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Comment & Response
July 2018

Association of Statin Use With Overall and Cancer Survival

Author Affiliations
  • 1Department of Epidemiology and Biostatistics, University of California, San Francisco
  • 2Department of Urology, University of California, San Francisco
  • 3Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
JAMA Oncol. 2018;4(7):1016. doi:10.1001/jamaoncol.2018.0730

To the Editor In their article, Emilsson et al1 reported no association between statins and cancer-specific or all-cause mortality among patients with cancer, and argue that studies with contrary results are subject to selection bias resulting from mixing prevalent and new statin users, or from immortal time bias. We disagree with Emilsson et al1 that our report,2 focused on men with localized prostate cancer, may have misleading conclusions due to prevalent-user/selection bias.

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