Evidence mapPaperPMID 26526340Full record

SynthesisLipids in health and disease2015

Intensified low-density lipoprotein-cholesterol target of statin therapy and cancer risk: a meta-analysis.

Haixia Sun, Yang Yuan, Pin Wang, Rongrong Cai, Wenqing Xia, Rong Huang, Shaohua Wang

Abstract readMeta-Analysis
In one paragraph

Synthesis in Lipids in health and disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Haixia SunDepartment of Endocrinology, The Affiliated ZhongDa Hospital of Southeast University, No.87 DingJiaQiao Road, Nanjing, 210009, PR China. sunshine_9092@163.com.
Yang YuanDepartment of Endocrinology, The Affiliated ZhongDa Hospital of Southeast University, No.87 DingJiaQiao Road, Nanjing, 210009, PR China. nn83306779@hotmail.com.
Pin WangDepartment of Endocrinology, The Affiliated ZhongDa Hospital of Southeast University, No.87 DingJiaQiao Road, Nanjing, 210009, PR China. wangpin542@126.com.
Rongrong CaiDepartment of Endocrinology, The Affiliated ZhongDa Hospital of Southeast University, No.87 DingJiaQiao Road, Nanjing, 210009, PR China. rongrong19900710@163.com.
Wenqing XiaDepartment of Endocrinology, The Affiliated ZhongDa Hospital of Southeast University, No.87 DingJiaQiao Road, Nanjing, 210009, PR China. wen_qing_xia@126.com.
Rong HuangDepartment of Endocrinology, The Affiliated ZhongDa Hospital of Southeast University, No.87 DingJiaQiao Road, Nanjing, 210009, PR China. huangrong0914@yeah.net.
Shaohua WangDepartment of Endocrinology, The Affiliated ZhongDa Hospital of Southeast University, No.87 DingJiaQiao Road, Nanjing, 210009, PR China. gyjwsh@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to investigate the relationship between an intensified low-density lipoprotein-cholesterol (LDL-c) target of statin therapy and cancer risk.

methodsData from PUBMED, EMBASE, and the Cochrane Central Register of Controlled Trials as of September 2014 were searched for randomized controlled trials on statins. An intensified LDL-c target of <2.59 mmol/L (100 mg/dL) or a relative LDL-c reduction by at least 30% of the baseline was the primary criterion for all the trials that were included in this meta-analysis. The I(2) statistic was used to measure heterogeneity among the trials, and risk estimates were calculated for cancer incidence in this random-effect meta-analysis.

resultsNine eligible studies were identified with 59,571 participants, of whom 5379 developed cancer during the follow-up period (2691 were given statins and 2688 were given control treatment). The intensified LDL-c target of statin therapy did not affect cancer incidence (odds ratio, 1.00; 95% confidence interval, 0.94 - 1.06; I(2)  = 1.6%, p = 0.42), which included some common cancers. Subgroup analysis showed that neither the chemical properties nor the variety of the statins accounted for the residual variation in risk.

conclusionsThe intensified LDL-c target of statin therapy had no effect on the overall incidence of cancer, including some common cancers. Therefore, intensified statin therapy does not need to be changed among adult clinical patients.

Indexed as

Cholesterol, LDLHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHypercholesterolemiaIncidenceNeoplasmsRandomized Controlled Trials as TopicCholesterol, LDLHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID26526340
PMCPMC4631056

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.