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Statin Use and Risk of Prostate Cancer: A Meta-Analysis of Observational Studies

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  • Dipika Bansal
  • Krishna Undela
  • Sanjay D'Cruz
  • Fabrizio Schifano

Abstract

Background: Emerging evidence suggests that statins may decrease the risk of cancers. However, available evidence on prostate cancer (PCa) is conflicting. We therefore examined the association between statin use and risk of PCa by conducting a detailed meta-analysis of all observational studies published regarding this subject. Methods: Literature search in PubMed database was undertaken through February 2012 looking for observational studies evaluating the association between statin use and risk of PCa. Before meta-analysis, the studies were evaluated for publication bias and heterogeneity. Pooled relative risk (RR) estimates and 95% confidence intervals (CIs) were calculated using random-effects model (DerSimonian and Laird method). Subgroup analyses, sensitivity analysis and cumulative meta-analysis were also performed. Results: A total of 27 (15 cohort and 12 case-control) studies contributed to the analysis. There was heterogeneity among the studies but no publication bias. Statin use significantly reduced the risk of both total PCa by 7% (RR 0.93, 95% CI 0.87–0.99, p = 0.03) and clinically important advanced PCa by 20% (RR 0.80, 95% CI 0.70–0.90, p

Suggested Citation

  • Dipika Bansal & Krishna Undela & Sanjay D'Cruz & Fabrizio Schifano, 2012. "Statin Use and Risk of Prostate Cancer: A Meta-Analysis of Observational Studies," PLOS ONE, Public Library of Science, vol. 7(10), pages 1-11, October.
  • Handle: RePEc:plo:pone00:0046691
    DOI: 10.1371/journal.pone.0046691
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    Cited by:

    1. Xiao Yi & Wei Jia & Yin Jin & Shang Zhen, 2014. "Statin Use Is Associated with Reduced Risk of Haematological Malignancies: Evidence from a Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-8, January.
    2. Yan-bo Chen & Qi Chen & Zhong Wang & Juan Zhou, 2013. "Insulin Therapy and Risk of Prostate Cancer: a Systematic Review and Meta-Analysis of Observational Studies," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-1, November.
    3. Jinliang Wang & Cheng Li & Haitao Tao & Yao Cheng & Lu Han & Xiaoyan Li & Yi Hu, 2013. "Statin Use and Risk of Lung Cancer: a Meta-Analysis of Observational Studies and Randomized Controlled Trials," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-1, October.

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