Meta-analysis of the effects of statins on the risk of chronic liver disease and hepatocellular carcinoma
10.3760/cma.j.cn501113-20200311-00108
- VernacularTitle:他汀类药物对慢性肝病肝细胞癌风险影响的Meta分析
- Author:
Jing WEI
1
;
Jiahong LVY
;
Xiaojia SUN
;
Xirun WU
Author Information
1. 山西医科大学第二医院消化内科，太原 030001
- Keywords:
Hepatocellular carcinoma;
Statins;
Chronic liver diseases;
Meta-analysis
- From:
Chinese Journal of Hepatology
2021;29(7):696-701
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the relationship between the application of statins and the risk of hepatocellular carcinoma in patients with chronic liver disease.Methods:PubMed, the Cochrane Library, EMBASE, Web of science, WeiPu, Wanfang Med online, and China National Knowledge Infrastructure database were searched. The literatures about statins and the risk of hepatocellular carcinoma in patients with chronic liver disease were collected, with a search deadline of February 2020. Two researchers independently conducted literature screening, data extraction, quality evaluation and proofreading. RevMan5.3 software was used for data analysis. The I2 combined with χ2 test was used to evaluate the heterogeneity. Funnel plots were used to evaluate the publication bias of the included literature. Results:A total of 12 articles were included. Statins application had significantly reduced the risk of hepatocellular carcinoma in patients with chronic liver disease ( OR = 0.50, 95% CI: 0.43~0.58, P < 0.01). Subgroup analysis showed that statins had reduced the incidence rate of hepatocellular carcinoma in patients with chronic hepatitis B ( OR = 0.56, 95% CI: 0.47~0.66, P < 0.01) and chronic hepatitis C ( OR = 0.56, 95% CI: 0.45~0.71, P < 0.01). Lipophilic statins had significantly reduced the risk of chronic liver disease development to hepatocellular carcinoma ( OR = 0.48, 95% CI: 0.39~0.59, P < 0.01), but hydrophilic statins did not reduce the incidence rate of chronic liver disease development to hepatocellular carcinoma, and the difference was not statistically significant ( OR = 0.64, 95% CI: 0.36~1.14, P = 0.13). Conclusion:Statins can effectively reduce the risk of hepatocellular carcinoma development in patients with chronic liver disease, including chronic hepatitis B and C. Among them, the lipophilic statins have a significant preventive effect on the development of chronic liver disease to hepatocellular carcinoma, but hydrophilic statins have no obvious effect.
