Data show that statin use does not increase risk for cancer
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The use of statins to lower LDL does not increase a patients risk for cancer, results from a meta-analysis suggested.
Researchers from Tufts Medical School in Boston conducted an analysis of 15 randomized controlled statin trials with ≥1,000 person years of follow-up and information about on-treatment LDL levels and incident cancer rates. The analysis included 19 statin arms and 14 control arms, with a total of 437,017 person years of follow-up.
The researchers reported an inverse relationship between on-treatment serum LDL levels and incident cancer in the statin arms, with 2.2 (95% CI, 0.7-3.6) cancers per 100,000 person years for each 10 mg/dL decrement in LDL. They also observed an inverse relationship between on-treatment LDL levels and incident cancer in the control arms with 1.2 cancers per 1,000 person years (95% CI, 0.2 to 2.7).
However, in an unadjusted meta-analysis, the researchers reported that statin use was not associated with an increase in cancer rates compared with the control arms (0.0 cancers per 1,000 person years; 95% CI, 0.7 to 0.7). They reported similar results after adjustment for on-treatment LDL levels in each trial and each arm (0.2 cancers per 1,000 person years; 95% CI, 5.1 to 5.6).
We observed that the previously reported overall neutral effect of statins on cancer risk holds true for any given level of on-treatment LDL, the researchers wrote. Taken together, these findings indicate that despite observed inverse association between on-treatment LDL levels and incident cancer, the LDL-lowering effect of statins is not associated with an increased risk of cancer, at least over the time frame evaluated here.
J Am Coll Cardiol. 2008;doi:10.1016/j.jacc.2008.06.037.
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