Evidence map›Paper›PMID 25186049›Full record

ReviewThe Lancet. Oncology2014

Statins and breast cancer prognosis: evidence and opportunities.

Thomas P Ahern, Timothy L Lash, Per Damkier, Peer M Christiansen, Deirdre P Cronin-Fenton

Open access · greenAbstract readReview
In one paragraph

Review in The Lancet. Oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 6 pooled it
5.4field-weighted citation impact, top 3% 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

110 citing papers in PubMed, 6 syntheses or guidelines pooled it, 205 citations in OpenAlex.

  1. Pooled it
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  9. Dyslipidaemias in cancer patients.European heart journal · 2026
    Review
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50 more citing papers are in PubMed but not listed here.

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 4 institutions in 2 countries.

Thomas P AhernDepartments of Surgery and Biochemistry, University of Vermont College of Medicine, Burlington, VT, USA. Electronic address: thomas.ahern@med.uvm.edu.
Timothy L LashDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Per DamkierDepartment of Clinical Biochemistry and Pharmacology, Odense University Hospital, Odense, Denmark.
Peer M ChristiansenUnit of Breast and Endocrine Surgery, Aarhus University Hospital, Aarhus, Denmark; Danish Breast Cancer Cooperative Group, Copenhagen, Denmark.
Deirdre P Cronin-FentonDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Aarhus University Hospital · DKEmory University · USOdense University Hospital · DKUniversity of Vermont · US

Funding

New and integrated perspectives on modification of tamoxifen effectivenessR01CA166825 · NCI · EMORY UNIVERSITY · PI LASH, TIMOTHY L. · 2013 to 2017
$2.8M
NCI NIH HHS R01 CA166825NCI NIH HHS R01CA166825
6 · The paper itself

Abstract

Much preclinical and epidemiological evidence supports the anticancer effects of statins. Epidemiological evidence does not suggest an association between statin use and reduced incidence of breast cancer, but does support a protective effect of statins--especially simvastatin--on breast cancer recurrence. Here, we argue that the existing evidence base is sufficient to justify a clinical trial of breast cancer adjuvant therapy with statins and we advocate for such a trial to be initiated without delay. If a protective effect of statins on breast cancer recurrence is supported by trial evidence, then the indications for a safe, well tolerated, and inexpensive treatment can be expanded to improve outcomes for breast cancer survivors. We discuss several trial design opportunities--including candidate predictive biomarkers of statin safety and efficacy--and offer solutions to the key challenges involved in the enrolment, follow-up, and analysis of such a trial.

Indexed as

Breast NeoplasmsEvidence-Based MedicineFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsNeoplasm Recurrence, LocalPrognosisSecondary PreventionSensitivity and SpecificityHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID25186049
PMCPMC4167822
OpenAlexW2126720685

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.