Table 3.
Cancer hazard ratios (HRs) by baseline statin use.
| Endometrial cancera | Ovarian cancerb | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
|
|
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| N | Case | Annualized % | Mean fup (y) | Age-adjusted HR | Multivariable adjusted HR | N | Case | Annualized % | Mean fup (y) | Age-adjusted HR | Multivariable adjusted HR | |
| Statin | ||||||||||||
| No | 87,365 | 1299 | 0.12% | 12.15 | 1.00 | 1.00 | 117,028 | 701 | 0.05% | 12.62 | 1.00 | 1.00 |
| Yes | 6653 | 78 | 0.10% | 11.47 | 0.78 (0.62–0.98) | 0.74 (0.59–0.94) | 9225 | 62 | 0.06% | 11.87 | 1.09 (0.84–1.42) | 1.15 (0.89–1.50) |
| Statin type | ||||||||||||
| No use | 87,365 | 1299 | 0.12% | 12.15 | 1.00 | 1.00 | 117,028 | 701 | 0.05% | 12.62 | 1.00 | 1.00 |
| Atorvastatin | 6 | 0.11% | 10.40 | 0.83 (0.37–1.85) | 0.65 (0.27–1.56) | 0 | 0.00% | 10.84 | NA | NA | ||
| Fluvastatin | 508 | 15 | 0.17% | 11.35 | 1.30 (0.78–2.17) | 1.13 (0.65–1.95) | 708 | 7 | 0.05% | 11.63 | 1.01 (0.48–2.12) | 1.06 (0.50–2.24) |
| Lovastatin | 783 | 18 | 0.09% | 11.85 | 0.66 (0.42–1.06) | 0.67 (0.42–1.06) | 1110 | 18 | 0.06% | 12.31 | 1.15 (0.72–1.83) | 1.21 (0.75–1.93) |
| Pravastatin | 1770 | 17 | 0.10% | 11.38 | 0.77 (0.47–1.24) | 0.79 (0.49–1.27) | 2428 | 18 | 0.07% | 11.79 | 1.42 (0.89–2.27) | 1.52 (0.95–2.44) |
| Simvastatin | 1482 1947 |
21 | 0.09% | 11.50 | 0.72 (0.47–1.11) | 0.68 (0.43–1.05) | 2042 2696 |
17 | 0.05% | 11.89 | 1.05 (0.65–1.70) | 1.09 (0.67–1.77) |
| Statin category | ||||||||||||
| No use | 87,365 | 1299 | 0.12% | 12.15 | 1.00 | 1.00 | 117,028 | 701 | 0.05% | 12.62 | 1.00 | 1.00 |
| Lipophilic | 5008 | 60 | 0.10% | 11.49 | 0.80 (0.62–1.04) | 0.74 (0.56–0.97) | 6942 | 42 | 0.05% | 11.89 | 0.98 (0.72–1.34) | 1.03 (0.75–1.41) |
| Hydrophilic | 1482 | 17 | 0.10% | 11.38 | 0.77 (0.47–1.24) | 0.79 (0.49–1.27) | 2042 | 18 | 0.07% | 11.79 | 1.42 (0.89–2.27) | 1.52 (0.95–2.44) |
| Statin potency | ||||||||||||
| No use | 87,365 | 1299 | 0.12% | 12.15 | 1.00 | 1.00 | 117,028 | 701 | 0.05% | 12.62 | 1.00 | 1.00 |
| High | 2455 | 27 | 0.10% | 11.27 | 0.74 (0.51–1.09) | 0.67 (0.45–1.00) | 17 | 0.04% | 11.67 | 0.84 (0.52–1.37) | 0.88 (0.55–1.43) | |
| Medium | 1482 | 17 | 0.10% | 11.38 | 0.77 (0.47–1.24) | 0.79 (0.49–1.27) | 3404 | 18 | 0.07% | 11.79 | 1.42 (0.89–2.27) | 1.52 (0.95–2.44) |
| Low | 2553 | 33 | 0.11% | 11.70 | 0.85 (0.60–1.21) | 0.80 (0.56–1.15) | 2042 3538 |
25 | 0.06% | 12.09 | 1.10 (0.74–1.65) | 1.16 (0.78–1.74) |
| Statin duration | ||||||||||||
| 0 | 87,365 | 1299 | 0.12% | 12.15 | 1.00 | 1.00 | 117,028 | 701 | 0.05% | 12.62 | 1.00 | 1.00 |
| <1 year | 2192 | 23 | 0.09% | 11.36 | 0.72 (0.47–1.08) | 0.64 (0.42–0.99) | 3034 | 18 | 0.05% | 11.73 | 0.97 (0.61–1.55) | 1.03 (0.64–1.64) |
| 1–<3 years | 2207 | 28 | 0.11% | 11.54 | 0.84 (0.58–1.22) | 0.80 (0.54–1.18) | 2171 | 21 | 0.06% | 11.92 | 1.12 (0.72–1.73) | 1.19 (0.77–1.84) |
| ≥3 y | 2091 | 26 | 0.11% | 11.49 | 0.82 (0.55–1.20) | 0.81 (0.55–1.19) | 2923 | 21 | 0.06% | 11.94 | 1.16 (0.75–1.79) | 1.21 (0.78–1.87) |
All models contain strata for trial, WHI extension study, and age group. Base model was adjusted by continuous age.
Multivariate model adjusted for age (continuous), BMI (continuous), ethnicity, smoking status, education, current medical provider, baseline HT use, baseline HT duration.
Women reporting hysterectomy at WHI baseline excluded; women with self-report of hysterectomy during follow-up were censored when reported.
Women with history of ovarian cancer, bilateral and unknown oophorectomy at WHI baseline were excluded.