Background: Several observational studies have shown that statin use may modify the risk of haematological malignancies. To quantify the association between statin use and risk for haematological malignancies, we performed a detailed meta-analysis of published studies regarding this subject. Methods: We conducted a systematic search of multiple databases including PubMed, Embase, and Cochrane Library Central database up to July 2013. Fixed-effect and random-effect models were used to estimate summary relative risks (RR) and the corresponding 95% confidence intervals (CIs). Potential sources of heterogeneity were detected by meta-regression. Subgroup analyses and sensitivity analysis were also performed. Results: A total of 20 eligible studies (ten case-control studies, four cohort studies, and six RCTs) reporting 1,139,584 subjects and 15,297 haematological malignancies cases were included. Meta-analysis showed that statin use was associated with a statistically significant 19% reduction in haematological malignancies incidence (RR = 0.81, 95% CI [0.70, 0.92]). During subgroup analyses, statin use was associated with a significantly reduced risk of haematological malignancies among observational studies (RR = 0.79, 95% CI [0.67, 0.93]), but not among RCTs (RR = 0.92, 95% CI [0.77, 1.09]). Conclusions: Based on this comprehensive meta-analysis, statin use may have chemopreventive effects against haematological malignancies. More studies, especially definitive, randomized chemoprevention trials are needed to confirm this association.
基金:
Natural Science Foundation of Hubei Province [2012FFB02435]; central university special funding [2013QN191]
第一作者单位:[1]Huazhong Univ Sci & Technol, Dept Hematol, Tongji Hosp, Tongji Med Coll, Wuhan 430074, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Yi Xiao,Jia Wei,Jin Yin,et al.Statin Use Is Associated with Reduced Risk of Haematological Malignancies: Evidence from a Meta-Analysis[J].PLOS ONE.2014,9(1):doi:10.1371/journal.pone.0087019.
APA:
Yi, Xiao,Jia, Wei,Jin, Yin&Zhen, Shang.(2014).Statin Use Is Associated with Reduced Risk of Haematological Malignancies: Evidence from a Meta-Analysis.PLOS ONE,9,(1)
MLA:
Yi, Xiao,et al."Statin Use Is Associated with Reduced Risk of Haematological Malignancies: Evidence from a Meta-Analysis".PLOS ONE 9..1(2014)