We thank Shin et al for their interest in our propensity score-matched study, performed in a cohort of patients with compensated cirrhosis. We found that statin users had a significantly lower risk of decompensation and death than statin nonusers.1 Shin et al are concerned that the observed benefits of statins may be the result of three specific levels of immortal time bias. We show evidence below that our findings are not likely to be explained or compromised by such bias.