Table 2.
Association between statin use and prostate cancer risk
| Statin use | No. of cases | Total person-years | Age-adjusted HR (95% CI) | Multivariable-adjusted HR (95% CI)a |
|---|---|---|---|---|
| All men | 2,532 | 578,885 | ||
| Never | 2,286 | 533,979 | Referent | Referent |
| Ever | 246 | 44,906 | 1.00 (0.87–1.14) | 0.88 (0.76–1.02) |
| Hydrophobic onlyb | 160 | 32,611 | 0.87 (0.73–1.03) | 0.79 (0.66–0.94) |
| Hydrophilic onlyc | 8 | 2,391 | 0.76 (0.38–1.53) | 0.67 (0.33–1.34) |
| Duration of use among men with 5+ years of datad | 1,637 | 506,596 | ||
| Never | 1,405 | 470,324 | Referent | Referent |
| All statin users | ||||
| 1–2.9 years | 79 | 15,943 | 0.77 (0.62–0.97) | 0.75 (0.59–0.95) |
| 3–4.9 years | 66 | 9,844 | 0.96 (0.75–1.23) | 0.92 (0.71–1.19) |
| 5+ years | 87 | 10,485 | 1.11 (0.89–1.38) | 1.06 (0.83–1.34) |
| Hydrophobic statin usersb | ||||
| 1–2.9 years | 57 | 13,250 | 0.74 (0.58–0.95) | 0.74 (0.57–0.95) |
| 3–4.9 years | 38 | 7,352 | 0.90 (0.67–1.20) | 0.88 (0.65–1.19) |
| 5+ years | 17 | 5,426 | 0.82 (0.58–1.17) | 0.81 (0.56–1.16) |
HR = hazard ratio and CI = confidence interval
Multivariable-adjusted models include age, diabetes, hypercholesterolemia, other lipid lowering drug use, and NSAID use
Includes users of lovastatin, simvastatin, fluvastatin, atorvastatin, and cerivastatin
Includes users of pravastatin and rosuvastatin
p = 0.63 and p = 0.09 from linear trend tests for the effect of the duration of all statin use and duration of hydrophobic statin use on prostate cancer risk