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Table 7 Characteristics of included studies- breast 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

F

2001–2011

The Taiwan NHI database

65,491

435,364

Breast 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

 Dierssen-Sotos T [132], 2016, Spain

F

2008–2013

The MCC study

1736

1909

Breast cancer

Questionnaire

Use of aspirin- not further defined

1,3,4,5,10,30,36,40,50,51

8

 Cui Y [133], 2014, US

F

2001–2011

Nashville Breast Health Study

2154

1831

Breast cancer

Telephone interview

Use aspirin three or more times a week for a minimum duration of 1 year(regular)

1,3,4,5,6,11,18,25,40,50,51,52,53

7

 Brasky TM [134], 2010, US

F

1996–2001

WEB Study

1057

2094

Breast cancer

Self-reported

Use 0 days/month (non-users)

1,4,5,11,25,29,36,37,38,53,

6

 Cronin-Fenton DP [135], 2010, Denmark

F

1991–2006

Population from North Jutland and Aarhus counties, Denmark

8195

81,950

Breast cancer

Danish healthcare databases

Use at least 2 prescriptions within 2 years of diagnosis(recent use)

25,31,39

8

 Slattery ML [136], 2007, US

F

1999–2004

Population from the southwestern United States (4-Corner’s Breast Cancer Study)

2325

2525

Breast cancer

Questionnaire

Use at least thrice weekly for at least 1 month(regular)

1,10,18,38,54,55,56

7

 Harris RE [137], 2006, US

F

2003–2004

CHRI

277

493

Breast cancer

Questionnaire

Use at least two times per week for 2 years or more

1,3,5,6,10,38,51

7

 Swede H [138], 2005, US

F

1982–1998

The Roswell Park Cancer Institute

1478

3383

Breast cancer

Questionnaire

Use aspirin at least once a week for at least 1 year(regular)

5,10,36,40,53

6

 Zhang YQ [139], 2005, US

F

1976–2002

The Case-Control Surveillance Study Revisited

2406

1554

Breast cancer

Questionnaire

Use at least four times per week for 3 or more continuous months(regular)

1,4,5,6,10,11, 36,37,38,40,41,53,54,61,62,63,64

5

 Terry MB [140], 2004, US

F

1996–1997

The Long Island Breast Cancer Study Project

1442

1420

Breast cancer

Questionnaire

Use at least once a week for 6 months or longer(ever use)

1,10,29,31

6

 Moorman PG [141], 2003, US

F

1996–2000

Phase II of the Carolina Breast Cancer and Carcinoma In Situ Study

500

2631

Breast cancer

Questionnaire

Use at least 8 days a month for three or more months(regular)

1

6

 Cotterchio M [142], 2001, Canada

F

1996–1998

Population in Canada

2696

2600

Breast cancer

Questionnaire

Daily use for≥ 2 months(any use)

1,39,53

6

 Neugut AI [80], 1998, US

F

1989–1992

Columbia-Prebyterian Medical Center

252

176

Breast cancer

Medical record

Use aspirin-not further defined

1,4,5

6

Cohort studies

 Cao Y [8], 2016, US

F

1980–2010

1986–2012

NHS and HPFS

7424

135,965

Breast cancer

Questionnaire

Use at least 2 times per week(regular)

3,5,6,7,8,9,10,11,12,18,19,20,21,22,23,24,25,28

9

 Kim S [143], 2015, US

F

2003–2013

Sister Study

2118

50,884

Breast cancer

Questionnaire

Use at least once a week(current user)

4,5,10,11,40,51,53, 67

8

 Hollestein LM [91], 2014, Netherlandsa

F

1998–2010

PHARMO and the Eindhoven Cancer Registry

585

55,597

Breast cancer

Prescription database

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

1,2,26,27

8

 Brasky TM [92], 2014, US

F

1998–2010

WHI

5401

142,330

Breast cancer

Self-administered questionnaires

Use at both baseline and year 3 visits (consistent)

1,3,4,5, 6,7,10,11,18,19,22,24,25,29,30,31,,32,33,34,35,36,37,38,39,40,4142,43,44,45,46,47

9

 Bardia A [144], 2011, US

F

1986–2005

The IWHS

1581

26,580

Breast cancer

Questionnaire

Ever use aspirin- not further defined

1,3,4,5,6,10, 18,25,36,37,38,39,40,68,69

8

 Bosco JL [145], 2011, US

F

1995–2007

BWHS

1275

59,000

Breast cancer

Questionnaire

Use aspirin ≥ 3 days per week (regular)

1,3,4,10,18,25,29,70

9

 Eliassen AH [146], 2009, US

F

1989–2003

NHS II

1229

112,292

Breast cancer

Questionnaire

Use aspirin ≥2 times per week(regular)

5,6,7,10,36,38,40,53, 68,71

9

 Friisa S [147], 2008, Denmark

F

1993–2003

The prospective Diet, Cancer and Health cohort study

396

28,695

Breast cancer

Questionnaire

Use more than one pill per month

1,4,25,38,50,53

7

 Gierach GL [148], 2008, US

F

1995–2003

AARP

4451

126,124

Breast cancer

Questionnaire

Ever use aspirin- not further defined

1,5,6,11,25,29,40,49, 72

7

 Ready A [149], 2008, US

F

2000–2004

VITAL cohort

479

35,323

Breast cancer

Questionnaire

Use at least once a week for a year during the last 10 years(any use)

1,5,6,10,11,19,28,29,36,37,40,72, 73,74

7

 Siemes C [96], 2008, Netherland

F

1992–2004

The Rotterdam Study

175

7621

Breast cancer

Questionnaire and prescriptions.

