Evidence map›Paper›PMID 26030771›Full record

SynthesisPloS one2015

Relationship between the use of statins and patient survival in colorectal cancer: a systematic review and meta-analysis.

Heping Cai, Gongwu Zhang, Zhuo Wang, Zhihong Luo, Xiaochun Zhou

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  7. Article
  8. Article
  9. Statin therapy and postoperative short-term mortality after rectal cancer surgery.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021
    Article
  10. Article
  11. Role ofJournal of Cancer · 2020
    Review
  12. Article
  13. Melatonin May Increase Anticancer Potential of Pleiotropic Drugs.International journal of molecular sciences · 2018
    Review
  14. Article
  15. Article
  16. Women with cancer in low-income countries.Current oncology (Toronto, Ont.) · 2017
    Article
  17. Article
  18. Safety and Effectiveness of Statins for Prevention of Recurrent Myocardial Infarction in 12 156 Typical Older Patients: A Quasi-Experimental Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2017 · on this map
    Article
  19. 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

5 authors at 3 institutions in 1 country.

Heping CaiDepartment of Pharmacy, Anhui Provincial Children's Hospital, Hefei, Anhui Province, China.
Gongwu ZhangDepartment of Pharmacy, Anhui Provincial Children's Hospital, Hefei, Anhui Province, China.
Zhuo WangDepartment of Pharmacy, Changhai Hospital, Second Military Medical University, Shanghai, China.
Zhihong LuoDepartment of Pharmacy, Anhui Provincial Children's Hospital, Hefei, Anhui Province, China.
Xiaochun ZhouDepartment of General Surgery, Lianyungang Oriental Hospital, Lianyun District, Lianyungang City, Jiangsu Province, China.
Anhui Provincial Children's Hospital · CNLianyungang Oriental Hospital · CNSecond Military Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies have indicated that statins influence the risks and mortality rates of several types of solid tumors. However, the association between statin use and survival in patients with colorectal cancer (CRC) remains unclear.

methodsWe searched the PubMed and Embase databases for relevant studies published up to September 2014 that assessed statin use and CRC prognosis. The primary outcomes were overall survival (OS) and cancer-specific survival (CSS). The secondary outcomes were disease-free survival (DFS) and recurrence-free survival (RFS). Hazard ratios (HRs) and 95% confidence intervals (CIs) were extracted and pooled with Mantel-Haenszel random-effect modeling. All statistical tests were two-sided.

resultsFour studies on post-diagnosis statin therapy and five studies on pre-diagnosis statin use were included in our meta-analysis of 70,608 patients. Compared with the non-users, the patients with post-diagnosis statin use gained survival benefits for OS (HR 0.76; 95% CI: 0.68 to 0.85, P<0.001) and CSS (HR 0.70; 95% CI: 0.60 to 0.81, P<0.001). In addition, we observed that pre-diagnosis statin use prolonged the survival of patients with CRC for OS (HR 0.70; 95% CI: 0.54 to 0.91, P=0.007) and CSS (HR 0.80; 95% CI: 0.74 to 0.86, P<0.001). However, we did not observe a survival benefit for DFS (HR 1.13; 95% CI: 0.78 to 1.62, P=0.514) or RFS (HR 0.98; 95% CI: 0.36 to 2.70, P=0.975) in the CRC patients with post-diagnosis statin use.

conclusionsStatin use before or after cancer diagnosis is related to reductions in overall and cancer-specific mortality in colorectal cancer survivors.

Indexed as

Colorectal NeoplasmsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsPublication BiasSurvival AnalysisHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID26030771
PMCPMC4451009
OpenAlexW632226001

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.