We read with interest the study by Mohanty et al1 assessing the effect of statins on the risk of decompensation and survival times in patients with hepatitis C-related compensated cirrhosis. The authors conducted a retrospective cohort study among 683 statin users and 2062 nonusers using data from the Veterans Affairs Clinical Case Registry. They found that statin use was associated with a dramatically reduced risk of decompensation (hazard ratio [HR], 0.55; 95% confidence interval [CI], 0.39-0.77) and death (HR, 0.56; 95% CI, 0.46-0.69) compared with nonuse.
Statin Use in Patients With Hepatitis C-related Cirrhosis: True Benefit or Immortal Time Bias?
Statin Use in Patients With Hepatitis C-related Cirrhosis: True Benefit or Immortal Time Bias?
We read with interest the study by Mohanty et al1 assessing the effect of statins on the risk of decompensation and survival times in patients with hepatitis C-related compensated cirrhosis. The authors conducted a retrospective cohort study among 683 statin users and 2062 nonusers using data from the Veterans Affairs Clinical Case Registry. They found that statin use was associated with a dramatically reduced risk of decompensation (hazard ratio [HR], 0.55; 95% confidence interval [CI], 0.39-0.77) and death (HR, 0.56; 95% CI, 0.46-0.69) compared with nonuse.