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

1,3,10,25,36,37,50, 75

8

 Jacobs EJ [98], 2007, US

F

1992–2003

Cancer Prevention Study II Nutrition Cohort

3121

76,303

Breast cancer

Questionnaire

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

1,3,4,10,11,18,20,25, 28,29,45,48,49

8

 Gill JK [150], 2007, US

F

1993–2002

Multiethnic Cohort

1457

98,920

Breast cancer

Questionnaire

Use at least two times per week for 1 month or longer

1,4,5,6,10,11, 25,28,36,37,40,50,51,76

7

 Gallicchio L [151], 2007, US

F

1989–2006

CLUE II (“Give us a Clue to Cancer and Heart Disease”)

418

15,651

Breast cancer

Questionnaire

Use aspirin in the last 48 h(current user)

1

7

 Marshall SF [152], 2005, US

F

1995–2001

The California Teachers Study

2391

114,640

Breast cancer

Questionnaire

Use at least once a Week(regular)

1,3,5,6,10,11,18, 25,28,51,53,59,77

9

 Rahme E [153], 2005, Canadaa

F

1998–2202

RAMQ

664

23,573

Breast cancer

Prescription database

Ever use aspirin during the year prior to the index date

1,25,28,53,57,58,60

7

 Rodríguez LA [154], 2004, UKa

F

1995–2001

GPRD

3708

23,708

Breast cancer

Prescription database

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

1,3,6,10,25,29,53, 62,65,66

8

 Harris RE [155], 1999, US

F

1991–1996

Population from The Ohio State University Comprehensive Cancer Center in Columbus, Ohio

316

32,505

Breast cancer

Questionnaire

Use aspirin ≥1 pill per week

1

5

 Schreinemachers DM [63], 1994, US

F

1971–1987

The National Health and Examination Survey Ι

147

12,668

Breast cancer

Self reported

Use aspirin during the 30-day period before the interview

1,2

6

 Paganini-Hill A [103], 1989, US

F

1981–1988

Population from Leisure World, Laguna Hills, US

214

13,870

Breast 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 = red meat, 25 = hormone replacement therapy, 26 = unique number of dispensing, 27 = unique number of hospitalizations in the year prior to start of follow up, 28 = mammogram in past 2 y, 29 = other NSAIDs, 30 = area (county/region), 31 = migraine, 32 = Nitro-vasodilator use, 33 = observational study enrollment, 34 = diet modification trial enrollment, 35 = screening for cancer, 36 = age at menarche, 37 = age at menopause, 38 = gravidity, 39 = history of arthritis, 40 = age at first birth, 41 = duration of estrogen therapy, 42 = duration of combined postmenopausal hormone therapy, 43 = hysterectomy status, 44 = use of antihypertensive medication, 45 = history of coronary heart disease, 46 = use of cholesterol-lowering medication, 47 = history of ulcer, 48 = diabetes, 49 = hypertension, 50 = number of deliveries, 51 = menopausal status, 52 = household income, 53 = personal history of benign breast disease, 54 = study center, 55 = referent year, 56 = percentage Native American ancestry, 57 = breast procedure in the prior 3 years, 58 = other breast disease in the prior 3 years, 59 = neighborhood socioeconomic status, 60 = visit to a gynecologist in the prior year, 61 = practice of breast selfexamination, 62 = year of interview, 63 = number of physician visits 2 years before hospitalization, 64 = duration of oral contraceptive use, 65 = paracetamol, 66 = steroid, 67 = time since the last mammogram and duration and frequency of use, 68 = use of oral contraceptives, 69 = relative weight at age 12, 70 = questionnaire cycle, 71 = weight change since age 18 years, 72 = number of breast biopsies, 73 = history of surgical menopause, 74 = years of combined estrogen and progesterone hormone therapy, 75 = C-reactive protein level, 76 = all pain medication use, 77 = parity status before age 30
  2. AARP AARP diet and health study, BWHS Black Women’s 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, MCC the Spanish Multi-Case-control study, NHS nurses’ health study, RAMQ Re′gie de l’Assurance Maladie du Que’bec, VITAL the vitamins and lifestyle, WEB Western New York exposures and breast cancer study, WHI women’s health initiative
  3. aStudy deemed to be prone to immortal time bias