Review Article

Influence of Statins on the Survival Outcomes of Patients with Diffuse Large B Cell Lymphoma: A Systematic Review and Meta-Analysis

Table 1

Study characteristics.

StudyDesignLocationNo. of patientsMean ageMenTherapyStageDefinition of statin useNumber of patients with statin useFollow-up durationsVariables controlledOutcomes reported

years%months

Samaras 2010RSwitzerland14557.356.6R-CHOP as first line therapyI–IVConcurrent use of statin as evidenced by medical chart2124Age, sex, stage, and IPIOS and PFS

Ennishi 2010RJapan25664.555.9R-CHOP as first line therapyI–IVConcurrent use of statin for at least two months as evidenced by medical chart3532Age, sex, cholesterol profile, and IPIOS and PFS

Nowakowski 2010PThe US228NR56R-CHOP or R-CHOP–like chemotherapyI–IVConcurrent use of statin as evidenced by medical chart3947Age, sex, stage, and IPIOS and PFS

Koo 2011RSingapore21359.150.7R-CHOP or R-CHOP–like chemotherapyI–IVConcurrent use of statin as evidenced by medical chart4717Age, sex, stage, performance status, serum LDH and chemotherapy regimensOS and PFS

Song 2015RKorea4096157.2R-CHOPI–IVConcurrent use of statin as evidenced by medical chart14639Age, sex, stage, and performance statusOS and PFS

Smyth 2020RCanada42757551NRI–IVPrevious use of statin within 1 year before enrollment160712Age, sex, and income levelOS

Branvall 2021PSweden41306957.2NRI–IVPrevious use of satin before the enrollment87325Age, sex, year of diagnosis, education, and concomitant medicationsOS

Gouni 2021RThe US271NR49R-CHOPIII–IVConcurrent use of statin as evidenced by medical chart7977Age, sex, stage, and performance statusOS and PFS

R, retrospective; P, prospective; US, United States; R-CHOP, rituximab–cyclophosphamide, doxorubicin, vincristine, prednisone; IPI, international prognostic index; LDH, lactate dehydrogenase; OS, overall survival; PFS, progression-free survival.