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Table 3 Characteristics of included studies- colorectal 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/F

2001–2011

The Taiwan NHI database

86,597

346,388

Colorectal 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

 Friis S [70], 2015, Dermark

M/F

1994–2011

Danish Cancer Registry, Aarhus University Prescription Database, Danish National Patient Registry, Danish Civil Registration

System

10,280

10,280

Colorectal cancer

Prescription database

Have 2 or more prescriptions for aspirin(ever use)

1,2,14,26,27,28,29,30,31,32,33.

8

 Rennert G [71], 2010, Israel

M/F

1988–2006

The MECC

2648

2566

Colorectal cancer

Interviewed

Daily aspirin use for at least 3 years

1,2,7,26

5

 Din FV [72], 2010, UK

M/F

2001–2008

SCCS

2279

2907

Colorectal cancer

Questionnaire

Use > 4 tablets/week for > 1 month

1,2,3,6,8,18,19,34,35

4

 Harris RE [73], 2008, US

M/F

2003–2004

The CHRI

326

652

Colon cancer

Questionnaire

Use at least once per week for more than 1 year

1,3,4,6,7,8,26,36

5

 Kim S [74], 2008, US

M/F

2001–2006

North Carolina Colon Cancer Study II

1057

1019

Colorectal cancer

Questionnaire

Any use of aspirin in the past 5 years (ever users)

1,2,7, 8,18,37, 38,39,40

6

 Hoffmeister M [75], 2007, Germany

M/F

2003–2004

The Rhine–Neckar–Odenwald region in the South-West of Germany

477

517

Colorectal cancer

Questionnaire

Use at least 2 times per week for at least 1 year(current regular use)

1,2,3,4,5,6,8,22,27,30,41,42,43

8

 Slattery ML [76], 2006, US

M/F

1991–1994

KPMCP

2351

2972

Colorectal cancer

Questionnaire

Use at least three times a week for 1 month(regular)

1,2,7

7

 Macarthur M [77], 2005, UK

M/F

1998–2000

Grampian Health

Board residents

264

408

Colorectal cancer

Questionnaire

Use aspirin every day for a month or more(regular)

1,2

6

 Juarranz M [78], 2002, Spain

M/F

1995–1996

The Research Unit of the Council of Health and Social Services of the Community ofMadrid

196

228

Colon cancer

Questionnaire

Consider aspirin use as a continuous numeric variable in milligrams/week -not further defined

1,2

8

 Evans RC [79], 2002, UK

M/F

Merseyside and Cheshire Cancer Registry

512

512

Colorectal cancer

Questionnaire

Use at least once per day(regular)

1,2,26,38

8

 Neugut AI [80], 1998, US

M/F

1989–1992

Columbia-Prebyterian Medical Center

256

322

Colon cancer

Medical record

Use aspirin-not further defined

1,4,5

6

 Rosenberg L [81], 1998, US

M/F

1992–1994

Hospital in Massachusetts

942

935

Large bowel carcinoma

Questionnaire

Use at least 4 days a week for at least 3 months

1,2

9

 La VC [82], 1997, Italy

M/F

1992–1996

Population from Italian areas

1357

1891

Colorectal adenoma

Questionnaire

Use more than four times per week for > 6 months

1,2,5,6,8,18,26,34, 43

7

 Reeves MJ [83], 1996, US

F

1991–1992

Wisconsin Cancer Reporting system

21

22

Colorectal cancer

Self-reported

Use at least one table twice weekly or more than at least 12 months

1,4,8,30

8

 Suh O [84], 1993, US

M/F

1982–1991

Roswell Park Tumor Registry and Diagnostic Index

830

1662

Colorectal adenoma

Questionnaire

Use aspirins for at least 1 year(users)

1,2,5,26

9

 Kune GA [85], 1988, Australia

M/F

1980–1981

Population in Melbourne

715

727

Colorectal adenoma

Questionnaire, hospital records, and interview

Use aspirin “daily” “weekly” or “don’t know- not further defined”

