Evidence map›Paper›PMID 30846177›Full record

ArticleOral oncology2019

Statin use associated with improved overall and cancer specific survival in patients with head and neck cancer.

Abhinav Gupta, William Stokes, Megan Eguchi, Mohammad Hararah, Arya Amini, Adam Mueller, Rustain Morgan, Cathy Bradley, David Raben, Jessica McDermott and 1 more

Open access · greenAbstract read
In one paragraph

Article in Oral oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% of its field
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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  12. Pharmacological Approaches to Hearing Loss.Pharmacological reviews · 2024
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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

11 authors at 3 institutions in 1 country.

Abhinav GuptaDepartment of Radiation Oncology, University of Colorado, Denver, United States.
William StokesDepartment of Radiation Oncology, University of Colorado, Denver, United States.
Megan EguchiDepartment of Health Systems, Management, and Policy, Colorado School of Public Health, United States. Electronic address: MEGAN.EGUCHI@ucdenver.edu.
Mohammad HararahDepartment of Otolaryngology, University of Colorado, Denver, United States.
Arya AminiDepartment of Radiation Oncology, City of Hope Medical Center, United States.
Adam MuellerDepartment of Radiation Oncology, University of Colorado, Denver, United States.
Rustain MorganDepartment of Radiology, University of Colorado, Denver, United States.
Cathy BradleyDepartment of Health Systems, Management, and Policy, Colorado School of Public Health, United States.
David RabenDepartment of Radiation Oncology, University of Colorado, Denver, United States.
Jessica McDermottDepartment of Medicine, Division of Medical Oncology, University of Colorado, Denver, United States.
Sana D KaramDepartment of Radiation Oncology, University of Colorado, Denver, United States. Electronic address: sana.karam@ucdenver.edu.
University of Colorado Denver · USColorado School of Public Health · USCity Of Hope National Medical Center · US

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Paul Calabresis Award in Clinical Oncology ResearchK12CA086913 · NCI · UNIVERSITY OF COLORADO DENVER · PI VIRGINIA F. BORGES, Jill E Slansky · 2000 to 2026
$17.8M
NCI NIH HHS K12 CA086913NCI NIH HHS P30 CA046934
6 · The paper itself

Abstract

objectivesStudies have shown the utility of lipid-lowering agents in improving outcomes in various cancers. We aim to explore how statins affect overall survival and cancer specific survival in head and neck cancer patients using population-based datasets. PATIENTS AND

methodsUsing the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked dataset, we separated HNC patients into three groups: those with no hyperlipidemia (nH), those with hyperlipidemia and not taking a statin (HnS), and those with hyperlipidemia and taking a statin (H + S). Overall survival (OS) and cancer specific survival (CSS) were compared between the three groups based on disease subsite (oral cavity, oropharynx, and other) using Kaplan-Meier and multivariate Cox regression analysis (MVA), controlling for demographic, socioeconomic, staging, treatment, and comorbidity covariates. Using Pearson chi-square analysis, we also compared the incidence of cancer-related toxicity events.

resultsThere were 495 nH, 567 HnS, and 530 H + S patients. H + S patients had superior OS and CSS (73.0, 81.2%) relative to nH (58.6, 69.1%) and HnS groups (61.7, 69.2%) (p < 0.01). On MVA, H + S patients showed improved OS (p < 0.01) and CSS (p = 0.04) compared to nH (HR = 1.64, 1.56) and HnS (HR = 1.40, 1.37). MVA stratified by subsite yielded similar results for oral cavity and oropharyngeal disease. Toxicity-related events did not differ significantly between the groups.

conclusionHNC patients with hyperlipidemia and taking a statin demonstrated improved outcomes compared to nH and HnS patients, further supporting statins' role as a potential adjuvant anti-neoplastic agent in HNC. Further prospective studies to investigate the impact of statins on HNC outcomes are warranted.

Indexed as

AgedAged, 80 and overFemaleHead and Neck NeoplasmsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHyperlipidemiasKaplan-Meier EstimateMaleMedicareProportional Hazards ModelsSEER ProgramSurvival RateTreatment OutcomeUnited StatesHydroxymethylglutaryl-CoA Reductase InhibitorsClinical studyHead and neck cancerHyperlipidemiaOral cancerStatin

Identifiers

PMID30846177
PMCPMC6659746
OpenAlexW2914319215

What Socratic holds

Texttitle and abstract
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.