Evidence map›Paper›PMID 41016955›Full record

ArticleJournal of cancer research and clinical oncology2025

Real-world evidence on the additional cancer risk reduction of ezetimibe: a 10-year nationwide retrospective cohort study emulating a target trial.

Yohwan Lim, Eunji Kim, Eunjung Hwang, Koanhoi Kim, Yonghae Son, Sang Yeoup Lee, Young Hye Cho, Eun-Ju Park, Youngin Lee, Sae Rom Lee and 5 more

Abstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

15 authors.

Yohwan Lim *Gochang-Gun Public Health Center, Gochang, 7732, Republic of Korea.
Eunji Kim *Department of Information Convergence Engineering, Pusan National University, Yangsan, 50612, Gyeongnam, Republic of Korea.
Eunjung HwangDepartment of Pharmacy, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Koanhoi KimDepartment of Pharmacology, School of Medicine, Pusan National University, Yangsan, 50612, Gyeongnam, Republic of Korea.
Yonghae SonDepartment of Pharmacology, School of Medicine, Pusan National University, Yangsan, 50612, Gyeongnam, Republic of Korea.
Sang Yeoup LeeFamily Medicine Clinic and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan, 50612, Gyeongsangnam-do, Republic of Korea.
Young Hye ChoFamily Medicine Clinic and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan, 50612, Gyeongsangnam-do, Republic of Korea.
Eun-Ju ParkFamily Medicine Clinic and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan, 50612, Gyeongsangnam-do, Republic of Korea.
Youngin LeeFamily Medicine Clinic and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan, 50612, Gyeongsangnam-do, Republic of Korea.
Sae Rom LeeFamily Medicine Clinic and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan, 50612, Gyeongsangnam-do, Republic of Korea.
Jung-In ChoiFamily Medicine Clinic and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan, 50612, Gyeongsangnam-do, Republic of Korea.
Han-Sol JeongSchool of Korean Medicine, Pusan National University, Yangsan, 50612, Republic of Korea.
Su-Jung ParkSchool of Korean Medicine, Pusan National University, Yangsan, 50612, Republic of Korea.
Soo Min SonFamily Medicine Clinic and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan, 50612, Gyeongsangnam-do, Republic of Korea. soo890624@naver.com.
Ryuk Jun KwonFamily Medicine Clinic and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan, 50612, Gyeongsangnam-do, Republic of Korea. brain6@hanmail.net.

Funding

National Research Foundation of Korea NRF-2022R1F1A1074769; R.J.KResearch Institute for Convergence of Biomedical Science and Technology 20-2024-001
6 · The paper itself

Abstract

backgroundLipid-lowering therapies, particularly statins, have been associated with a reduced risk of cancer. However, the potential additional protective effects of ezetimibe remain unclear in real-world settings. This study investigated whether statin/ezetimibe combination therapy provided further cancer risk reduction beyond statin monotherapy.

methodsA nationwide retrospective cohort study was conducted using the Korean National Health Insurance Service database. Patients with dyslipidemia (total cholesterol ≥ 240 mg/dL) diagnosed between 2004 and 2009 were included and categorized into statin users, statin/ezetimibe users, and nonusers. Cancer incidence over 5- and 10-year follow-up periods was assessed using Cox proportional hazards models adjusted for demographic, clinical, and lifestyle factors. Inverse probability of treatment weighting (IPTW) was applied to account for potential confounders, and sensitivity analyses were performed to assess the stability of the findings.

resultsAmong 68,353 patients, 9,267 were statin users, 383 were statin/ezetimibe users, and 58,703 were nonusers. Statin users exhibited a reduced cancer risk at 5 years (adjusted hazard ratio [aHR], 0.84; 95% confidence interval [CI] 0.80–0.89) and 10 years (aHR, 0.91; 95% CI 0.87–0.94). Statin/ezetimibe users demonstrated a greater reduction in cancer risk (5 years: aHR, 0.30; 95% CI 0.28–0.32; 10 years: aHR, 0.70; 95% CI 0.67–0.73). Trend analysis confirmed an incremental trend in cancer risk reduction with increasing lipid-lowering therapy intensity (P for trend < 0.001).

conclusionThis real-world study suggests that ezetimibe, when combined with statins, is associated with additional cancer risk reduction beyond statin monotherapy, as observed across both overall and direct comparative analyses. Further research is warranted to confirm the independent effects of ezetimibe and its potential role in cancer prevention.

Indexed as

Anticholesteremic AgentsDyslipidemiasEzetimibeNeoplasmsAdultAgedDrug Therapy, CombinationFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsIncidenceMaleMiddle AgedRepublic of KoreaRetrospective StudiesAnticholesteremic AgentsEzetimibeHydroxymethylglutaryl-CoA Reductase InhibitorsCancerEzetimibeHyperlipidemiaLipid-lowering therapyReal-world dataStatin

Identifiers

PMID41016955
PMCPMC12477099

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Texttitle and abstract
LicenceCC BY-NC-ND
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Registered trials

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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.