of 61.6โmonths, a total of 4678 patients died, of which 2669 were considered breast cancer related deaths. Compared to non- or irregular use, regular pre-diagnostic statin use was associated with lower risk of breast cancer related deaths (HRโ=โ0.77; 95% CI 0.63โ0.95, Pโ=โ0.014). Similarly, post-diagnostic statin use compared to non-use was associated with lower risk of breast cancer related deaths (HRโ=โ0.83; 95% CI 0.75โ0.93, Pโ=โ0.001). This study supports the notion that statin use is protective regarding breast cancer related mortality in agreement with previous Scandinavian studies, although less so with studies in other populations. These disparities should be further investigated to pave the way for future randomized clinical trials investigating the role of statins in breast cancer.
datePublished:2019-01-11T00:00:00Z
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headline:Statin use and breast cancer survival โ a Swedish nationwide study
description:A sizeable body of evidence suggests that statins can cease breast cancer progression and prevent breast cancer recurrence. The latest studies have, however, not been supportive of such clinically beneficial effects. These discrepancies may be explained by insufficient power. This considerably sized study investigates the association between both pre- and post-diagnostic statin use and breast cancer outcome. A Swedish nation-wide retrospective cohort study of 20,559 Swedish women diagnosed with breast cancer (July 1st, 2005 through 2008). Dispensed statin medication was identified through the Swedish Prescription Registry. Breast cancer related death information was obtained from the national cause-of-death registry until December 31st, 2012. Cox regression models yielded hazard ratios (HR) and 95% confidence intervals (CI) regarding associations between statin use and breast cancer-specific and overall mortality. During a median follow-up time of 61.6โmonths, a total of 4678 patients died, of which 2669 were considered breast cancer related deaths. Compared to non- or irregular use, regular pre-diagnostic statin use was associated with lower risk of breast cancer related deaths (HRโ=โ0.77; 95% CI 0.63โ0.95, Pโ=โ0.014). Similarly, post-diagnostic statin use compared to non-use was associated with lower risk of breast cancer related deaths (HRโ=โ0.83; 95% CI 0.75โ0.93, Pโ=โ0.001). This study supports the notion that statin use is protective regarding breast cancer related mortality in agreement with previous Scandinavian studies, although less so with studies in other populations. These disparities should be further investigated to pave the way for future randomized clinical trials investigating the role of statins in breast cancer.
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Breast cancer
Survival
Prognosis
Cancer Research
Oncology
Surgical Oncology
Health Promotion and Disease Prevention
Biomedicine
general
Medicine/Public Health
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