1,2

8

Cohort studies

 Park SY [86], 2017, US

M/F

1993–2012

The MEC Study

3879

183,199

Colorectal cancer

Questionnaire

Had ever use of aspirin

1,3,4,6,8,18,19,27,30,34,37,43, 48,49

8

 Kim C [87], 2016, US

M

1982–2000

Physicians Health Study

268

446

Colorectal cancer

Questionnaire

Use of aspirin- not further defined

6,8,18,19, 20

9

 Soriano LC [88], 2016, UK(STUDY 1)

M/F

2000–2011

THIN

3033

10,000

Colorectal cancer

Prescription

No recorded use at any time(non user)

1,2,3,8,21, 22,24,25

9

 Soriano LC [88], 2016, UK(STUDY 2)

M/F

2001–2012

THIN

3174

10,000

Colorectal cancer

Prescription

No recorded use at any time(non user)

1,2,3,8,21,22,23

9

 Soriano LC [88], 2016, UK(STUDY 3)

M/F

2001–2012

THIN

12,333

20,000

Colorectal cancer

Prescription

No recorded use at any time(non user)

1,2,3,8,21,22

9

 Vaughan LE [89], 2016, US

F

2004–2011

IWHS

218

14,386

Colon cancer

Questionnaire

Never use aspirin (non-user)

1,3,8,22

8

 Cao Y [8], 2016, US

M/F

1980–2010

1986–2012

NHS and HPFS

2895

135,965

Colorectal cancer

Questionnaire

Use at least 2 times per week(regular)

3,4,6,7,8,18,19,27,30,34,37,42,43,49,50,51,52,53

9

 Lin CC [90], 2015, Chinaa

M/F

2000–2009

The Longitudinal Health Insurance Database

467

60,828

Colorectal cancer

Prescription database

Use any low-dose aspirin (75–165 mg)

1,2,54,55

8

 Hollestein LM [91], 2014, Netherlandsa

M/F

1998–2010

PHARMO and the Eindhoven Cancer Registry

972

109,276

Colorectal cancer

Prescription database

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

1,2,56,72

8

 Brasky TM [92], 2014, US

F

1998–2010

WHI

1397

140,933

Colorectal cancer

Self-administered questionnaires

Use at both baseline and year 3 visits (consistent)

1,3,4,5,6,7,8,37,18,19,22,26,27,33,43,50,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71

9

 Brasky TM [93], 2012, US

M/F

2002–2008.12.30

The VITAL

451

64,847

Colorectal cancer

Questionnaire

Use ≥1 day/week for ≥ 1 year(regular)

1,3,4,5,6,7,8,9,10,18,19,22,28,30,33,42,43, 50,67,68,69,71

8

 Ruder EH [94], 2011, US

M/F

1996–2006

National Institutes of Health-AARP Diet and Health Study

3894

301,240

Colorectal cancer

Self-administered questionnaire

Use aspirin during the previous 12 months

1,2,3,4,5, 6,7,8,18,27

7

 Friis S [95], 2009, Denmark

M/F

1995–2006

Danish Diet, Cancer, and Health Study

615

51,053

Colorectal cancer

Questionnaire

Use fewer than 2 pills per month (nonuse)

