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2013 ; 24
(6
): 1427-34
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Statins and prostate cancer recurrence following radical prostatectomy or
radiotherapy: a systematic review and meta-analysis
#MMPMID23508824
Park HS
; Schoenfeld JD
; Mailhot RB
; Shive M
; Hartman RI
; Ogembo R
; Mucci LA
Ann Oncol
2013[Jun]; 24
(6
): 1427-34
PMID23508824
show ga
BACKGROUND: In this meta-analysis, we evaluated associations between statins and
recurrence-free survival (RFS) following treatment of localized prostate cancer,
with attention to potential benefits among patients treated primarily with
radiotherapy (RT) versus radical prostatectomy. PATIENTS AND METHODS: We
identified original studies examining the effect of statins on men who received
definitive treatment of localized prostate cancer using a systematic search of
the PubMed and EMBASE databases through August 2012. Our search yielded 17
eligible studies from 794 references; 13 studies with hazard ratios (HRs) for RFS
were included in the formal meta-analysis. RESULTS: Overall, statins did not
affect RFS (HR 0.90, 95% CI 0.74-1.08). However, in RT patients (six studies),
statins were associated with a statistically significant improvement in RFS (HR
0.68; 95% CI 0.49-0.93); this benefit was not observed in radical prostatectomy
patients (seven studies). Sensitivity analyses suggested that primary treatment
modality may impact the effect of statins on prostate cancer recurrence.
CONCLUSIONS: Our meta-analysis suggests a potentially beneficial effect of
statins on prostate cancer patients treated with RT but not among radical
prostatectomy patients. Although limited by the lack of randomized data, these
results suggest that primary treatment modality should be considered in future
studies examining associations between statins and oncologic outcomes.
|Humans
[MESH]
|Hydroxymethylglutaryl-CoA Reductase Inhibitors/*therapeutic use
[MESH]