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 13 December 2017

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News

Reduced risk of death associated with use of statins in patients with alcoholic cirrhosis

October's issue of the Alimentary Pharmacology & Therapeutics finds a reduced risk of decompensation and death associated with use of statins in patients with alcoholic cirrhosis.

News image

Reports have indicated that the use of statins may ameliorate the course of cirrhosis.

Dr Bang and colleagues from Denmark determined the relationship between use of statins and mortality rate in patients with cirrhosis.

The researchers performed a retrospective case-cohort analysis based on data from the Danish registers from the period 1995 through 2014.

Index date was time of diagnosis of cirrhosis, and cohort entry depended on whether the patient was statin user or not.

The team used propensity score matching with a statin:non-statin ratio of 1:2.

The researchers included the exposure to statins from the index date until death or end of follow-up based on prescription claims.

The prevalence of use of statins was 15%
Alimentary Pharmacology & Therapeutics

Use of statins based on at least two statin claims as well as the longitudinal pattern over time of statin claims was tested against mortality.

The researchers' main outcome was mortality rate.

A total of 24,748 patients with alcoholic cirrhosis were identified and 5417 were eligible for matching.

The mean age was 56 years and 36% were females.

The team noted that the prevalence of use of statins was 15%.

The research team included 744 in the matched cohort.

The team found that mortality rates were 88 per 1000 years for patients using statin, and 127 for non-statin patients with a hazard ratio of 0.57.

A more regular pattern of statin claims was related to a lower risk of death.

Dr Bang's team comments, "Our results showed an association between regular use of statins and reduced mortality in patients with alcoholic cirrhosis."

Aliment Pharmacol Ther 2017: 46(7): 673–680
19 September 2017

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