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10.1200/JCO.2016.68.3482

http://scihub22266oqcxt.onion/10.1200/JCO.2016.68.3482
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C5477827!5477827!27646948
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suck abstract from ncbi


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pmid27646948      J+Clin+Oncol 2016 ; 34 (33): 4008-14
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  • Statins Are Associated With Reduced Mortality in Multiple Myeloma #MMPMID27646948
  • Sanfilippo KM; Keller J; Gage BF; Luo S; Wang TF; Moskowitz G; Gumbel J; Blue B; O?Brian K; Carson KR
  • J Clin Oncol 2016[Nov]; 34 (33): 4008-14 PMID27646948show ga
  • Purpose: The 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors (statins) have activity in one of the pathways influenced by nitrogen-containing bisphosphonates, which are associated with improved survival in multiple myeloma (MM). To understand the benefit of statins in MM, we evaluated the association between statin use and mortality in a large cohort of patients with MM. Patients and Methods: From the Veterans Administration Central Cancer Registry, we identified patients diagnosed with MM between 1999 and 2013. We defined statin use as the presence of any prescription for a statin within 3 months before or any time after MM diagnosis. Cox proportional hazards regression assessed the association of statin use with mortality, while controlling for known MM prognostic factors. Results: We identified a cohort of 4,957 patients, of whom 2,294 received statin therapy. Statin use was associated with a 21% decrease in all-cause mortality (adjusted hazard ratio, 0.79; 95% CI, 0.73 to 0.86; P < .001) as well as a 24% decrease in MM-specific mortality (adjusted hazard ratio, 0.76; 95% CI, 0.67 to 0.86; P < .001). This association remained significant across all sensitivity analyses. In addition to reductions in mortality, statin use was associated with a 31% decreased risk of developing a skeletal-related event. Conclusion: In this cohort study of US veterans with MM, statin therapy was associated with a reduced risk of both all-cause and MM-specific mortality. Our findings suggest a potential role for statin therapy in patients with MM. The putative benefit of statin therapy in MM should be corroborated in prospective studies.
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