A method to estimate the mean lifetime survival increase of statin therapy

Future Cardiol. 2016 Sep;12(5):539-44. doi: 10.2217/fca-2016-0016. Epub 2016 Aug 19.

Abstract

Aim: To propose a method for estimating the lifetime advantage of statins.

Methods: Kaplan-Meier survival curves from published 4S and LIPID studies with 5.8- and 6.1-year follow-up were digitized. Gompertz distributions were fit up to the end of the trials, and then extrapolated out to the end of the patients' predicted lifetimes for each study.

Results: The method results in a 9.9 (95% CI: 8.7-11.9) and 2.8 (95% CI: 2.3-3.3) years' increases for the statin groups for 4S and LIPID studies, respectively.

Conclusion: Previous analysis of the same data was limited by the trials' relatively short run time. As such, we propose a method for correctly estimating the true effect of statin therapy in terms of total lifetime extension.

Keywords: Gompertz distribution; statin usage; survival analysis.

MeSH terms

  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
  • Kaplan-Meier Estimate*
  • Life Expectancy
  • Longevity / drug effects*
  • Pravastatin / therapeutic use
  • Randomized Controlled Trials as Topic / statistics & numerical data
  • Simvastatin / therapeutic use
  • Time Factors

Substances

  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Simvastatin
  • Pravastatin