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J Am Coll Cardiol, 2008; 52:1141-1147, doi:10.1016/j.jacc.2008.06.037 (Published online 20 August 2008).
© 2008 by the American College of Cardiology Foundation
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Statins, Low-Density Lipoprotein Cholesterol, and Risk of Cancer

Alawi A. Alsheikh-Ali, MD*,{dagger}, Thomas A. Trikalinos, MD*, David M. Kent, MD, MS* and Richard H. Karas, MD, PhD{dagger},*

* Institute for Clinical Research and Health Policy Studies, Tufts Medical Center and Tufts University School of Medicine, Boston, Massachusetts
{dagger} Molecular Cardiology Research Institute and Division of Cardiology, Department of Medicine, Tufts Medical Center and Tufts University School of Medicine, Boston, Massachusetts


Figure 1
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Figure 1 Relationship Between On-Treatment LDL-C Levels and Incident Cancer in the Statin and Control Arms

Each arm from each trial is considered an independent cohort of statin-treated or control individuals and is represented by an empty circle (with size proportional to each arm's weight in the meta-regressions). Note how statin cohorts (arms) are shifted toward lower on-treatment low-density lipoprotein cholesterol (LDL-C) levels, while corresponding to the same range of incident cancer rates. Note the LDL-C scale on the horizontal axis.

 

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Figure 2 Risk of Cancer in Statin Versus Control Cohorts for Any Given Level of On-Treatment LDL-C

Each trial is represented by an empty circle (with size proportional to its weight in the meta-regressions). The slope of the regression line represents the extent to which the incidence rate ratio for cancer depends on the on-treatment low-density lipoprotein cholesterol (LDL-C) level in the statin arms (p = 0.73 for the effect of on-treatment LDL-C on the incidence rate ratio for cancer in statin vs. control cohorts). Note the LDL-C scale on the horizontal axis.

 




 
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