Evidence map›Paper›PMID 36744914›Full record

ArticleJournal of the National Cancer Institute2023

Common analgesics and ovarian cancer survival: the Ovarian cancer Prognosis And Lifestyle (OPAL) Study.

Azam Majidi, Renhua Na, Susan J Jordan, Anna DeFazio, Andreas Obermair, Michael Friedlander, Peter Grant, Penelope M Webb

Open access · hybridAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.1field-weighted citation impact, top 6% 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, 17 citations in OpenAlex.

  1. A Multistate Survival Model to Identify Risk Factors for Lethal Ovarian Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
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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

8 authors at 6 institutions in 1 country.

Azam MajidiPopulation Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.ORCID 0000-0003-2815-3060
Renhua NaPopulation Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.ORCID 0000-0002-9830-8462
Susan J JordanPopulation Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.ORCID 0000-0002-4566-1414
Anna DeFazioDepartment of Gynaecological Oncology, Westmead Hospital, Westmead, NSW, Australia.ORCID 0000-0003-0057-4744
Andreas ObermairQueensland Centre for Gynaecological Cancers, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.ORCID 0000-0003-2199-1117
Michael FriedlanderDepartment of Medical Oncology, Prince of Wales Hospital and Prince of Wales Clinical School UNSW, Sydney, NSW, Australia.ORCID 0000-0003-3090-795X
Peter GrantGynecological Oncology Unit, Mercy Hospital for Women, Melbourne, VIC, Australia.ORCID 0000-0003-1350-7508
Penelope M WebbPopulation Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.ORCID 0000-0003-0733-5930
The University of Queensland · AUMercy Hospital for Women · AUQIMR Berghofer Medical Research Institute · AURoyal Brisbane and Women's Hospital · AUThe University of Sydney · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost women with ovarian cancer (OC) are diagnosed with advanced disease. They often experience recurrence after primary treatment, and their subsequent prognosis is poor. Our goal was to evaluate the association between use of nonsteroidal antiinflammatory drugs (NSAIDs), including regular and low-dose aspirin, and 5-year cancer-specific survival after an OC diagnosis.

methodsThe Ovarian cancer Prognosis And Lifestyle study is a prospective population-based cohort of 958 Australian women with OC. Information was gathered through self-completed questionnaires. We classified NSAID use during the year prediagnosis and postdiagnosis as none or occasional (<1 d/wk), infrequent (1-3 d/wk), and frequent (≥4 d/wk) use. We measured survival from the start of primary treatment: surgery or neoadjuvant chemotherapy for analyses of prediagnosis use, or 12 months after starting treatment (postdiagnosis use) until the earliest of date of death from OC (other deaths were censored) or last follow-up to 5 years. We used Cox proportional hazards regression to estimate adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) and applied inverse-probability of treatment weighting to minimize confounding. We also calculated restricted mean survival times.

resultsCompared with nonusers and infrequent users, we observed better survival associated with frequent NSAID use prediagnosis (HR = 0.73, 95% CI = 0.55 to 0.97) or postdiagnosis (HR = 0.65, 95% CI = 0.45 to 0.94). Estimates were similar for aspirin and nonaspirin NSAIDs, new and continuous users and in weighted models. These differences would translate to a 2.5-month increase in mean survival by 5 years postdiagnosis. There was no association with acetaminophen.

conclusionsOur findings confirm a previous study suggesting NSAID use might improve OC survival.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalOvarian NeoplasmsAcetaminophenAnalgesicsAspirinAustraliaFemaleHumansPrognosisProportional Hazards ModelsProspective StudiesRisk FactorsAcetaminophenAnalgesicsAnti-Inflammatory Agents, Non-SteroidalAspirin

Identifiers

PMID36744914
PMCPMC10165482
OpenAlexW4319294355

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.