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Table 11 Characteristics of included studies- prostate cancer

From: Associations between aspirin use and the risk of cancers: a meta-analysis of observational studies

Study source

Sex

Study period

Source of subjects

No of case

No of control/cohort size

Cancer site

Exposure assessment

Exposure Definition

Adjustment for covariates

Study quality

Case-control studies

 Iqbal U [47], 2017, China

M

2001–2011

The Taiwan NHI database

32,419

129,676

Prostate cancer

Prescription

Patients had aspirin prescribed at least for 2 months during the 3-year period before the initial cancer diagnosis

1,2,13,14, 15,16,17

7

 Skriver C [185], 2016, Denmark

M

2000–2012

Danish nationwide registries

35,600

177,992

Prostate cancer

Prescription

Use aspirin ≥ 2 prescriptions redeemed on separate dates(ever use)

1, 4,14,28,30,36,37,38,,40,

8

 Veitonmäki T [186], 2013, Finland

M

1995–2002

Finnish Cancer Registry

13,478

24,657

Prostate cancer

Prescription database

Ever use aspirin- not further defined

1,32

8

 Murad AS [187], 2011, UK

M

2001–2008

ProtecT

1016

5043

Prostate cancer

Questionnaire

Ever use aspirin- not further defined

1,28,33,35

8

 Salinas CA [188], 2010, US

M

2002–2005

SEER cancer registry

1000

942

Prostate cancer

Questionnaire

Use at least once per week for 3 months(ever use)

1,11,42

7

 Harris RE [189], 2007, US

M

1999–2005

CHRI

24

39

Prostate cancer

Medical-record

At least two times per week for 2 years or more

1,3,5,6,10

5

 Bosetti C [190], 2006, Italy

M

1991–2002

Population from the greater Milan area, the provinces of Pordenone, Gorizia, Latina and the urban area of Naples

1261

1131

Prostate cancer

Standard questionnaire

Use at least once a week for more than 6 months (regular)

1,4,5,34

5

 Dasgupta K [191], 2006, Canada

M

1999–2002

RAMQ

2025

2150

Prostate cancer

Prescription database

Did not receive any prescription for aspirin (nonuser)

1,43

6

 Liu X [192], 2006, US

M

2001–2004

Population from Cleveland, Ohio

471

468

Prostate cancer

Personal interview

Use at least twice a week for more than a month(any use)

1,11,44

5

 Menezes RJ [193], 2006, US

M

1982–1998

RPCI

1029

1029

Prostate cancer

Questionnaire

Use at least once a week for at least 6 months (regular)

1,5,10

5

 Perron L [194], 2003, Canada

M

1993–1995

RAMQ

2221

11,105

Prostate cancer

Prescription database

Ever use aspirin- not further defined

1,50

6

 Norrish AE [195], 1998, New Zealand

M

1996–1997

Auckland Prostate Study

317

480

Prostate cancer

Questionnaire

At least once per week(regular)

1,50,51,52,53

7

 Neugut AI [80], 1998, US

M

1989–1992

Columbia-Prebyterian Medical Center

319

189

Prostate cancer

Medical record

Use aspirin-not further defined

1,4,5

6

Cohort studies

 Cao Y [8], 2016, US

M

1980–2010

1986–2012

NHS and HPFS

1019

135,965

Prostate cancer

Questionnaire

Use at least 2 times per week(regular)

3,5,6,7,8,9,10,11,12,18,19,20,21,22,23,24,25,70

9

 Lapi F [196], 2016, Italya

M

2002–2013

HSD

187

13,453

Prostate Cancer

Prescription database

Use low-dose aspirin-not further defined

1,3,6,9,13,14,16,28,38,54,55,56,57

8

 Nordström T [197], 2015, Swedena

M

2007–2012

Population from Stockholm County, Sweden

8430

204,241

Prostate cancer

Swedish Prescribed Drug Register

Any dispensed prescription of the drug within 2 years before biopsy

1,4,13,14, 58,59,60

5

 Hollestein LM [91], 2014, Netherlandsa

M

1998–2010

PHARMO and the Eindhoven Cancer Registry

882

53,679

Prostate cancer

Prescription database

Low dose aspirin (≤ 100 mg daily)- not further defined

1,2,26,27

8

 Shebl FM [198], 2012, US

M

1993–2001

PLCO

3573

29,450

Prostate cancer

Questionnaire

Regular use aspirin-not further defined

5,11,34, 42,62

7

 Mahmud SM [199], 2011, Canadaa

M

1985–2000

Saskatchewan Ministry of Health (SH) databases and the Saskatchewan Cancer Registry (SCR).

