Evidence map›Paper›PMID 19124815›Full record

Trial reportAnnals of internal medicine2009

Association between statin use and risk for keratinocyte carcinoma in the veterans affairs topical tretinoin chemoprevention trial.

David D Dore, Kate L Lapane, Amal N Trivedi, Vincent Mor, Martin A Weinstock

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-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

7 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Reduced esophageal cancer incidence in statin users, particularly with cyclo-oxygenase inhibition.World journal of gastrointestinal pharmacology and therapeutics · 2013
    Article
  5. Review
  6. Article
  7. Novel investigational drugs for basal cell carcinoma.Expert opinion on investigational drugs · 2010
    Review
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

5 authors at 1 institution in 2 countries.

David D Dorei3 Drug Safety, Waltham, Massachusetts 02451, USA. david.dore@i3drugsafety.com
Kate L Lapane
Amal N Trivedi
Vincent Mor
Martin A Weinstock
Providence VA Medical Center · US

Funding

THE FRAMINGHAM SCHOOL STUDY OF NEVI IN CHILDREN SONIC IIR01AR049342 · NIAMS · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI HALPERN, ALLAN C · 2003 to 2013
$6.6M
National Research Service AwardT32HS000011 · AHRQ · BROWN UNIVERSITY · PI TRIVEDI, AMAL N. · 1986 to 2024
$6.1M
TRANSDISCIPLINARY CANCER CONTROL RESEARCH TRAINING GRANTR25CA087972 · NCI · MIRIAM HOSPITAL · PI RAKOWSKI, WILLIAM · 2000 to 2010
$4.7M
Indoor Tanning Use, DNA Repair and Risk of MelanomaR01CA106807 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI LAZOVICH, DEANN · 2004 to 2008
$2.6M
Efficacy of Web-based Training in Skin Cancer TriageR01CA106592 · NCI · RHODE ISLAND HOSPITAL · PI WEINSTOCK, MARTIN A. · 2004 to 2007
$1.9M
AHRQ HHS 5T32HS000011-21AHRQ HHS T32 HS000011NCI NIH HHS R01 CA106592NCI NIH HHS R01CA106592NCI NIH HHS R01 CA106807NCI NIH HHS R01CA106807NCI NIH HHS R25 CA087972NCI NIH HHS R25CA087972NIAMS NIH HHS R01 AR049342NIAMS NIH HHS R01AR49342
6 · The paper itself

Abstract

backgroundRecent evidence suggests that statins may prevent cancer.

objectiveTo quantify the association between statin use and the occurrence of keratinocyte carcinoma in high-risk veterans.

designCohort study.

setting6 Veterans Affairs medical centers.

participants1037 participants of the Veterans Affairs Topical Tretinoin Chemoprevention Trial, a randomized, multicenter, double-blind, vehicle-controlled trial of topical tretinoin, 0.1%, for prevention of keratinocyte carcinoma conducted from November 1998 to November 2004. MEASUREMENTS: Time to first occurrence of keratinocyte carcinoma on the face or ears. Participants using a statin at randomization, according to the Veterans Affairs Pharmacy Benefits Management database, were considered exposed. Study dermatologists conducted physical examinations at baseline and every 6 months during follow-up. The association between statin use at randomization and the outcome was evaluated by using propensity score matching (n = 608) and Cox proportional hazards regression (n = 1037).

resultsAmong the 1037 participants, 37% used a statin at randomization (n = 397) for a median duration of at least 900 days over a median follow-up of 3.5 years. In the propensity score-matched analysis, statin use at randomization was not associated with keratinocyte carcinoma (rate ratio, 0.92 [95% CI, 0.73 to 1.16]), a finding that was consistent with the estimates derived from the Cox proportional hazards regression (rate ratio, 0.84 [CI, 0.70 to 1.02]). LIMITATIONS: The extent of residual confounding is unknown, and the confidence bounds around the measures of association were wide. These data may not be generalizable to lower-risk populations.

conclusionThese data show no conclusive or consistent relationship between long-term statin use and risk for keratinocyte carcinoma.

Indexed as

Administration, TopicalAgedAged, 80 and overAntineoplastic AgentsBasal Cell CarcinomaCarcinoma, Squamous CellConfounding Factors, EpidemiologicDouble-Blind MethodDrug Administration ScheduleEar NeoplasmsFacial NeoplasmsFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalAntineoplastic AgentsTretinoin

Identifiers

PMID19124815
PMCPMC3771656
OpenAlexW2049239721

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.