1.Association Between Statin Use and Non-Melanoma Skin Cancer Risk:A Distributed Network Analysis of 11 Real-World Databases
Jiyoon AN ; Man S KIM ; Yoonsung LEE ; Bark-Lynn LEW ; Soon-Hyo KWON
Annals of Dermatology 2026;38(2):117-122
Background:
Given the dual potential of statins to act as both carcinogenic and antineoplastic agents, evidence from previous investigations into statin use and the risk of nonmelanoma skin cancer (NMSC) remains inconclusive.
Objective:
To demonstrate the impact of statin exposure on the NMSC risk in Korean patients.
Methods:
We carried out a multicenter cohort study based on electronic health record data aggregated from 11 Korean hospitals. Patients with hyperlipidemia who had been taking antilipidemic agents, including statins were included in this study. We applied 1:1 propensity score matching to create balanced cohorts and used Cox regression to assess the hazard ratio (HR) for NMSC.
Results:
A total of 18,579 statin users and a matched number of non-users were included across 11 databases. Statin use showed no significant association with an increased risk of NMSC (HR, 1.03; 95% confidence interval, 0.75–1.43). Subgroup analyses of drug exposure, age, and sex depicted no significant HR trends.
Conclusion
Statin exposure demonstrated no significant association with NMSC development in Korean patients with hyperlipidemia.
2.Impact of Hydrochlorothiazide on Nonmelanoma Skin Cancer:A Distributed Network Analysis of 11 Real-world Databases
Yeon-Jung PARK ; Man S KIM ; Yoonsung LEE ; Bark-Lynn LEW ; Soon-Hyo KWON
Annals of Dermatology 2025;37(6):350-356
Background:
Hydrochlorothiazide (HCTZ) has carcinogenic effects owing to its photosensitizing properties. Recent studies have reported inconsistent results regarding the association between HCTZ and skin cancer.
Objective:
This study aimed to clarify the effects of HCTZ on the risk of developing nonmelanoma skin cancer (NMSC) in Korean patients with hypertension.
Methods:
This multicenter, retrospective cohort study was conducted using clinical data from 11 hospitals in Korea, and converted to the Observational Medical Outcomes Partnership-Common Data Model. Large-scale 1:1 propensity score-matching was conducted to balance the target and comparator cohorts. Cox regression analysis was used to examine the hazard ratio (HR) for NMSC in HCTZ users compared to HCTZ never-users.
Results:
8,821 patients and same number of controls were pooled from 11 databases. HCTZ use was not associated with a decreased risk of NMSC (HR, 1.01; 95% confidence interval [CI], 0.70–1.47). In the dose-response analysis, no significant correlation was found between NMSC risk and HCTZ dose for <1 year (HR, 1.17; 95% CI, 0.64–2.17) and ≥1 year (HR, 1.02; 95% CI, 0.64–1.61). No significant increase in the risk of NMSC was observed in the subgroup analyses for either age or sex.
Conclusion
HCTZ was not associated with the development of NMSC in a Korean hypertensive population, regardless of the duration of drug exposure.
3.Biomaterial Stiffness of Wharton’s Jelly-Derived Mesenchymal Stem Cell-Conditioned Medium Modulates Fibroblasts Proliferation and Migration: A Preliminary Study
Sangmin CHOI ; Jaeyun KIM ; Soyul KIM ; Yoonsung LEE ; Man S KIM ; Bark-Lynn LEW ; Soon-Hyo KWON
Annals of Dermatology 2024;36(4):247-251
5.Short-term Changes in Anterior Chamber Depth after Traumatic Hyphema
Yoonsung KWON ; Hae Jung PAIK ; Dong Hyun KIM
Journal of the Korean Ophthalmological Society 2023;64(7):566-572
Purpose:
To analyze short-term changes in anterior chamber depth (ACD) immediately and 1 month after traumatic hyphema.
Methods:
Thirty-two patients with traumatic hyphema treated from October 2015 to July 2019 were retrospectively reviewed. Nineteen were followed-up for 1 month. The ACDs were measured using an IOL Master 500 platform and the differences between the affected and contralateral eyes immediately after trauma and 1 month after treatment analyzed. The ACD differences between the affected and contralateral eyes of those with gross and microscopic hyphema and the correlations between the ACD differences of the two eyes were analyzed by age.
Results:
The average age was 36.0 ± 14.2 years and 24 patients were male (75%). The ACDs of affected eyes were greater than those of contralateral eyes both immediately after trauma (3.81 ± 0.38 vs. 3.55 ± 0.43 mm; p = 0.021) and 1 month after trauma (3.73 ± 0.37 vs. 3.61 ± 0.37 mm; p = 0.001). The ACD gaps and ACD/axial length ratios (%) did not differ significantly between the injured and contralateral eyes of the gross and microscopic hyphema groups immediately after trauma (p = 0.951/0.981). The ACDs of affected eyes decreased 1 month after trauma compared to immediately after trauma (3.73 ± 0.37 vs. 3.87 ± 0.40 mm; p = 0.013). The ACD difference immediately after trauma increased significantly with older age (R = 0.387, p = 0.018).
Conclusions
The ACDs of eyes with traumatic hyphema increased significantly compared to those of the contralateral eyes immediately after trauma. The ACDs decreased after treatment but 1 month later were still significantly greater than the ACDs of the contralateral side.

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