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Cholesterol-Lowering Drugs Won't Cause Cancer
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Page: << Prev | 1 | 2 One possible mechanism is that cancer itself reduces LDL cholesterol levels, he said. "This is especially true of cancers involving the blood cell system, but it also occurs with cancer of the kidney and elsewhere," Steinberg said.
"Whatever the mechanism, the main point should be that studies of much larger numbers of people in statin trials find no excess of cancers," he added.
Karas said he took "several important messages" from the studies. "We need to do a much better job of keeping track of these relationships," he said. "In major trials of statins, some do not even report on the number of cancers. We need a lot more research in this area. In terms of biology, virtually nothing is known."
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And the case is not completely closed yet, said Dr. Ori Ben-Yehuda, professor of medicine at UCSD and co-author of a second editorial.
Studies thus far have dealt with people in the mass, comparing average levels of LDL cholesterol with overall cancer risk, Ben-Yehuda noted. "What we need is patient-level data to see whether a pattern emerges of different risks at different LDL levels," he said.
Lingering doubts should not stop people from using statins, especially for those who clearly are at risk of heart disease, Ben-Yehuda said. "But when we give medications to millions, we need information about risks versus benefits," he said. "There are some question marks, and they may change the risk-benefit ratio for some patients."
More information
There's more on statins at the American Heart Association.
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Copyright © 2008 ScoutNews, LLC. All rights reserved.
Last updated 8/20/2008
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SOURCES: Richard H. Karas, M.D., director, preventive cardiology, Tufts Medical Center, Boston; Daniel Steinberg, M.D., professor, medicine emeritus, University of California, San Diego; Ori Ben-Yehuda, M.D, professor, medicine, University of California, San Diego; Aug. 21, 2008, Journal of the American College of Cardiology
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