Evidence map›Paper›PMID 35989795›Full record

ReviewCureus2022

Statin Use Reduces the Risk of Hepatocellular Carcinoma: An Updated Meta-Analysis and Systematic Review.

Shrouq Khazaaleh, Muhammad Talal Sarmini, Mohammad Alomari, Laith Al Momani, Bara El Kurdi, Mohammad Asfari, Zain Almomani, Carlos Romero-Marrero

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  4. Review
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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 5 institutions in 2 countries.

Shrouq KhazaalehInternal Medicine, Cleveland Clinic Fairview Hospital, Cleveland, USA.
Muhammad Talal SarminiGastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, USA.
Mohammad AlomariGastroenterology and Hepatology, Cleveland Clinic Florida, Weston, USA.
Laith Al MomaniInternal Medicine, University of Missouri at Kansas City, Kansas City, USA.
Bara El KurdiGastroenterology and Hepatology, University of Texas Health Science Center at San Antonio, San Antonio, USA.
Mohammad AsfariGastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, USA.
Zain AlmomaniInternal Medicine, Jordan University of Science and Technology, Alramtha, JOR.
Carlos Romero-MarreroGastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, USA.
Cleveland Clinic · USCleveland Clinic Florida · USJordan University of Science and Technology · JOThe University of Texas Health Science Center at San Antonio · USUniversity of Missouri–Kansas City · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is the most common primary tumor of the liver resulting in approximately 800,000 deaths annually. A growing body of research investigating statin use and HCC risk has shown conflicting results. We aim to evaluate the current evidence of statin impact on HCC risk. We performed a comprehensive literature search in PubMed, PubMed Central, Embase, and ScienceDirect databases from inception through May 2019 to identify all studies that evaluated the association between statin use and HCC. We included studies that presented an odds ratio (OR) with a 95% confidence interval (CI) or presented data sufficient to calculate the OR with a 95% CI. Statistical analysis was performed using the Comprehensive Meta-Analysis (CMA), Version 3 software, and a Forrest plot was generated. We assessed for publication bias using conventional techniques. Twenty studies (three randomized controlled trials, six cohorts, and 11 case-controls) with 2,668,497 patients including 24,341 cases of HCC were included in the meta-analysis. Our findings indicate a significant risk reduction of HCC among all statin users with a pooled odds ratio of 0.573 (95% CI: 0.491-0.668, I2= 86.57%) compared to non-users. No publication bias was found using Egger's regression test or on visual inspection of the generated Funnel plot. The results indicate that statin use was associated with a 43% lower risk of HCC compared to statin non-users. Further prospective randomized research is needed to confirm the association.

Indexed as

cancer preventioncirrhosishepatocellular carcinoma (hcc)statin useviral hepatitis b and c

Identifiers

PMID35989795
PMCPMC9388192
OpenAlexW4286212705

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.