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他汀类药物的使用与肾细胞癌的总生存率:一项荟萃分析。

Statin use and the overall survival of renal cell carcinoma: A meta-analysis.

机构信息

Department of Anesthesiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.

Department of Rehabilitation, Liguang Rehabilitation Hospital of Dalian Development Zone, Dalian, China.

出版信息

Clin Invest Med. 2020 Dec 27;43(4):E17-23. doi: 10.25011/cim.v43i4.34908.

Abstract

PURPOSE

Statins are commonly prescribed drugs that reduce cholesterol levels and the risk of cardiovascular and cerebrovascular events. Clinical studies have shown that statins also possess cancer-preventive properties. Two studies have reported that statins also possess cancer-preventive properties; however, whether statins improve the prognosis of patients with renal cell carcinoma is still unclear. In this study, we used meta-analysis to evaluate the association between statin use and overall survival risk in patients with renal cell carcinoma.

METHODS

Published studies on statin-treated renal cell carcinoma were retrieved from PubMed, Embase, The Cochrane Library, China National Knowledge Infrastructure and Wanfang databases from inception to July 2019. The relevant data were extracted and a meta-analysis was performed using Cochrane Review Manager (RevMan 5.3) software.

RESULTS

Data from five studies, which reported on 5,299 patients, were analysed. The application of statins showed no effects on the overall survival of patients with renal cell carcinoma compared with the control group (OR = 1.07, 95% CI:0.77 to 1.49, P = 0.68).

CONCLUSIONS

The findings of this meta-analysis suggest that statin application does not affect the overall survival of patients with renal cell carcinoma.

摘要

目的

他汀类药物是常用的降胆固醇药物,可降低心血管和脑血管事件的风险。临床研究表明,他汀类药物还具有预防癌症的特性。有两项研究报告称,他汀类药物还具有预防癌症的特性;然而,他汀类药物是否能改善肾细胞癌患者的预后仍不清楚。本研究采用荟萃分析评估了他汀类药物治疗与肾细胞癌患者总生存风险之间的关系。

方法

从 PubMed、Embase、The Cochrane Library、中国国家知识基础设施和万方数据库中检索了从建库到 2019 年 7 月发表的关于他汀类药物治疗肾细胞癌的研究。提取相关数据,并使用 Cochrane 评论管理软件(RevMan 5.3)进行荟萃分析。

结果

对 5 项研究(共 5299 例患者)的数据进行了分析。与对照组相比,他汀类药物的应用对肾细胞癌患者的总生存率无影响(OR = 1.07,95%CI:0.77 至 1.49,P = 0.68)。

结论

本荟萃分析的结果表明,他汀类药物的应用并不影响肾细胞癌患者的总生存率。

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