Evidence map›Paper›PMID 25849465›Full record

SynthesisPloS one2015

Aspirin use and lung cancer risk: a possible relationship? Evidence from an updated meta-analysis.

Hai-yan Jiang, Tian-bao Huang, Lei Xu, Jing Yu, Yan Wu, Jiang Geng, Xu-dong Yao

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Circulating Inflammation Proteins Associated With Lung Cancer in African Americans.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2019
    Article
  9. Article
  10. Racial and Ethnic Differences in the Relationship between Aspirin Use and Non-Small Cell Lung Cancer Risk and Survival.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018
    Article
  11. Factors associated with lung cancer in COPD patients.International journal of chronic obstructive pulmonary disease · 2018
    Observational
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

7 authors at 3 institutions in 1 country.

Hai-yan JiangElectrocardiographic room, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China.
Tian-bao HuangDepartment of Urology, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China; Department of First Clinical Medical College, Nanjing Medical University, Nanjing, Jiangsu, China.
Lei XuDepartment of First Clinical Medical College, Nanjing Medical University, Nanjing, Jiangsu, China; Department of respiratory medicine, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China.
Jing YuDepartment of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China.
Yan WuDepartment of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China.
Jiang GengDepartment of Urology, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China.
Xu-dong YaoDepartment of Urology, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China; Department of First Clinical Medical College, Nanjing Medical University, Nanjing, Jiangsu, China.
Shanghai Tenth People's Hospital · CNNanjing Medical University · CNTongji University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeGrowing evidence has emerged and controversial results reported on possible relationship between aspirin use and lung cancer risk. We, therefore, conducted this updated and comprehensive meta-analysis to evaluate this issue, with focus on dose-risk and duration-risk relationships.

methodsWe searched electronic databases including PUBMED, EMBASE and Cochrane library to identify eligible studies. Relative risk (RR) and its 95% confidence interval (CI) were used for cohort studies, while odds ratio (OR) were employed for case-control studies. The random effects and fixed effects models were used for analyses.

results18 studies were identified including 19835 lung cancer cases, which were eligible for inclusion in the present meta-analysis. Pooled data from case-control studies showed a significant inverse association between regular aspirin use and lung cancer risk. But for cohort studies, insignificant association was detected with little evidence of heterogeneity (RR: 1.05, 95%CI: 0.95 - 1.16; I2: 10.3%, p value: 0.351). In case-control studies, standard aspirin use (>325mg) was related to lower lung cancer incidence, compared with low-dose aspirin use (75-100mg). A similar trend was observed in cohort studies. Besides, when analysis was restricted to long time regular aspirin use (>5 years), insignificant results were reported in both cohort and case-control studies. Finally, regular aspirin use might result in higher reduction of non-small cell lung cancer incidence among men.

conclusionsOur findings do not support the protective effect of regular aspirin use on lung cancer risk. Long time aspirin use, sex, dose and type of lung cancer might alter the effect of aspirin use on lung cancer risk. More well-designed studies are needed to further clarify these associations.

Indexed as

Anticarcinogenic AgentsAnti-Inflammatory Agents, Non-SteroidalAspirinCarcinoma, Non-Small-Cell LungCase-Control StudiesHumansLung NeoplasmsRisk AssessmentSex DistributionAnticarcinogenic AgentsAnti-Inflammatory Agents, Non-SteroidalAspirin

Identifiers

PMID25849465
PMCPMC4388842
OpenAlexW1993718861

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.