Evidence map›Paper›PMID 27575711›Full record

ArticleThe American journal of gastroenterology2016

Nonsteroidal Anti-Inflammatory Drug Use is Not Associated With Reduced Risk of Barrett's Esophagus.

Aaron P Thrift, Lesley A Anderson, Liam J Murray, Michael B Cook, Nicholas J Shaheen, Joel H Rubenstein, Hashem B El-Serag, Thomas L Vaughan, Jennifer L Schneider, David C Whiteman and 1 more

Open access · greenAbstract read
In one paragraph

Article in The American journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Chemoprevention of Barrett's Esophagus: a Systematic Review and Comprehensive Assessment of Bias.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Pooled it
  2. Diagnosis and Management of Barrett's Esophagus.Journal of clinical medicine · 2023
    Review
  3. Review
  4. Global burden and epidemiology of Barrett oesophagus and oesophageal cancer.Nature reviews. Gastroenterology & hepatology · 2021
    Review
  5. Chemoprevention in Barrett's esophagus and esophageal adenocarcinoma.Therapeutic advances in gastroenterology · 2021
    Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Aspirin: the miracle drug?Clinical and translational gastroenterology · 2018
    Article
  11. Aspirin acts in esophageal cancer: a brief review.Journal of thoracic disease · 2018
    Review
  12. Article
  13. Precision care for Barrett's esophagus.Translational gastroenterology and hepatology · 2018
    Review
  14. Impact of smoking, alcohol consumption, and NSAID use on risk for and phenotypes of eosinophilic esophagitis.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2018
    Article
  15. Review
  16. Article
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

11 authors at 7 institutions in 2 countries.

Aaron P ThriftDepartment of Medicine, Section of Gastroenterology and Hepatology, Baylor College of Medicine, Houston, Texas, USA.
Lesley A AndersonCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.
Liam J MurrayCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.
Michael B CookDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, USA.
Nicholas J ShaheenDivision of Gastroenterology and Hepatology, University of North Carolina School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Joel H RubensteinCenter for Clinical Management Research, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Michigan, USA.
Hashem B El-SeragDepartment of Medicine, Section of Gastroenterology and Hepatology, Baylor College of Medicine, Houston, Texas, USA.
Thomas L VaughanProgram in Epidemiology, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Jennifer L SchneiderKaiser Permanente Division of Research, Oakland, California and San Francisco Medical Center, USA.
David C WhitemanQIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia.
Douglas A CorleyKaiser Permanente Division of Research, Oakland, California and San Francisco Medical Center, USA.
Baylor College of Medicine · USKaiser Permanente San Francisco Medical Center · USFred Hutch Cancer Center · USNational Cancer Institute · USQIMR Berghofer Medical Research Institute · AUUniversity of Michigan–Ann Arbor · USUniversity of North Carolina at Chapel Hill · US

Funding

Tissue Analysis & Molecular Imaging CoreP30DK056338 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI James Versalovic · 2001 to 2026
$28.3M
Barretts EsophagusZIACP010220 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ABNET, CHRISTIAN · 2011 to 2025
$4.5M
Obesity, H pylori and Risk of Barrett's EsophagusR01CA116845 · NCI · BAYLOR COLLEGE OF MEDICINE · PI EL-SERAG, HASHEM B · 2007 to 2011
$2.8M
Epidemiology and Incidence of Barrett's EsophagusR01DK063616 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI CORLEY, DOUGLAS ALLEN · 2002 to 2010
$2.6M
ESTABLISHED INVESTIGATOR AWARD IN CANCER PREVENTION AND CONTROLK05CA124911 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI VAUGHAN, THOMAS L · 2007 to 2016
$1.6M
Molecular epidemiology of Barretts esophagus and cancerR01CA001833 · NCI · QUEENSLAND INSTITUTE OF MEDICAL RESEARCH · PI WHITEMAN, DAVID C · 2002 to 2006
$1.3M
Epidemiology and Outcomes of Digestive and Liver Diseases: A Mentoring ProgramK24DK078154 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI EL-SERAG, HASHEM B · 2007 to 2016
$1.1M
The Epidemiology of Adipokines in Barrett's EsophagusK23DK079291 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RUBENSTEIN, JOEL H · 2007 to 2011
$760k
Epidemiologic Case-control Study of Barrett's EsophagusK23DK059311 · NIDDK · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI SHAHEEN, NICHOLAS J · 2001 to 2005
$626k
EPIDEMIOLOGY OF BARRETTS ESOPHAGUSR01CA072866 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI VAUGHAN, THOMAS L · 1997 to 2000
$543k
Barrett's Esophagus: Risk Factors in WomenR21DK077742 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI CORLEY, DOUGLAS ALLEN · 2008 to 2009
$405k
The Perception of Cancer Risk in Patients with Barrett's EsophagusR03DK075842 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SHAHEEN, NICHOLAS J · 2006 to 2007
$300k
CSRD VA I01 CX000899Intramural NIH HHS ZIA CP010220NCI NIH HHS K05 CA124911NCI NIH HHS R01 CA001833NCI NIH HHS R01 CA072866NCI NIH HHS R01 CA116845NIDDK NIH HHS K23 DK059311NIDDK NIH HHS K23 DK079291NIDDK NIH HHS K24 DK078154NIDDK NIH HHS P30 DK056338NIDDK NIH HHS R01 DK063616NIDDK NIH HHS R03 DK075842NIDDK NIH HHS R21 DK077742
6 · The paper itself

Abstract

objectivesRegular use of nonsteroidal anti-inflammatory drugs (NSAIDs) is associated with a reduced risk of esophageal adenocarcinoma. Epidemiological studies examining the association between NSAID use and the risk of the precursor lesion, Barrett's esophagus, have been inconclusive.

methodsWe analyzed pooled individual-level participant data from six case-control studies of Barrett's esophagus in the Barrett's and Esophageal Adenocarcinoma Consortium (BEACON). We compared medication use from 1,474 patients with Barrett's esophagus separately with two control groups: 2,256 population-based controls and 2,018 gastroesophageal reflux disease (GERD) controls. Study-specific odds ratio (OR) and 95% confidence intervals (CI) were estimated using multivariable logistic regression models and were combined using a random-effects meta-analytic model.

resultsRegular (at least once weekly) use of any NSAIDs was not associated with the risk of Barrett's esophagus (vs. population-based controls, adjusted OR=1.00, 95% CI=0.76-1.32, I

conclusionsUse of NSAIDs was not associated with the risk of Barrett's esophagus. The previously reported inverse association between NSAID use and esophageal adenocarcinoma may be through reducing the risk of neoplastic progression in patients with Barrett's esophagus.

Indexed as

AdenocarcinomaAgedAnti-Inflammatory Agents, Non-SteroidalAspirinBarrett EsophagusCase-Control StudiesEsophageal NeoplasmsFemaleGastroesophageal RefluxHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioProtective FactorsAnti-Inflammatory Agents, Non-SteroidalAspirin

Identifiers

PMID27575711
PMCPMC5209791
OpenAlexW2511442435

What OpenQuestion holds

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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.