Evidence map›Paper›PMID 26386857›Full record

SynthesisDigestive diseases and sciences2016

Reduced Risk of Barrett's Esophagus in Statin Users: Case-Control Study and Meta-Analysis.

Ian L P Beales, Leanne Dearman, Inna Vardi, Yoon Loke

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Digestive diseases and sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 5 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

15 citing papers in PubMed, 5 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Carcinoma of Esophagus.Journal of gastroenterology and hepatology · 2025
    Review
  7. Review
  8. Statins as Potential Therapeutics for Esophageal Cancer.Journal of gastrointestinal cancer · 2021
    Review
  9. Article
  10. Global burden and epidemiology of Barrett oesophagus and oesophageal cancer.Nature reviews. Gastroenterology & hepatology · 2021
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. 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

4 authors at 2 institutions in 1 country.

Ian L P BealesDepartment of Gastroenterology, Norfolk and Norwich University Hospital, Norwich, NR4 7UZ, UK. i.beales@uea.ac.uk.ORCID http://orcid.org/0000-0003-1923-3237
Leanne DearmanDepartment of Gastroenterology, Norfolk and Norwich University Hospital, Norwich, NR4 7UZ, UK.
Inna VardiDepartment of Gastroenterology, Norfolk and Norwich University Hospital, Norwich, NR4 7UZ, UK.
Yoon LokeSchool of Medicine, Norwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK.
Norfolk and Norwich University Hospital · GBUniversity of East Anglia · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUse of statins has been associated with a reduced incidence of esophageal adenocarcinoma in population-based studies. However there are few studies examining statin use and the development of Barrett's esophagus.

aimThe purpose of this study was to examine the association between statin use and the presence of Barrett's esophagus in patients having their first gastroscopy.

methodsWe have performed a case-control study comparing statin use between patients with, and without, an incident diagnosis of non-dysplastic Barrett's esophagus. Male Barrett's cases (134) were compared to 268 male age-matched controls in each of two control groups (erosive gastro-esophageal reflux and dyspepsia without significant upper gastrointestinal disease). Risk factor and drug exposure were established using standardised interviews. Logistic regression was used to compare statin exposure and correct for confounding factors. We performed a meta-analysis pooling our results with three other case-control studies.

resultsRegular statin use was associated with a significantly lower incidence of Barrett's esophagus compared to the combined control groups [adjusted OR 0.62 (95 % confidence intervals 0.37-0.93)]. This effect was more marked in combined statin plus aspirin users [adjusted OR 0.43 (95 % CI 0.21-0.89)]. The inverse association between statin or statin plus aspirin use and risk of Barrett's was significantly greater with longer duration of use. Meta-analysis of pooled data (1098 Barrett's, 2085 controls) showed that statin use was significantly associated with a reduced risk of Barrett's esophagus [pooled adjusted OR 0.63 (95 % CI 0.51-0.77)].

conclusionsStatin use is associated with a reduced incidence of a new diagnosis of Barrett's esophagus.

Indexed as

AgedAged, 80 and overAnti-Inflammatory Agents, Non-SteroidalAspirinBarrett EsophagusCase-Control StudiesChi-Square DistributionEnglandGastroscopyHumansHydroxymethylglutaryl-CoA Reductase InhibitorsIncidenceLogistic ModelsMaleMiddle AgedOdds RatioAnti-Inflammatory Agents, Non-SteroidalAspirinHydroxymethylglutaryl-CoA Reductase InhibitorsAspirinBarrett’s esophagusEsophageal cancerStatins

Identifiers

PMID26386857
OpenAlexW1894987269

What OpenQuestion holds

Textmetadata
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.