9007

35,891

Prostate cancer

Prescription database

Had a participant ever filled a prescription of aspirin in the index class at any time during his exposure history

28,41,42

6

 Brasky TM [200], 2010, US

M

2000–2007

VITAL Cohort

1547

34,132

Prostate cancer

Questionnaire

Use aspirin ≥1 day/ week for ≥ 1 year(regular)

1,4,5,9,10,11,19,30,55, 65,66,67

5

 Siemes C [96], 2008, Netherland

M

1992–2004

The Rotterdam Study

216

7621

Prostate cancer

Questionnaire and prescriptions

The absence of a prescription for any non-aspirin or aspirin NSAID(no use)

1,3,10,61

8

 Jacobs EJ [98], 2007, US

M

1992–2003

Cancer Prevention Study II Nutrition Cohort

5539

69,810

Prostate cancer

Questionnaire

Use at least 30 “times” per month(daily use of adult-strength)

1,3,4,9,10,11,18, 20,28,29,30,31

8

 Platz EA [201], 2005, US

M

1980–2004

BLSA

141

9748

Prostate cancer

Self-reported

Had ever taken aspirin-not further defined

1,28,45,68

7

 García Rodríguez LA [44], 2004, UKa

M

1995–2001

GPRD

2096

9579

Prostate cancer

Prescription database

No use of aspirin at any time before the index date(nonuser)

1,45,46,47,48,49

8

 Friis S [62], 2003, Denmarka

M

1989–1997

Population of North Jutland County

196

29,470

Prostate cancer

Prescription database

75–150 mg once daily(low-dose aspirin)

1,2

8

 Habel LA [202], 2002, US

M

1964–1973

The Kaiser Permanente Medical Care Program in Northern California

2574

90,100

Prostate cancer

Questionnaire

Use more than six aspirin per days

1,4,11,69

6

 Schreinemachers DM [63], 1994, US

M

1971–1987

The National Health and Examination Survey Ι

123

12,668

Prostate cancer

Self reported

Use aspirin during the 30-day period before the interview

1,2

6

 Paganini-Hill A [103], 1989, US

M

1981–1988

Population from Leisure World, Laguna Hills, US

149

13,870

Prostate cancer

Questionnaire

Aspirin use: none,<daily, daily

2

4

  1. 1 = age, 2 = sex, 3 = smoking, 4 = education level, 5 = family history, 6 = alcohol intake, 7 = height, 8 = Alternate Healthy Eating Index-2010, 9 = PSA test in past 2 y, 10 = BMI, 11 = race, 12 = folate, 13 = Charlson comorbidity index, 14 = statin, 15 = metformin, 16 = ACE inhibitors, 17 = Angiotensin II receptor blockers, 18 = physical activity, 19 = fruit, vegetable and/or vitamin intake, 20 = history of colonoscopy, 21 = total energy intake, 22 = ever use of calcium supplements in the past 5 years, 23 = former health checkup, 24 = mammogram in past 2 y, 25 = hormone replacement therapy, 26 = unique number of dispensing, 27 = unique number of hospitalizations in the year prior to start of follow up, 28 = other NSAIDs, 29 = history of heart attack, 30 = diabetes, 31 = hypertension, 32 = simultaneous use of other medications (cholesterol lowering drugs, anti-diabetic drugs, antihypertensive drugs and benign prostatic hyperplasia medication), 33 = the primary care centres from which they were recruited, 34 = study center, 35 = any paracetamol use, 36 = residence (by design), 37 = use of high-dose aspirin, 38 = 5-alpha reductase inhibitors, 39 = income, 40 = selected cardiovascular drugs, and antidepressants or neuroleptics, 41 = ever visited a urologist 1–11 years prior, 42 = SCREENED and volume of family physician visits in the 5 years prior to the index date, 43 = finasteride, 44 = medical institution, 45 = calendar year, 46 = prior BPH history, 47 = number of visits to general practitioners, 48 = referrals, 49 = hospitalizations, 50 = recent medical contacts, 51 = socio-economic status, 52 = total polyunsaturated fat consumption, 53 = a-linolenic acid and ratio of dietary n-6:long-chain n-3 polyunsaturated fatty acids, 54 = presence of obesity, 55 = benign prostatic hypertrophy, 56 = alpha-adrenoreceptor antagonists, 57 = immunosuppressive drugs, 58 = natural log-transformed prostate specific antigen (PSA) concentration, 59 = PSA quotient, 60 = use of antidiabetic medication, 61 = C-reactive protein level, 62 = ibuprofen use, 63 = osteoarthritis, 64 = rheumatoid arthritis,65 = enlarged prostate, 66 = coronary artery disease, 67 = chronic joint pain, chronic headaches, and migraines, 68 = acetaminophen, 69 = and number of health checkups, 70 = red meat
  2. BLSA Baltimore Longitudinal study of Aging, CHRI Cancer Hospital and Richard J. Solove Research Institute, GPRD general practitioners research database, HPFS Health Professionals follow-up study, HSD health search IMS health longitudinal patient database, NHS nurses’ health study, PLCO prostate, lung, colorectal and ovarian cancer screening trial, ProtecT prostate testing for cancer and Treatment, RAMQ Re′gie de l’Assurance Maladie du Que’bec, RPCI the Roswell Park Cancer Institute, SEER surveillance, epidemiology and end results, VITAL the vitamins and lifestyle
  3. aStudy deemed to be prone to immortal time bias