Use of statins and risks of ovarian, uterine, and cervical diseases: a cohort study in the UK Biobank

Eur J Clin Pharmacol. 2024 Jun;80(6):855-867. doi: 10.1007/s00228-024-03656-y. Epub 2024 Feb 28.

Abstract

Purpose: To examine the associations between use of statins and risks of various ovarian, uterine, and cervical diseases, including ovarian cancer, endometrial cancer, cervical cancer, ovarian cyst, polycystic ovarian syndrome, endometriosis, endometrial hyperplasia, endometrial polyp, and cervical polyp.

Methods: We conducted a cohort study among female participants in the UK Biobank. Information on the use of statins was collected through verbal interview. Outcome information was obtained by linking to national cancer registry data and hospital inpatient data. We used Cox proportional hazards regression to examine the associations.

Results: A total of 180,855 female participants (18,403 statin users and 162,452 non-users) were included. Use of statins was significantly associated with increased risks of cervical cancer (adjusted hazard ratio (HR), 1.55; 95% confidence interval (95% CI), 1.05-2.30) and polycystic ovarian syndrome (adjusted HR, 4.39; 95% CI, 1.68-11.49). However, we observed no significant association between use of statins and risk of ovarian cancer, endometrial cancer, ovarian cyst, endometriosis, endometrial hyperplasia, endometrial polyp, or cervical polyp.

Conclusion: Our findings suggest that use of statins is associated with increased risks of cervical cancer and polycystic ovarian syndrome, but is not associated with increased or decreased risk of ovarian cancer, endometrial cancer, ovarian cyst, endometriosis, endometrial polyp, or cervical polyp.

Keywords: Cervical cancer; Cohort study; Polycystic ovarian syndrome; Risk; Statins.

MeSH terms

  • Adult
  • Aged
  • Biological Specimen Banks
  • Cohort Studies
  • Female
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors* / adverse effects
  • Middle Aged
  • Ovarian Neoplasms* / epidemiology
  • Polycystic Ovary Syndrome / drug therapy
  • Polycystic Ovary Syndrome / epidemiology
  • Proportional Hazards Models
  • Risk Factors
  • UK Biobank
  • United Kingdom / epidemiology
  • Uterine Cervical Diseases / chemically induced
  • Uterine Cervical Diseases / epidemiology
  • Uterine Cervical Neoplasms / epidemiology
  • Uterine Diseases / chemically induced
  • Uterine Diseases / epidemiology