1,2,6,8,14,22,27,30,

7

 Siemes C [96], 2008, Netherlands

M/F

1992–2004

The Rotterdam Study

195

7621

Colorectal cancer

Questionnaire and prescriptions

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

1,2,3,8,18, 27,34,70,73,74

8

 Vinogradova Y [97], 2007, UKa

M/F

1995–2005

QRESEARCH database

1226

5369

Colorectal cancer

Prescription database

Receive ≥1 prescription for aspirin in the 13 to 48 months before index date

3, 8,22,41

8

 Jacobs EJ [98], 2007, US

M/F

1992–2003

Cancer Prevention Study II Nutrition Cohort

1861

146,113

Colorectal cancer

Questionnaire

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

1,2,3,5,7,18,22,27,28,30,36,68,52,53

8

 Larsson SC [99], 2006, Sweden

M/F

1998–2005

Swedish Mammography Cohort and Cohort of Swedish Men

705

74,250

Colorectal cancer

Questionnaire

Aspirin use- not further defined

1,2,3,4,5,8,18

28

9

 Muscat JE [100], 2005, US

M/F

1983–1999

The Framingham Heart study

145

433

Colorectal cancer

Questionnaire

Never/< 1/week, 1–3/week, > 3/week

1,2,3,44

9

 Rahme E [101], 2003, Canada

M/F

1997–2001

RAMQ

179

2568

Colorectal adenoma

Prescription

Use at least 1 year

45,46,47

7

 Rodríguez LAG [102], 2001, UKa

M/F

1994–1997

The GPRD

2002

943,903

Colorectal cancer

Prescription database

Never received a single prescription(non-user)

1,2

8

 Schreinemachers DM [63], 1994, US

M/F

1971–1987

The National Health and Examination Survey Ι

169

12,668

Colorectal cancer

Self reported

Use aspirin during the 30-day period before the interview

1,2

6

 Paganini-Hill A [103], 1989, US

M/F

1981–1988

Population from Leisure World, Laguna Hills, US

181

13,870

Colon cancer

Questionnaire

Aspirin use: none,<daily, daily

2

4

  1. 1 = age, 2 = sex, 3 = smoking, 4 = family history, 5 = educational level, 6 = alcohol intake, 7 = race, 8 = BMI, 9 = marital status, 10 = self-rated health, 11==C-reactive protein level, 12 = cholesterol, 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 = seafood and dairy foods intake, 21 = number of PCP visits in the year before the index date, 22 = other NSAIDs, 23 = paracetamol, 24 = insulin, 25 = oral steroids, 26 = area (county/region), 27 = hormone replacement therapy, 28 = history of diabetes mellitus, 29 = history of cholecystectomy, 30 = history of colonoscopy, 31 = chronic obstructive pulmonary disease or asthma,32 = antidepressants, 33 = migraine,34 = total energy intake, 35 = deprivation index, 36 = hypertension ampling probability, 37 = ever use of calcium supplements in the past 5 years, 38 = primary care practitioner, 39 = dietary fat intake, 40 = sampling probability, 41 = morbidity (diabetes, ischemic heart disease, hypertension, stroke, colitis, rheumatoid arthritis, and osteoarthritis), 42 = former health checkup, 43 = red meat, 44 = Nitro-vasodilator use, 45 = number of drugs, 46 = number of physician encounters, 47 = all-cause hospitalization in prior year, 48 = dietary fiber, 49 = folate, 50 = height, 51 = Alternate Healthy Eating Index-2010, 52 = PSA test in past 2 y, 53 = mammogram in past 2 y, 54 = duration of diabetes, 55 = propensity score at baseline, 56 = unique number of hospitalizations in the year prior to start of follow up, 57 = observational study enrollment, 58 = diet modification trial enrollment, 59 = screening for cancer, 60 = age at menarche, 61 = age at menopause, 62 = gravidity, 63 = age atfirst birth, 64 = duration of estrogen therapy, 65 = duration of combined postmenopausal hormone therapy, 66 = hysterectomy status, 67 = use of antihypertensive medication, 68 = history of coronary heart disease, 69 = use of cholesterol-lowering medication, 70 = history of arthritis, 71 = history of Ulcer, 72 = unique number of dispensing
  2. AARP AARP diet and health study, CHRI Cancer Hospital and Richard J. Solove Research Institute, GPRD General Practitioners Research Database, HPFS Health Professionals follow-up study, IWHS Iowa Women’s Health Study, KPMCP Kaiser Permanente Medical Care Program of Northern California, MEC Multiethnic Cohort Study, MECC the molecular epidemiology of colorectal cancer, NHS nurses’ health study, RAMQ Re′gie de l’Assurance Maladie du Que’bec, SCCS study of colorectal cancer in Scotland, THIN the health improvement Network, VITAL the vitamins and lifestyle, WHI women’s health initiative
  3. aStudy deemed to be prone to immortal time bias