Impact of statin use on biochemical recurrence in patients treated with radical prostatectomy
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Impact of statin use on biochemical recurrence in patients treated with radical prostatectomy. / Rieken, M; Kluth, L A; Xylinas, E; Seitz, C; Fajkovic, H; Karakiewicz, P I; Lotan, Y; Briganti, A; Loidl, W; Faison, T; Crivelli, J J; Scherr, D S; Bachmann, A; Tewari, A K; Kautzky-Willer, A; Pummer, K; Shariat, S F.
in: PROSTATE CANCER P D, Jahrgang 16, Nr. 4, 01.12.2013, S. 367-71.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Impact of statin use on biochemical recurrence in patients treated with radical prostatectomy
AU - Rieken, M
AU - Kluth, L A
AU - Xylinas, E
AU - Seitz, C
AU - Fajkovic, H
AU - Karakiewicz, P I
AU - Lotan, Y
AU - Briganti, A
AU - Loidl, W
AU - Faison, T
AU - Crivelli, J J
AU - Scherr, D S
AU - Bachmann, A
AU - Tewari, A K
AU - Kautzky-Willer, A
AU - Pummer, K
AU - Shariat, S F
PY - 2013/12/1
Y1 - 2013/12/1
N2 - BACKGROUND: The impact of statin use on biochemical recurrence (BCR) in patients treated with radical prostatectomy (RP) remains controversial.METHODS: We retrospectively evaluated 6842 patients who underwent RP for clinically localized prostate cancer (PC) between 2000 and 2011. Uni- and multivariable cox regression models addressed the association of statin use with BCR.RESULTS: Overall, 2275 (33.3%) patients used statins. Statin users were older and had a higher rate of positive surgical margins than patients not using statins (P-values 0.05). Within a median follow-up of 25 months (interquartile range: 8-42 months), 778 (11.4%) patients experienced BCR. Actuarial estimate 5-years BCR-free survival was 82%±1 for patients without statin use and 84±1% for patients using statins (P=0.05); statin use was not associated with BCR (hazard ratio: 0.88, 95% confidence interval: 0.76-1.03, P=0.10) after adjusting for the effects of standard clinicopathologic features.CONCLUSIONS: In PC patients undergoing RP, statin use was not independently associated with lower risk of BCR.
AB - BACKGROUND: The impact of statin use on biochemical recurrence (BCR) in patients treated with radical prostatectomy (RP) remains controversial.METHODS: We retrospectively evaluated 6842 patients who underwent RP for clinically localized prostate cancer (PC) between 2000 and 2011. Uni- and multivariable cox regression models addressed the association of statin use with BCR.RESULTS: Overall, 2275 (33.3%) patients used statins. Statin users were older and had a higher rate of positive surgical margins than patients not using statins (P-values 0.05). Within a median follow-up of 25 months (interquartile range: 8-42 months), 778 (11.4%) patients experienced BCR. Actuarial estimate 5-years BCR-free survival was 82%±1 for patients without statin use and 84±1% for patients using statins (P=0.05); statin use was not associated with BCR (hazard ratio: 0.88, 95% confidence interval: 0.76-1.03, P=0.10) after adjusting for the effects of standard clinicopathologic features.CONCLUSIONS: In PC patients undergoing RP, statin use was not independently associated with lower risk of BCR.
KW - Aged
KW - Humans
KW - Hydroxymethylglutaryl-CoA Reductase Inhibitors
KW - Male
KW - Middle Aged
KW - Neoplasm Recurrence, Local
KW - Proportional Hazards Models
KW - Prostate-Specific Antigen
KW - Prostatectomy
KW - Prostatic Neoplasms
KW - Retrospective Studies
U2 - 10.1038/pcan.2013.31
DO - 10.1038/pcan.2013.31
M3 - SCORING: Journal article
C2 - 23999669
VL - 16
SP - 367
EP - 371
JO - PROSTATE CANCER P D
JF - PROSTATE CANCER P D
SN - 1365-7852
IS - 4
ER -