From: Statin use and breast cancer survival: a nationwide cohort study in Scotland
Statin use in the year prior to diagnosisa | Statin use in the year after diagnosisb | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
User | Non-user | User | Non-user | |||||||
n | % | n | % | n | % | n | % | |||
[n = 3,031] | [n = 9,200] | [n = 4,233] | [n = 10,907] | |||||||
Year of diagnosis | ||||||||||
2009 | 861 | 23.8 | 2,811 | 24.4 | <0.001 | |||||
2010 | 994 | 32.8 | 2,990 | 32.5 | 0.73 | 915 | 25.2 | 2,811 | 24.4 | |
2011 | 1,005 | 33.2 | 3,090 | 33.6 | 920 | 25.4 | 2,929 | 25.4 | ||
2012 | 1,032 | 34.0 | 3,120 | 33.9 | 928 | 25.6 | 2,965 | 25.7 | ||
Age at diagnosis | ||||||||||
<50 | 69 | 2.3 | 2098 | 22.8 | <0.01 | 93 | 2.4 | 2,741 | 23.9 | <0.001 |
50–59 | 322 | 10.6 | 2,516 | 27.3 | 447 | 12.3 | 3,246 | 28.2 | ||
60–69 | 989 | 32.6 | 2,365 | 25.7 | 1,264 | 34.9 | 3,008 | 26.1 | ||
70–79 | 911 | 30.1 | 1,242 | 13.5 | 1,082 | 29.9 | 1,508 | 13.1 | ||
80–89 | 626 | 20.7 | 759 | 8.3 | 636 | 17.5 | 819 | 7.1 | ||
≥90 | 114 | 3.8 | 220 | 2.4 | 102 | 2.8 | 194 | 1.7 | ||
AJCC stage | ||||||||||
1 | 1086 | 35.8 | 3556 | 38.7 | 0.43 | 1400 | 38.6 | 4541 | 39.4 | <0.001 |
2 | 1053 | 34.7 | 3415 | 37.1 | 1290 | 35.6 | 4421 | 38.4 | ||
3 | 353 | 11.6 | 1033 | 11.2 | 425 | 11.7 | 1337 | 11.6 | ||
4 | 208 | 6.9 | 492 | 5.3 | 141 | 3.9 | 443 | 3.8 | ||
Missing | 331 | 10.9 | 704 | 7.7 | 368 | 10.2 | 774 | 6.7 | ||
Grade | ||||||||||
1 | 366 | 12.1 | 1089 | 11.8 | <0.001 | 466 | 12.9 | 1363 | 11.8 | 0.003 |
2 | 1335 | 44 | 4008 | 43.6 | 1647 | 45.4 | 5139 | 44.6 | ||
3 | 900 | 29.7 | 3172 | 34.5 | 1130 | 31.2 | 4125 | 35.8 | ||
Missing | 430 | 14.2 | 931 | 10.1 | 381 | 10.5 | 889 | 7.7 | ||
Socioeconomic status | ||||||||||
1 (most deprived) | 676 | 22.3 | 1419 | 15.4 | <0.001 | 776 | 21.4 | 1,736 | 15.1 | <0.001 |
2 | 709 | 23.4 | 1682 | 18.3 | 825 | 22.8 | 2,089 | 18.1 | ||
3 | 582 | 19.2 | 1,914 | 20.8 | 723 | 20.0 | 2,391 | 20.8 | ||
4 | 587 | 19.4 | 2,025 | 22.0 | 703 | 19.4 | 2,582 | 22.4 | ||
5 (least deprived) | 477 | 15.7 | 2,159 | 23.5 | 597 | 16.5 | 2,717 | 23.6 | ||
Treatment (within 6 months) | ||||||||||
Surgery | 2,163 | 71.4 | 7,322 | 79.6 | <0.001 | 2,808 | 77.5 | 9,592 | 83.3 | <0.001 |
Radiotherapy | 1,219 | 40.2 | 3,278 | 35.6 | <0.001 | 1,486 | 41.0 | 4,080 | 35.4 | <0.001 |
Chemotherapy | 546 | 18.0 | 3,566 | 38.7 | <0.001 | 705 | 19.5 | 4,722 | 41.0 | <0.001 |
Comorbidity prior to diagnosis | ||||||||||
Acute myocardial infarction | 227 | 7.5 | 63 | 0.7 | <0.001 | 246 | 6.8 | 59 | 0.5 | <0.001 |
Congestive heart failure | 144 | 4.8 | 96 | 1.0 | <0.001 | 149 | 4.1 | 76 | 0.7 | <0.001 |
Peripheral vascular disease | 105 | 3.5 | 46 | 0.5 | <0.001 | 114 | 3.1 | 50 | 0.4 | <0.001 |
Cerebral vascular accident | 282 | 9.3 | 120 | 1.3 | <0.001 | 287 | 7.9 | 116 | 1.0 | <0.001 |
Pulmonary disease | 288 | 9.5 | 449 | 4.9 | <0.001 | 305 | 8.4 | 499 | 4.3 | <0.001 |
Petptic ulcer | 73 | 2.4 | 100 | 1.1 | <0.001 | 86 | 2.4 | 119 | 1.0 | <0.001 |
Liver disease | 8 | 0.3 | 13 | 0.1 | 0.34 | 8 | 0.2 | 17 | 0.1 | 0.16 |
Diabetes | 395 | 13.0 | 115 | 1.3 | <0.001 | 422 | 11.6 | 129 | 1.1 | <0.001 |
Renal disease | 101 | 3.3 | 94 | 1.0 | <0.001 | 100 | 2.8 | 85 | 0.7 | <0.001 |
Medication use in year after diagnosis | ||||||||||
Low-dose aspirinc | 1,406 | 46.4 | 561 | 6.1 | <0.001 | 1,617 | 44.6 | 737 | 6.4 | <0.001 |
Aromatase inhibitors | 1,840 | 60.7 | 3,658 | 39.8 | <0.001 | 2,258 | 62.3 | 4,550 | 39.5 | <0.001 |
Tamoxifen | 850 | 28.0 | 4,038 | 43.9 | <0.001 | 1,080 | 29.8 | 5,262 | 45.7 | <0.001 |
Metformin | 1,201 | 33.1 | 1183 | 10.3 | <0.001 | 440 | 14.5 | 98 | 1.1 | <0.001 |