Evidence map›Paper›PMID 34862208›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2022

Regular Aspirin Use and Mortality in Patients with Multiple Myeloma.

Catherine R Marinac, Dong Hoon Lee, Graham A Colditz, Timothy R Rebbeck, Bernard Rosner, Mark Bustoros, Irene M Ghobrial, Brenda M Birmann

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, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 3 institutions in 1 country.

Catherine R MarinacDivision of Population Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts. CatherineR_Marinac@dfci.harvard.edu.ORCID 0000-0002-9128-3012
Dong Hoon LeeDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.ORCID 0000-0003-1329-4637
Graham A ColditzDepartment of Surgery, Alvin J. Siteman Cancer Center, Barnes Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-7307-0291
Timothy R RebbeckDivision of Population Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-4799-1900
Bernard RosnerDepartment of Medicine, Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Massachusetts.ORCID 0000-0001-6907-0056
Mark BustorosDepartment of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-4652-5449
Irene M GhobrialDepartment of Medicine, Harvard Medical School, Boston, Massachusetts.
Brenda M BirmannDepartment of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-7550-5498
Harvard University · USBrigham and Women's Hospital · USJewish Hospital · US

Funding

Statistical MethodsP01CA087969 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI GIOVANNUCCI, EDWARD · 2000 to 2019
$77.8M
Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
Cancer Epidemiology Cohort in Male Health ProfessionalsU01CA167552 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Lorelei Mucci, Walter C. Willett · 2017 to 2026
$17.0M
Prospective evaluation of IGF and IL-6 Dysregulation and Multiple MyelomaR01CA127435 · NCI · WASHINGTON UNIVERSITY · PI COLDITZ, GRAHAM A. · 2007 to 2010
$1.4M
Energy Balance, IGF Dysregulation and Multiple MyelomaK07CA115687 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BIRMANN, BRENDA M · 2006 to 2010
$796k
Repurposing Metformin for the Prevention of Disease Progression in Precursor Multiple MyelomaK22CA251648 · NCI · DANA-FARBER CANCER INST · PI MARINAC, CATHERINE · 2020 to 2022
$577k
Diet patterns, aspirin use, obesity and multiple myeloma: a prospective analysisR21CA198239 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BIRMANN, BRENDA M · 2015 to 2016
$454k
Weight cycling and total and site-specific cancer incidence and mortalityR03CA204825 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI GIOVANNUCCI, EDWARD · 2017 to 2018
$159k
Obesity, Molecular Biomarkers, and Multiple Myeloma PrognosisF32CA220859 · NCI · DANA-FARBER CANCER INST · PI MARINAC, CATHERINE · 2018 to 2019
$94k
NCI NIH HHS F32 CA220859NCI NIH HHS K07 CA115687NCI NIH HHS K22 CA251648NCI NIH HHS P01 CA087969NCI NIH HHS R01 CA127435NCI NIH HHS R03 CA204825NCI NIH HHS R21 CA198239NCI NIH HHS U01 CA167552NCI NIH HHS UM1 CA186107
6 · The paper itself

Abstract

backgroundInflammation is important in multiple myeloma pathogenesis, and regular aspirin use has been shown to confer a reduced risk of multiple myeloma. The influence of aspirin on survival after multiple myeloma diagnosis is unknown.

methodsWe identified 436 men and women diagnosed with multiple myeloma between 1980 and 2016 in the Health Professionals Follow-up Study and the Nurses' Health Study who reported aspirin intake biennially on follow-up questionnaires. Using multivariable Cox proportional hazards regression models, we estimated HRs and 95% confidence intervals (CI) associated with the effect of aspirin use on multiple myeloma-specific and overall mortality.

resultsCompared with nonusers, participants who used aspirin after diagnosis had a multivariable HR for multiple myeloma-specific mortality of 0.61 (95% CI, 0.46-0.79) and for overall mortality of 0.63 (95% CI, 0.49-0.80), after adjustment for age at diagnosis, year of diagnosis, sex, body mass index, prediagnosis aspirin use, and number of comorbidities. For postdiagnosis aspirin quantity, we observed a modest trend of reduction in multiple myeloma-specific and all-cause mortality with increasing number of 325-mg tablets of aspirin per week, although the CIs for 1 to <6 and ≥6 tablets overlapped. Results were not materially different before or after the availability of novel therapies (before vs. after the year 2000). Prediagnosis frequency or duration of aspirin use was not significantly associated with multiple myeloma-specific or overall mortality.

conclusionsThese findings support the use of aspirin as a complementary strategy to enhance multiple myeloma survival. IMPACT: Confirmation in samples that have comprehensive clinical information is encouraged.

Indexed as

AgedAnti-Inflammatory Agents, Non-SteroidalAspirinFemaleFollow-Up StudiesHumansMaleMiddle AgedMultiple MyelomaProportional Hazards ModelsProspective StudiesRisk FactorsAnti-Inflammatory Agents, Non-SteroidalAspirin

Identifiers

PMID34862208
PMCPMC8825752
OpenAlexW3215218722

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.