Original Investigation

Postdiagnosis Statin Use and Breast Cancer Mortality

JAMA Network Open 10.1001/jamanetworkopen.2025.38737

October 30, 2025 at 11:00 AM EDT

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Is postdiagnosis statin initiation associated with breast cancer mortality?In this cohort study emulating a target trial using Danish registry data from 66 952 patients with breast cancer, statin initiation within 36 months postdiagnosis was associated with lower 10-year breast cancer mortality (11.8% among those who received statins vs 13.5% among those who did not; absolute reduction, 1.7 percentage points), and all-cause mortality was 23.3% among those who received statins vs 24.5% among those who did not.These findings suggest that postdiagnosis statin use may provide a clinically meaningful survival benefit in breast cancer patients, with 59 patients needing treatment to prevent 1 additional breast cancer death at 10 years, supporting further randomized trials.

Corresponding Author: Sixten Harborg, MD, Department of Oncology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Entrance C, Level 1, C106, 8200 Aarhus N, Denmark (sixten.harborg@oncology.au.dk).

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