Evidence map›Paper›PMID 30566587›Full record

ArticleAnnals of oncology : official journal of the European Society for Medical Oncology2019

Use of aspirin, other nonsteroidal anti-inflammatory drugs and acetaminophen and risk of endometrial cancer: the Epidemiology of Endometrial Cancer Consortium.

P M Webb, R Na, E Weiderpass, H O Adami, K E Anderson, K A Bertrand, E Botteri, T M Brasky, L A Brinton, C Chen and 18 more

Abstract read
In one paragraph

Article in Annals of oncology : official journal of the European Society for Medical Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Biological Activity ofInternational journal of molecular sciences · 2022
    Article
  11. Observational
  12. Review
  13. Article
  14. Article
  15. Improving response to progestin treatment of low-grade endometrial cancer.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2020
    Review
  16. Observational
  17. Review
  18. Article
  19. Mitogen-Activated Protein Kinase (MAPK) and Obesity-Related Cancer.International journal of molecular sciences · 2020
    Review
  20. 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

28 authors.

P M WebbPopulation Health Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia; School of Public Health, University of Queensland, Brisbane, Australia. Electronic address: penny.webb@qimrberghofer.edu.au.
R NaPopulation Health Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
E WeiderpassDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Research, Cancer Registry of Norway, Institute of Population-Based Cancer Research, Oslo, Norway; Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway; Genetic Epidemiology Group, Folkhälsan Research Center, Helsinki, Finland; Faculty of Medicine, University of Helsinki, Helsinki, Finland.
H O AdamiDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Clinical Effectiveness Research Group, Institute of Health and Society, University of Oslo, Oslo, Norway.
K E AndersonSchool of Public Health, University of Minnesota, Minneapolis, USA.
K A BertrandSlone Epidemiology Center, Boston University, Boston, USA.
E BotteriWomen and Children's Division, Norwegian National Advisory Unit on Women's Health, Oslo University Hospital, Oslo, Norway; Department of Bowel Cancer Screening, Cancer Registry of Norway, Oslo, Norway.
T M BraskyOhio State University Comprehensive Cancer Center, Columbus, USA.
L A BrintonDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, USA.
C ChenFred Hutchinson Cancer Research Center, Seattle, USA.
J A DohertyFred Hutchinson Cancer Research Center, Seattle, USA; Huntsman Cancer Institute, University of Utah, Salt Lake City, USA; Huntsman Cancer Institute, University of Utah, Salt Lake City, USA; Department of Population Health Sciences, University of Utah, Salt Lake City, USA.
L LuDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, USA.
S E McCannDepartment of Cancer Prevention and Control, Roswell Park Comprehensive Cancer Center, Buffalo, USA.
K B MoysichDepartment of Cancer Prevention and Control, Roswell Park Comprehensive Cancer Center, Buffalo, USA.
S OlsonMemorial Sloan Kettering Cancer Center, New York, USA.
S PetruzellaMemorial Sloan Kettering Cancer Center, New York, USA.
J R PalmerSlone Epidemiology Center, Boston University, Boston, USA.
A E PrizmentSchool of Public Health, University of Minnesota, Minneapolis, USA.
C SchairerDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, USA.
V W SetiawanUniversity of Southern California, Los Angeles, USA.
A B SpurdlePopulation Health Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
B TrabertDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, USA.
N WentzensenDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, USA.
L WilkensEpidemiology Program, University of Hawaii Cancer Center, Honolulu, USA.
H P YangDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, USA.
H YuEpidemiology Program, University of Hawaii Cancer Center, Honolulu, USA.
H A RischDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, USA.
S J JordanPopulation Health Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia; School of Public Health, University of Queensland, Brisbane, Australia.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Hormone-Related CancersZIACP010126 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI GIERACH, GRETCHEN · 2009 to 2025
$103.5M
A Follow-up Study for Causes of Cancer in Black WomenU01CA164974 · NCI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Kimberly A. Bertrand, Yvette C Cozier · 2017 to 2026
$24.0M
FOLLOW-UP STUDY FOR CAUSES OF ILLNESS IN BLACK WOMENR01CA058420 · NCI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI ROSENBERG, LYNN · 1999 to 2013
$20.7M
A Follow-up Study for Causes of Cancer in Black WomenUM1CA164974 · NCI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI ROSENBERG, LYNN · 2012 to 2017
$13.7M
EPIDEMIOLOGY OF CANCER IN A COHORT OF OLDER WOMENR01CA039742 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI LAZOVICH, DEANN · 1985 to 2014
$8.0M
MULTIETHNIC/MINORITY COHORT STUDY OF DIET AND CANCERR01CA054281 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI KOLONEL, LAURENCE N. · 1993 to 2002
$4.5M
Epidemiology of Ovarian Cancer:New HypothesesR01CA087538 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ROSSING, MARY ANNE · 2002 to 2006
$3.5M
Role of Genetic and Lifestyle Interplay in Uterus CancerR01CA098346 · NCI · YALE UNIVERSITY · PI YU, HERBERT · 2003 to 2007
$3.0M
Molecular Epidemiology of Endometrial CancerR01CA105212 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI CHEN, CHU · 2004 to 2007
$2.2M
Title OmittedK05CA092002 · NCI · UNIVERSITY OF WASHINGTON · PI WEISS, NOEL S · 2002 to 2013
$1.5M
BREAST CANCER AND THE BIRTH CONTROL PILL-275923166N01HD023166 · NICHD · FRED HUTCHINSON CANCER RESEARCH CENTER · 1992 to 2003
$1.4M
NCI NIH HHS K05 CA092002NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA039742NCI NIH HHS R01 CA047749NCI NIH HHS R01 CA054281NCI NIH HHS R01 CA058420NCI NIH HHS R01 CA087538NCI NIH HHS R01 CA098346NCI NIH HHS R01 CA105212NCI NIH HHS R03 CA169888NCI NIH HHS U01 CA164974NCI NIH HHS UM1 CA164974NICHD NIH HHS N01 HD023166
6 · The paper itself

