机构:[1]Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.四川大学华西医院[2]Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.四川大学华西医院[3]Department of Cardiovascular and Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.四川大学华西医院
In this work, we aim to further analyze the association of statins use with biochemical recurrence (BCR) of prostate cancer (PCa) and PCa-specific mortality after definitive therapy. A systematic literature search of PubMed, MEDLINE, and EMBASE through Jul 2015 was conducted. Pooled Hazard ratio (HR) estimates with corresponding 95% confidence intervals (CIs) were calculated using random-effects model. STATA version 10 (Stata corporation, college station, TX) was employed to conduct all statistical analyses. A total of 22 and 8 studies contributed to the biochemical recurrence analysis and PCa-specific mortality, respectively. 13 trials were included for BCR-free survival analysis. The combined result showed statins users had lowered 12% BCR risk of PCa compared with non-users (HR = 0.88, 95%CI: 0.765-0.998) (p < 0.05). The association was null among the men who underwent radical prostatectomy as primary therapy (HR = 0.96, 95%CI: 0.83-1.09), while the improved outcomes had be seen among patients who received radiation therapy (HR = 0.67, 95%CI: 0.48-0.86). After excluding the patients undergoing ADT, participants did not benefit from statins use (HR = 0.94, 95%CI: 0.77-1.11). Meanwhile, long-term statins using did not alter recurrence risk. A lower risk of prostate cancer-specific mortality was observed among statins users (HR = 0.68, 95%CI: 0.56-0.80). There was a plausible trend towards increasing the BCR-free survival rate among statins users.
基金:
This study was supported by the National Natural Science Foundation of China (Grant nos 81370855, 81200551
and 81300627), the Prostate Cancer Foundation Young Investigator Award 2013 and Foundation of Science &
Technology Department of Sichuan Province (Grant nos 2013SZ0006 and 2015SZ0230).
语种:
外文
PubmedID:
中科院(CAS)分区:
出版当年[2016]版:
大类|2 区综合性期刊
小类|2 区综合性期刊
最新[2023]版:
大类|2 区综合性期刊
小类|2 区综合性期刊
第一作者:
第一作者机构:[1]Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.[2]Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
共同第一作者:
通讯作者:
通讯机构:[1]Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.[2]Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
推荐引用方式(GB/T 7714):
Tan Ping,Wei Shiyou,Yang Lu,et al.The effect of statins on prostate cancer recurrence and mortality after definitive therapy: a systematic review and meta-analysis.[J].Scientific reports.2016,6:29106.doi:10.1038/srep29106.
APA:
Tan Ping,Wei Shiyou,Yang Lu,Tang Zhuang,Cao Dehong...&Wei Qiang.(2016).The effect of statins on prostate cancer recurrence and mortality after definitive therapy: a systematic review and meta-analysis..Scientific reports,6,
MLA:
Tan Ping,et al."The effect of statins on prostate cancer recurrence and mortality after definitive therapy: a systematic review and meta-analysis.".Scientific reports 6.(2016):29106