Table 2.
Efficacy of aspirin in patients with surgically resected colorectal cancer | ||||
---|---|---|---|---|
Name of Study group | Type | Study population (N) |
Aspirin dose used |
Result from aspirin use post-diagnosis [Multivariate HR (95% CI)] |
CALGB 89803(28) | Subgroup analysis in a randomized controlled trial | Stage III CRC (N=830) | 325 mg | HR 0.48 (95% CI, 0.24–0.99) for disease free-survival HR 0.52 (95% CI, 0.19–1.46) for death (OS) |
Nurses’ Health and Health professional Follow-up study(27) | Prospective cohort study | Stage I, II & III CRC (N=1279) | 325 mg | HR 0.71 (95% CI, 0.53–0.95) for CRC−specific mortality HR 0.79 (95% CI, 0.65–0.97) for overall mortality In aspirin non-users before diagnosis: HR 0.53 (95% CI, 0.33–0.86) for CRC−specific mortality In aspirin users before diagnosis: HR 0.89 (95% CI, 0.59–1.35) for CRC−specific survival |
Eindhoven Cancer Registry and PHARMO prescription registry(30) | Retrospective cohort study | Stage I-IV CRC (N=4481) | 80 mg | RR 0.77 (95% CI, 0.63–0.95) for CRC-specific mortality RR 0.65 (95% CI, 0.50–0.84) for colon cancer mortality RR 1.03 (95% CI, 0.75–1.40) for rectal cancer mortality |
Health Informatics Centre Registry, Scotland(29) | Retrospective cohort study | Stage I-IV CRC (N= 2916) | 75 mg | HR 0.67 (95% CI, 0.57–0.79) for CRC-specific mortality HR 0.72 (95% CI, 0.57–0.91) for colon cancer mortality HR 0.80 (95% CI, 0.58–1.11) for rectal cancer mortality |
Abbreviations: CRC, colorectal cancer; HR, Hazard ratio; OS, overall survival; RR, relative risk.