Abstract

backgroundRegular use of aspirin has been associated with a reduced risk of cancer at several sites but the data for endometrial cancer are conflicting. Evidence regarding use of other analgesics is limited. PATIENTS AND

methodsWe pooled individual-level data from seven cohort and five case-control studies participating in the Epidemiology of Endometrial Cancer Consortium including 7120 women with endometrial cancer and 16 069 controls. For overall analyses, study-specific odds ratios (ORs) and 95% confidence intervals (CI) were estimated using logistic regression and combined using random-effects meta-analysis; for stratified analyses, we used mixed-effects logistic regression with study as a random effect.

resultsAt least weekly use of aspirin and non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) was associated with an approximately 15% reduced risk of endometrial cancer among both overweight and obese women (OR = 0.86 [95% CI 0.76-0.98] and 0.86 [95% CI 0.76-0.97], respectively, for aspirin; 0.87 [95% CI 0.76-1.00] and 0.84 [0.74-0.96], respectively, for non-aspirin NSAIDs). There was no association among women of normal weight (body mass index < 25 kg/m2, Pheterogeneity = 0.04 for aspirin, Pheterogeneity = 0.003 for NSAIDs). Among overweight and obese women, the inverse association with aspirin was stronger for use 2-6 times/week (OR = 0.81, 95% CI 0.68-0.96) than for daily use (0.91, 0.80-1.03), possibly because a high proportion of daily users use low-dose formulations. There was no clear association with use of acetaminophen.

conclusionOur pooled analysis provides further evidence that use of standard-dose aspirin or other NSAIDs may reduce risk of endometrial cancer among overweight and obese women.

Indexed as

AcetaminophenAnalgesics, Non-NarcoticAnti-Inflammatory Agents, Non-SteroidalAspirinCase-Control StudiesCohort StudiesEndometrial NeoplasmsFemaleFollow-Up StudiesHumansPrognosisRisk FactorsUnited StatesAcetaminophenAnalgesics, Non-NarcoticAnti-Inflammatory Agents, Non-SteroidalAspirinacetaminophenaspirinendometrial cancernonsteroidal anti-inflammatory drugs

Identifiers

PMID30566587
PMCPMC6386026

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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.