A population-based cohort study of the risk of colorectal and other cancers among users of low-dose aspirin
2003

Low-Dose Aspirin and Cancer Risk

Sample size: 29470 publication 10 minutes Evidence: moderate

Author Information

Author(s): Friis S, Sørensen H T, McLaughlin J K, Johnsen S P, Blot W J, Olsen J H

Primary Institution: Institute of Cancer Epidemiology, Danish Cancer Society

Hypothesis

Does the use of low-dose aspirin reduce the risk of colorectal and other cancers?

Conclusion

The study found no substantial evidence that low-dose aspirin reduces the risk of colorectal or other cancers.

Supporting Evidence

  • Overall, 2381 cancer cases were observed compared to 2187 expected.
  • The SIR for total cancer was 1.09, indicating a slight increase in cancer risk among aspirin users.
  • No significant risk reductions were observed for colorectal or gastrointestinal cancers.
  • Increased SIRs were found for kidney and brain cancers.
  • 80% of subjects received two or more prescriptions for low-dose aspirin.

Takeaway

This study looked at people taking low-dose aspirin to see if it helps prevent cancer, but it didn't find strong evidence that it does.

Methodology

The study used prescription data from a population in North Jutland, Denmark, to analyze cancer incidence among low-dose aspirin users.

Potential Biases

Possible exposure misclassification due to reliance on prescription data and lack of adjustment for confounding factors like smoking.

Limitations

The study relied on prescription data without information on over-the-counter aspirin use or compliance, which may have affected the results.

Participant Demographics

The cohort consisted of 51% men and 49% women, with a mean age of 70 years at entry.

Statistical Information

P-Value

1.09

Confidence Interval

1.05–1.13

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6600760

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