Evidence map›Paper›PMID 21715605›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2011

Nonsteroidal anti-inflammatory drug and acetaminophen use and risk of adult myeloid leukemia.

Julie A Ross, Cindy K Blair, James R Cerhan, John T Soler, Betsy A Hirsch, Michelle A Roesler, Rodney R Higgins, Phuong L Nguyen

Open access · bronzeAbstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Divergent gene expression ofFrontiers in oncology · 2025
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  9. Sepsis and Risk of Cancer Among Elderly Adults in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
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  15. Rapamycin combined with celecoxib enhanced antitumor effects of mono treatment on chronic myelogenous leukemia cells through downregulating mTOR pathway.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2014
    Article
  16. Review
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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

8 authors at 4 institutions in 1 country.

Julie A RossDivision of Epidemiology & Clinical Research, Department of Pediatrics, University of Minnesota, Minneapolis, MN 55455, USA. rossx014@umn.edu
Cindy K Blair
James R Cerhan
John T Soler
Betsy A Hirsch
Michelle A Roesler
Rodney R Higgins
Phuong L Nguyen
Mayo Clinic · USMinnesota Department of Health · USUniversity of Minnesota · USAbbott Northwestern Hospital · US

Funding

Predictors of Adult LeukemiaR01CA107143 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI ROSS, JULIE ANN · 2005 to 2009
$2.5M
NCI NIH HHS R01 CA107143NCI NIH HHS R01CA107143
6 · The paper itself

Abstract

backgroundLittle is known about the causes of adult leukemia. A few small studies have reported a reduced risk associated with regular use of nonsteroidal anti-inflammatory drugs (NSAID).

methodsIn a population-based case-control study, we evaluated analgesic use among 670 newly diagnosed myeloid leukemia cases [including 420 acute myeloid leukemias (AML) and 186 chronic myeloid leukemias (CML)] and 701 controls aged 20 to 79 years. Prior use of aspirin, ibuprofen, acetaminophen, other NSAIDs, and COX-2 inhibitors was assessed and included frequency, duration, and quantity. ORs and 95% CIs were calculated using unconditional logistic regression adjusting for potential confounders.

resultsRegular/extra strength aspirin use was inversely associated with myeloid leukemia in women (OR = 0.59, 95% CI = 0.37-0.93) but not in men (OR = 0.85, 95% CI = 0.58-1.24). In contrast, acetaminophen use was associated with an increased risk of myeloid leukemia in women only (OR = 1.60, 95% CI = 1.04-2.47). These relationships were stronger with increasing dose and duration. When stratified by leukemia type, aspirin use was inversely associated with AML and CML in women. No significant overall associations were found with ibuprofen or COX-2 inhibitors for either sex; however, a decreased risk was observed with other anti-inflammatory analgesic use for women with AML or CML (OR = 0.47, 95% CI = 0.22-0.99; OR = 0.31, 95% CI = 0.10-0.92, respectively).

conclusionsOur results provide additional support for the chemopreventive benefits of NSAIDs, at least in women. Because leukemia ranks fifth in person-years of life lost due to malignancy, further investigation is warranted. IMPACT: NSAIDs may reduce, whereas acetaminophen may increase, myeloid leukemia risk in women.

Indexed as

AcetaminophenAdultAgedAnti-Inflammatory Agents, Non-SteroidalCase-Control StudiesFemaleHumansLeukemia, MyeloidMaleMiddle AgedMinnesotaRisk FactorsAcetaminophenAnti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID21715605
PMCPMC3153558
OpenAlexW2108294072

What OpenQuestion holds

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Registered trials

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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.