Evidence map›Paper›PMID 34342892›Full record

ArticleCancer2021

Association of statin use with clinical outcomes in patients with triple-negative breast cancer.

Malgorzata K Nowakowska, Xiudong Lei, Mikayla T Thompson, Simona F Shaitelman, Mackenzie R Wehner, Wendy A Woodward, Sharon H Giordano, Kevin T Nead

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
4.2field-weighted citation impact, top 4% 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

38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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  18. Metabolic Syndrome and Risks of Breast Cancer Outcomes for Luminal, Triple-Negative, and HER2-Overexpressing Subtypes.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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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

8 authors at 3 institutions in 1 country.

Malgorzata K NowakowskaSchool of Medicine, Baylor College of Medicine, Houston, Texas.ORCID 0000-0001-5756-1878
Xiudong LeiDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Mikayla T ThompsonSchool of Public Health and Health Professions, University at Buffalo, Buffalo, New York.
Simona F ShaitelmanDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Mackenzie R WehnerDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Wendy A WoodwardDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Sharon H GiordanoDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Kevin T NeadDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
The University of Texas MD Anderson Cancer Center · USBaylor College of Medicine · USUniversity at Buffalo, State University of New York · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Clonally Expanded Mutations Identify Cancer Precursors in Chronic InflammationR01CA160674 · NCI · UNIVERSITY OF WASHINGTON · PI BRENTNALL, TERESA A, LOEB, LAWRENCE A · 2012 to 2016
$2.8M
Cancer Prevention and Research Institute of Texas CPRIT FP9178Cancer Prevention and Research Institute of Texas CPRIT RP160674Cancer Prevention and Research Institute of Texas CPRIT RR190077NCI NIH HHS P30 CA016672NIH HHS P30 CA016672Susan G. Komen SAC150061
6 · The paper itself

Abstract

backgroundPrevious studies have examined the association of statin therapy and breast cancer outcomes with mixed results. The objective of this study was to investigate the clinical effects of incident statin use among individuals with triple-negative breast cancer (TNBC).

methodsData from the Surveillance, Epidemiology, and End Results-Medicare and Texas Cancer Registry-Medicare databases were used, and women aged ≥66 years who had stage I, II, and III breast cancer were identified. Multivariable Cox proportional hazards regression models were used to examine the association of new statin use in the 12 months after a breast cancer diagnosis with overall survival (OS) and breast cancer-specific survival (BCSS).

resultsWhen examining incident statin use, defined as the initiation of statin therapy in the 12 months after breast cancer diagnosis, a significant association was observed between statin use and improved BCSS (standardized hazard ratio, 0.42; 95% confidence interval [CI], 0.20-0.88; P = .022) and OS (hazard ratio, 0.70; 95% CI, 0.50-0.99; P = .046) among patients with TNBC (n = 1534). No association was observed with BCSS (standardized hazard ratio, 0.99; 95% CI, 0.71-1.39; P = .97) or OS (hazard ratio, 1.04; 95% CI, 0.92-1.17; P = .55) among those without TNBC (n = 15,979). The results were consistent when examining statin exposure as a time-varying variable.

conclusionsAmong women with I, II, and III TNBC, initiation of statin therapy in the 12 months after breast cancer diagnosis was associated with an OS and BCSS benefit. Statins may have a role in select patients with breast cancer, and further investigation is warranted.

Indexed as

Breast NeoplasmsHydroxymethylglutaryl-CoA Reductase InhibitorsTriple Negative Breast NeoplasmsAgedDatabases, FactualFemaleHumansMedicareProportional Hazards ModelsUnited StatesHydroxymethylglutaryl-CoA Reductase Inhibitorsbreast cancerstatinsSurveillance, Epidemiology, and End Results-Medicaretriple-negative breast cancer

Identifiers

PMID34342892
PMCPMC11912801
OpenAlexW3191447714

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.