Evidence map›Paper›PMID 27053860›Full record

SynthesisWorld journal of gastroenterology2016

Does aspirin or non-aspirin non-steroidal anti-inflammatory drug use prevent colorectal cancer in inflammatory bowel disease?

Nick E Burr, Mark A Hull, Venkataraman Subramanian

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in World journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Epigenetics and Expression of the Wnt Signaling Pathway in Ulcerative Colitis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
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  19. Diacerein treatment prevents colitis-associated cancer in mice.World journal of clinical oncology · 2020
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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

3 authors.

Nick E BurrNick E Burr, Mark A Hull, Venkataraman Subramanian, Leeds Institute for Biomedical and Clinical Sciences, St James's University Hospital, University of Leeds, LS9 7TF Leeds, United Kingdom.
Mark A HullNick E Burr, Mark A Hull, Venkataraman Subramanian, Leeds Institute for Biomedical and Clinical Sciences, St James's University Hospital, University of Leeds, LS9 7TF Leeds, United Kingdom.
Venkataraman SubramanianNick E Burr, Mark A Hull, Venkataraman Subramanian, Leeds Institute for Biomedical and Clinical Sciences, St James's University Hospital, University of Leeds, LS9 7TF Leeds, United Kingdom.

Funding

Medical Research Council MR/L01629X/1
6 · The paper itself

Abstract

aimTo determine whether aspirin or non-aspirin non-steroidal anti-inflammatory drugs (NA-NSAIDs) prevent colorectal cancer (CRC) in patients with inflammatory bowel disease (IBD).

methodsWe performed a systematic review and meta-analysis. We searched for articles reporting the risk of CRC in patients with IBD related to aspirin or NA-NSAID use. Pooled odds ratios (OR) and 95%CIs were determined using a random-effects model. Publication bias was assessed using Funnel plots and Egger's test. Heterogeneity was assessed using Cochran's Q and the I (2) statistic.

resultsEight studies involving 14917 patients and 3 studies involving 1282 patients provided data on the risk of CRC in patients with IBD taking NA-NSAIDs and aspirin respectively. The pooled OR of developing CRC after exposure to NA-NSAIDs in patients with IBD was 0.80 (95%CI: 0.39-1.21) and after exposure to aspirin it was 0.66 (95%CI: 0.06-1.39). There was significant heterogeneity (I (2) > 50%) between the studies. There was no change in the effect estimates on subgroup analyses of the population studied or whether adjustment or matching was performed.

conclusionThere is a lack of high quality evidence on this important clinical topic. From the available evidence NA-NSAID or aspirin use does not appear to be chemopreventative for CRC in patients with IBD.

Indexed as

Anticarcinogenic AgentsAnti-Inflammatory Agents, Non-SteroidalAspirinColorectal NeoplasmsEvidence-Based MedicineHumansInflammatory Bowel DiseasesOdds RatioRisk FactorsAnticarcinogenic AgentsAnti-Inflammatory Agents, Non-SteroidalAspirinAspirinChemopreventionColorectal cancerInflammatory bowel diseaseNon-steroidal anti-inflammatory

Identifiers

PMID27053860
PMCPMC4814654

What OpenQuestion holds

Textmetadata
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.