Statin use and risk of cancer: An umbrella meta-analysis

BACKGROUND: The relationship between statin use and cancer risk has been debated for a long time. Physiologically plausible theories suggest that statins may lower the risk of cancer. We have updated the overview of meta-analyses to include up-to-date information, additional subgroup analyses, and s...

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Main Authors: Ruby Kasana, Christy Thomas, Gaurav Das, Munlima Hazarika, Krishna Undela
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Annals of Oncology Research and Therapy
Subjects:
Online Access:http://www.aort.info/article.asp?issn=2772-8382;year=2023;volume=3;issue=1;spage=14;epage=31;aulast=Kasana
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author Ruby Kasana
Christy Thomas
Gaurav Das
Munlima Hazarika
Krishna Undela
author_facet Ruby Kasana
Christy Thomas
Gaurav Das
Munlima Hazarika
Krishna Undela
author_sort Ruby Kasana
collection DOAJ
description BACKGROUND: The relationship between statin use and cancer risk has been debated for a long time. Physiologically plausible theories suggest that statins may lower the risk of cancer. We have updated the overview of meta-analyses to include up-to-date information, additional subgroup analyses, and site-specific cancer risk estimates. MATERIALS AND METHODS: A systematic search was performed in the PubMed, Cochrane and Google scholar databases between June 2016 and December 2022. The search strategy included both statin- and cancer-related keywords. Meta-analyses examining the association between statin use and site-specific cancer risk were included. Two reviewers independently screened the literature, extracted data, and assessed the study quality using A MeaSurement Tool to Assess systematic Reviews 2 (AMSTAR 2) tool. RESULTS: This up-to-date overview included 71 meta-analyses (33 new and 38 from the previous overview) of 14 site-specific cancers. Out of which, 29 (44%) meta-analyses had a “Critically low” and three reviews (5%) had a “High” quality of evidence with AMSTAR 2. The pooled results of meta-analyses showed that statins reduce the likelihood of biliary tract (33%), colorectal (9%), gastric (29%), gynecological (12%), hematological (19%), liver (42%), esophageal (19%), and pancreatic (18%) cancers. However, no association was identified between statin use and the risk of bladder, breast, kidney, lung, prostate, and skin cancers. CONCLUSIONS: Statins may play a crucial role in cancer chemoprevention, reduce the risk of site-specific malignancies, and can be used as an adjuvant.
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spelling doaj.art-384fa3e4e2b4405bb93da68fbc3f9f5f2024-04-03T08:46:57ZengWolters Kluwer Medknow PublicationsAnnals of Oncology Research and Therapy2772-83822772-83902023-01-0131143110.4103/aort.aort_34_22Statin use and risk of cancer: An umbrella meta-analysisRuby KasanaChristy ThomasGaurav DasMunlima HazarikaKrishna UndelaBACKGROUND: The relationship between statin use and cancer risk has been debated for a long time. Physiologically plausible theories suggest that statins may lower the risk of cancer. We have updated the overview of meta-analyses to include up-to-date information, additional subgroup analyses, and site-specific cancer risk estimates. MATERIALS AND METHODS: A systematic search was performed in the PubMed, Cochrane and Google scholar databases between June 2016 and December 2022. The search strategy included both statin- and cancer-related keywords. Meta-analyses examining the association between statin use and site-specific cancer risk were included. Two reviewers independently screened the literature, extracted data, and assessed the study quality using A MeaSurement Tool to Assess systematic Reviews 2 (AMSTAR 2) tool. RESULTS: This up-to-date overview included 71 meta-analyses (33 new and 38 from the previous overview) of 14 site-specific cancers. Out of which, 29 (44%) meta-analyses had a “Critically low” and three reviews (5%) had a “High” quality of evidence with AMSTAR 2. The pooled results of meta-analyses showed that statins reduce the likelihood of biliary tract (33%), colorectal (9%), gastric (29%), gynecological (12%), hematological (19%), liver (42%), esophageal (19%), and pancreatic (18%) cancers. However, no association was identified between statin use and the risk of bladder, breast, kidney, lung, prostate, and skin cancers. CONCLUSIONS: Statins may play a crucial role in cancer chemoprevention, reduce the risk of site-specific malignancies, and can be used as an adjuvant.http://www.aort.info/article.asp?issn=2772-8382;year=2023;volume=3;issue=1;spage=14;epage=31;aulast=Kasanacancerstatinumbrella meta-analysis
spellingShingle Ruby Kasana
Christy Thomas
Gaurav Das
Munlima Hazarika
Krishna Undela
Statin use and risk of cancer: An umbrella meta-analysis
Annals of Oncology Research and Therapy
cancer
statin
umbrella meta-analysis
title Statin use and risk of cancer: An umbrella meta-analysis
title_full Statin use and risk of cancer: An umbrella meta-analysis
title_fullStr Statin use and risk of cancer: An umbrella meta-analysis
title_full_unstemmed Statin use and risk of cancer: An umbrella meta-analysis
title_short Statin use and risk of cancer: An umbrella meta-analysis
title_sort statin use and risk of cancer an umbrella meta analysis
topic cancer
statin
umbrella meta-analysis
url http://www.aort.info/article.asp?issn=2772-8382;year=2023;volume=3;issue=1;spage=14;epage=31;aulast=Kasana
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AT gauravdas statinuseandriskofcanceranumbrellametaanalysis
AT munlimahazarika statinuseandriskofcanceranumbrellametaanalysis
AT krishnaundela statinuseandriskofcanceranumbrellametaanalysis