Statin Use and the Risk of Graves' Orbitopathy: A Nationwide Population-Based Cohort Study

  • 0Department of Health Management Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Summary

This summary is machine-generated.

Statin use significantly lowers the risk of Graves

Area Of Science

  • Endocrinology
  • Ophthalmology
  • Pharmacology

Background

  • Graves' orbitopathy (GO) is a common complication of Graves' disease (GD).
  • Statin use has shown potential protective effects against GO in Western populations.
  • Data on statin efficacy in preventing GO in Asian populations with GD is limited.

Purpose Of The Study

  • To investigate the protective effect of statins against GO in Asian patients with GD.
  • To analyze the association between statin use and the incidence of GO in a large Asian cohort.

Main Methods

  • Nationwide, population-based retrospective cohort study using NHIRD data (2010-2020).
  • Inclusion of GD patients aged >40 years.
  • Propensity score matching and IPTW analysis to control for confounding factors.
  • Kaplan-Meier survival and multivariable Cox regression analyses were performed.

Main Results

  • A total of 102,858 patients were analyzed (7,073 statin users, 95,785 nonusers).
  • Statin users exhibited a significantly lower risk of GO (adjusted HR: 0.79, p=0.037 post-PS matching; adjusted HR: 0.64, p<0.001 post-IPTW).
  • No significant difference in GO risk was observed among users of different statin types or intensities.

Conclusions

  • Statin use is associated with a reduced risk of developing GO in Asian GD patients.
  • The findings suggest a potential therapeutic role for statins in GO prevention within this population.
  • Further research may explore specific statin mechanisms in GO pathogenesis.

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