Int J Gynecol Obstet 2020; 148: 79–86 wileyonlinelibrary.com/journal/ijgo
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79 © 2019 Internatonal Federaton of
Gynecology and Obstetrics
Received: 23 April 2019
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Revised: 19 July 2019
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Accepted: 24 September 2019
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First published online: 10 October 2019
DOI: 10.1002/ijgo.12981
CLINICAL ARTICLE
Gynecology
An Israeli Gynecologic Oncology Group study of statn use and
endometrial cancer prognosis
Yakir Segev
1,
* | Ofer Gemer
2
| Limor Helpman
3,4
| Nasreen Hag-Yahia
3,4
|
Ram Eitan
5
| Oded Raban
5
| Zvi Vaknin
6
| Alon Ben-Arie
7
| Amnon Amit
8
|
Tally Levy
9
| Ahmed Namazov
2
| Michael Voldarsky
2
| Inbar Ben Shachar
10
|
Ilan Atlas
11
| Ilan Bruchim
12
| Ofer Lavie
6
1
Department of Obstetrics and
Gynecology, Carmel Medical
Center, Rappaport Faculty of Medicine,
Technion, Haifa, Israel
2
Department of Obstetrics and
Gynecology, Barzilai Medical Center, Faculty
of Health Sciences, Ben-Gurion University,
Ashkelon, Israel
3
Department of Obstetrics and
Gynecology, Meir Medical Center, Kfar
Saba, Israel
4
Sackler School of Medicine, Tel-Aviv
University, Tel Aviv, Israel
5
Department of Obstetrics and
Gynecology, Rabin Medical Center, Sackler
School of Medicine, Tel-Aviv University,
Peta Tikva, Israel
6
Department of Obstetrics and
Gynecology, The Yitzhak Shamir Medical
Center, Tzrifn, Israel
7
Department of Obstetrics and
Gynecology, Kaplan Medical
Center, Hebrew University, Rehovot, Israel
8
Department of Obstetrics and
Gynecology, Rambam Medical
Center, Rappaport Faculty of Medicine,
Technion, Haifa, Israel
9
Department of Obstetrics and
Gynecology, Wolfson Medical
Center, Sackler School of Medicine, Tel-Aviv
University, Holon, Israel
10
Department of Obstetrics and
Gynecology, Ziv Medical Center, Bar Ilan
University, Zefat, Israel
11
Department of Obstetrics and
Gynecology, Poriya Medical Center, Bar Ilan
University, Tiberia, Israel
12
Department of Obstetrics and
Gynecology, Hillel Yafe Medical
Center, Rappaport Faculty of Medicine,
Technion, Hedera, Israel
Abstract
Objectve: To assess whether statn use by endometrial cancer patents was associated
with a survival advantage.
Methods: A retrospectve chart review study, by the Israeli Gynecologic Oncology
Group, of consecutve endometrial cancer patents who underwent surgery in one of
11 medical centers between 2002 and 2014. Clinical and pathological reports, and
measures of survival were compared between statn users and nonusers. Kaplan-Meier
and Cox proportonal hazard models were used to assess the efect of using statns on
survival measures.
Results: Over a mean follow-up period of 6.2 years (range, 1–12 years) for 2017 endo-
metrial cancer patents with complete data, 663 (32.8%) used statns prior to diagnosis
and 1354 (67.1%) did not. No statstcally signifcant diferences between the groups
were observed for most demographic and clinical characteristcs. There was no difer-
ence between statn users and nonusers in 5-year recurrence-free survival (82% vs 83%;
P=0.508), disease-specifc survival (86% vs 84%; P=0.549), or overall survival (77% vs
75%; P=0.901).
Conclusions: In this large cohort of patents with endometrial cancer, no signifcant
associatons were found between use of statns and endometrial cancer survival.
KEYWORDS
Endometrial cancer; Israeli Gynecologic Study Group; Statns; Survival