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Risk of thromboembolism according to statin treatment in patients with cancer: A nationwide nested case-control study

Authors
 Joonsang Yoo  ;  Jimin Jeon  ;  Minyoul Baik  ;  Jinkwon Kim 
Citation
 THROMBOSIS RESEARCH, Vol.235 : 32-40, 2024-03 
Journal Title
THROMBOSIS RESEARCH
ISSN
 0049-3848 
Issue Date
2024-03
MeSH
Case-Control Studies ; Humans ; Hydroxymethylglutaryl-CoA Reductase Inhibitors* / therapeutic use ; Neoplasms* / complications ; Neoplasms* / drug therapy ; Risk Factors ; Venous Thromboembolism* / drug therapy ; Venous Thromboembolism* / epidemiology ; Venous Thromboembolism* / etiology
Keywords
Cancer ; Cardiovascular disease ; Ischemic stroke ; Myocardial infarction ; Statin ; Venous thromboembolism
Abstract
Background: Thromboembolic events exhibit increased prevalence in patients with cancer and can negatively affect prognoses. We investigated whether statin treatment would reduce thromboembolic risk in patients with cancer. Methods: We conducted a nested case-control study using a Korean nationwide health claims database. The study included patients newly diagnosed with cancer without a prior history of cardiovascular disease between 2014 and 2016. Cases who developed arterial thromboembolism (ATE) or venous thromboembolism (VTE) after cancer diagnosis and three individually matched controls were selected. Conditional logistic regression was used to assess the association between thromboembolic risk and statin therapy after cancer diagnosis. Results: Among 455,805 newly diagnosed patients with cancer followed for a mean of 4.3 ± 2.0 years, 22,249 patients developed thromboembolic events (ATE: 6341, VTE: 15,908), resulting in an incidence rate of 1133 per 100,000 person-years. The nested case-control study included 21,289 cases with thromboembolic events and 63,867 controls. Statin use was less frequent in the case group (18.0 % vs. 23.7 %). Statin treatment was associated with a lower risk of thromboembolic events (adjusted odds ratio [OR] 0.70; 95 % confidence interval [CI] 0.67–0.73). This association was observed for both ATE (adjusted OR 0.68; 95 % CI 0.63–0.74) and VTE (adjusted OR 0.71; 95 % CI 0.67–0.75). Longer statin use and better adherence were also associated with lower risk for thromboembolic events. Statin treatment was significantly associated with fewer thromboembolic events in most cancer types. Conclusions: Statin use was associated with lower risk for thromboembolic events in patients newly diagnosed with cancer. © 2024 Elsevier Ltd
Full Text
https://www.sciencedirect.com/science/article/pii/S0049384824000161
DOI
10.1016/j.thromres.2024.01.016
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jinkwon(김진권) ORCID logo https://orcid.org/0000-0003-0156-9736
Baik, Minyoul(백민렬)
Yoo, Joon Sang(유준상) ORCID logo https://orcid.org/0000-0003-1169-6798
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/199822
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