The effect of statin use on the incidence of prostate cancer: a population-based nested case-control study

dc.contributor.authorDawe, David
dc.contributor.examiningcommitteeCzaykowski, Piotr (Community Health Sciences) Jassal, Davinder (Internal Medicine)en_US
dc.contributor.supervisorMahmud, Salaheddin (Community Health Sciences)en_US
dc.date.accessioned2017-08-25T20:50:56Z
dc.date.available2017-08-25T20:50:56Z
dc.date.issued2017
dc.degree.disciplineCommunity Health Sciencesen_US
dc.degree.levelMaster of Science (M.Sc.)en_US
dc.description.abstractLiterature review revealed a compelling pre-clinical rationale for statins as chemopreventive agents for prostate cancer (PC). However, epidemiological literature results vary widely. We completed a nested case-control study investigating the impact of statin use on PC diagnosis using data from men aged >=40 years in Saskatchewan between 1990-2010. Drug exposure histories were derived from a population-based prescription drug database. We used conditional logistic regression to model use of statins. 12,745 cases of PC were risk-set matched on age and geographic location to 50,979 controls. 2064 (16.2%) cases and 7956 (15.6%) controls were dispensed one or more statin prescriptions. In multivariable models, ever prescription of statins was not associated with PC diagnosis (OR 0.97; 95% CI 0.90-1.05). Diagnosis of clinically significant PC decreased with statin use (OR 0.84, 95% CI 0.73-0.97). Statin use is not associated with PC risk, but is associated with a decreased risk of clinically significant PC.en_US
dc.description.noteOctober 2017en_US
dc.identifier.urihttp://hdl.handle.net/1993/32380
dc.language.isoengen_US
dc.rightsopen accessen_US
dc.subjectPharmacoepidemiologyen_US
dc.subjectChemopreventionen_US
dc.subjectProstate canceren_US
dc.subjectStatinsen_US
dc.titleThe effect of statin use on the incidence of prostate cancer: a population-based nested case-control studyen_US
dc.typemaster thesisen_US
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