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Table 4 Characteristics of included studies- hepato-biliary 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

 Choi J [104], 2016, US

M/F

2000–2014

Patients seen at the Mayo Clinic

2395

4769

Cholangiocarcinoma

Electronic medical record

Use at least once per week at the index date

1,2,3,11,12,13,14,15

9

 Yang B [105], 2016, UK

M/F

1988–2011

CPRD

814

3180

Primary liver cancer

Medical records database

Had two or more aspirin prescriptions recorded prior to the index date(ever use)

3,6,10,15,16,17,18

7

 Burr NE [106], 2014, UK

M/F

2004–2010

NNUH and LGH

81

275

Cholangiocarcinoma

Letters from general practitioners (GPs), hospital clerkings, surgical records, nursing notes and radiological reports

Drug was recorded in any of the data sources

1,2,3,15

7

Cohort studies

 Kim G [107], 2017, Korea

M/F

2003–2012

NHIS-NSC

229

1145

Hepatocellular carcinoma

Prescription

At least one prescription of aspirin between the cohort entry and the index date

1,2,19,20,

6

 Petrick JL [108], 2015, US

M/F

from 1993

AARP,AHS, USRT,BCDDP, PLCO,HPFS, CPSII, BWHS WHI,NHS

904

1,084,133

Hepatocellular carcinoma and intrahepatic cholangiocarcinoma

Questionnaire

Any reported aspirin use in the 12 months prior to baseline

1,2,3,6,10,11,15, 21

7

 Liu E [109], 2005, China

M/F

1997–2001

Population from Shanghai

368

1013

Gallbladder Cancer

Questionnaire

Use at least twice a week for longer than a month 1 year before interview

1,2,5, 22

6

 S Friis [62], 2003, Denmarka

M/F

1989–1997

Population from North Jutland County

21

29,470

Liver cancer

Prescription database

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

1,2

8

  1. 1 = age, 2 = sex, 3 = smoking, 4 = family history, 5 = educational level, 6 = alcohol intake, 7 = marriage, 8 = Fat distribution, 9 = social status, 10 = BMI, 11 = race,12 = primary sclerosing cholangitis (PSC), 13 = non-PSC-related cirrhosis, 14 = biliary tract diseases, 15 = diabetes, 16 = hepatitis B or C virus infection, 17 = rare metabolic disorders, 18 = use of paracetamol, antidiabetic medications, and statins,19 = follow–up duration, 20 = the date of the diabetes diagnosis, 21 = cohort (AARP, AHS, USRT, PLCO, HPFS, CPSII, IWHS, BWHS, WHI, NHS), 22 = biliary stone status
  2. AARP AARP diet and health study, AHS Agriculture Health Study, BCDDP the breast cancer detection demonstration project, BWHS black women’s health study, CPRD clinical practice research datalink, CPSII cancer prevention study II, HPFS Health Professionals follow-up study, IWHS Iowa Women’s Health Study, LGH Leicester General Hospital NHS Trust, NHIS-NSC National Health Insurance Service National Sample Cohort, NHS nurses’ health study, NNUH Norfolk and Norwich University Hospital, PLCO prostate, lung, colorectal and ovarian cancer screening trial, USRT United State Radiologic Technologist Study, WHI women’s health initiative
  3. aStudy deemed to be prone to immortal time bias