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    Monday, June 07, 2004

    Better than Aspirin! And over ten times the cost. The cholesterol-lowering drugs, statins, are being hailed as cancer fighters:

    Dr. Stephen Gruber, a cancer researcher at the University of Michigan, found in a study of Israelis that statin medications lowered the risk of colorectal cancer by 46 percent, which is significantly more than aspirin. The study, which was observational, he said, requires additional testing. But if future research proves him right - and he thinks it will - drugs now used to prevent clogged arteries may one day be prescribed to prevent the third leading cause of cancer deaths.

    The study was not a rigorous one:

    His team, working in Israel, looked at 1,708 people who had colon cancer and 1,737 who did not. Those on statins for at least five years had about a 50-percent reduction in the risk of cancer.

    Adjusting for other factors that could possibly explain the difference, such as better health habits, did not change the strong link between statins and lowered risk.


    This sort of study, one which compares one group with a disease to another group without it and then looks for similarities and differences is one of the weakest ways to find causes (and preventives) for a disease. What it really finds is associations. It's impossible to say from this if statins actually lower the risk of cancer. It was studies like this that purported to show hormone replacement therapy reduced the risk of heart disease in post-menopausal women, which we now know it does not do. What's more, the study was reported at a meeting of oncologists, which means it hasn't been peer-reviewed (for what that's worth) and that the data aren't available for scrutiny. That fifty percent reduction in cancer rates could have been the difference between 2 cases and one case, or the difference between 50 casesand 25. We have no way of knowing. So don't buy the hype.
     

    posted by Sydney on 6/07/2004 08:14:00 AM 0 comments

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