Evidence map›Paper›PMID 19827153›Full record

ArticleCancer2009

Nonsteroidal anti-inflammatory drugs: effects on mortality after colorectal cancer diagnosis.

Jason A Zell, Argyrios Ziogas, Leslie Bernstein, Christina A Clarke, Dennis Deapen, Joan A Largent, Susan L Neuhausen, Daniel O Stram, Giske Ursin, Hoda Anton-Culver

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Meta-analysis of aspirin-guided therapy of colorectal cancer.Journal of cancer research and clinical oncology · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
  4. The association between NSAID use and colorectal cancer mortality: results from the women's health initiative.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012
    Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Timing of Aspirin and Other Nonsteroidal Anti-Inflammatory Drug Use Among Patients With Colorectal Cancer in Relation to Tumor Markers and Survival.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017
    Article
  11. Article
  12. Article
  13. Article
  14. Aspirin and COX-2 inhibitor use in patients with stage III colon cancer.Journal of the National Cancer Institute · 2015
    Observational
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Aspirin in the chemoprevention of colorectal neoplasia: an overview.Cancer prevention research (Philadelphia, Pa.) · 2012
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Jason A ZellGenetic Epidemiology Research Institute and Department of Epidemiology, University of California at Irvine, Irvine, California 92697-7550, USA. jzell@uci.edu
Argyrios Ziogas
Leslie Bernstein
Christina A Clarke
Dennis Deapen
Joan A Largent
Susan L Neuhausen
Daniel O Stram
Giske Ursin
Hoda Anton-Culver
University of California, Irvine · USUniversity of Southern California · USCancer Prevention Institute of California · USCity Of Hope National Medical Center · USUniversity of California, Irvine Medical Center · US

Funding

Translational Research Support CoreP30ES007048 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ROB S MCCONNELL · 1996 to 2026
$46.4M
CALIFORNIA TEACHERS STUDYR01CA077398 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BERNSTEIN, LESLIE · 1998 to 2014
$29.7M
CLINICAL CANCER GENETICS FELLOWSHIP PROGRAMR25CA085771 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI WEITZEL, JEFFREY N · 2001 to 2010
$3.8M
Research and Mentoring on Energetic Factors and Cancer: Established InvestigatorK05CA136967 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI BERNSTEIN, LESLIE · 2009 to 2013
$684k
NCI NIH HHS K05 CA136967NCI NIH HHS N01 PC035136NCI NIH HHS N01 PC035139NCI NIH HHS N01-PC-15,105NCI NIH HHS N01-PC-35,136NCI NIH HHS N02 PC015105NCI NIH HHS R01 CA077398NCI NIH HHS R01 CA77398NCI NIH HHS R25 CA085771NCI NIH HHS R25 CA85771NIEHS NIH HHS P30 ES007048NIEHS NIH HHS P30 ES 07,048PHS HHS U55/CCR921930-02
6 · The paper itself

Abstract

backgroundNonsteroidal anti-inflammatory drug (NSAID) use has been associated with a decreased colorectal cancer (CRC) risk. However, to the best of the authors' knowledge, the effects of NSAID on clinical outcomes after CRC diagnosis are not well defined. The authors investigated the association between prediagnosis NSAID use and mortality after CRC diagnosis among women in the California Teachers Study cohort.

methodsWomen aged <85 years participating in the California Teachers Study, without a prior CRC diagnosis at baseline (1995-1996), and who were diagnosed with CRC during follow-up through December 2005, were eligible for analysis of the association between prediagnosis NSAID use and mortality. NSAID use (including aspirin and ibuprofen) was collected through a self-administered questionnaire. Cancer occurrence was identified through California Cancer Registry linkage. Multivariate Cox proportional hazards regression models were used to estimate hazards ratios (HR) for death and 95% confidence intervals (95% CIs).

resultsAmong 621 CRC patients who were identified, 64% reported no prediagnosis regular NSAID use, 17% reported use of 1 to 6 days/week, and 20% reported daily use. A duration of NSAID use <5 years was reported by 17% of patients and a use of >or=5 years was reported by 18%. Regular prediagnosis NSAID use (1-3 days/week, 4-6 days/week, and daily) versus none was associated with improved overall survival (OS) (HR, 0.71; 95% CI, 0.53-0.95) and CRC-specific survival (HR, 0.58; 95% CI 0.40-0.84) after adjustment for clinically relevant factors. Prediagnosis NSAID use >or=5 years (vs none) was found to be associated with improved OS (HR, 0.55; 95% CI, 0.37-0.84) and CRC-specific survival (HR, 0.40; 95% CI, 0.23-0.71) in adjusted analyses.

conclusionsWhen used regularly or over a prolonged duration before CRC diagnosis, NSAIDs are associated with decreased mortality among female CRC patients.

Indexed as

AgedAnti-Inflammatory Agents, Non-SteroidalAspirinCarcinomaColorectal NeoplasmsFemaleFollow-Up StudiesHumansMiddle AgedAnti-Inflammatory Agents, Non-SteroidalAspirin

Identifiers

PMID19827153
PMCPMC3008399
OpenAlexW2039893117

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.