Table 3.
Efficacy of aspirin in secondary prevention of colorectal cancer | ||||
---|---|---|---|---|
Name of Study group |
Type | Study population (N) |
Aspirin dose used |
Result from aspirin use [Multivariate HR (95% CI)] |
Aspirin/Folate Polyp Prevention Study(14) | Randomized controlled trial | 1121 patients with H/O colorectal adenomas | 81 mg or 325 mg/ day | In the 81 mg patient group: Unadjusted RR 0.81 (0.69–0.96) for developing any adenoma. Adjusted RR 0.83 (0.70–0.98) for developing any adenoma. In the 325 mg patient group: Unadjusted RR 0.96 (0.81–1.13) for developing any adenoma. Adjusted RR 0.95 (0.80–1.12) for developing any adenoma. |
APACC Trial(57) | Randomized controlled trial | 272 patients with H/O colorectal adenomas | 300-mg or 160 mg/ day | In the 160 mg group: RR 0.85 (95% CI, 0.57–1.26) for recurrent adenoma In the 300 mg group: RR 0.61 (95% CI, 0.37–0.99) for recurrent adenoma |
Colorectal Adenoma Prevention Study(13) | Randomized controlled trial | 635 patients with H/O colorectal cancer | 325 mg/ day | Adjusted RR 0.65 (95% CI, 0.46–0.91) for any recurrent adenoma |
Abbreviations: CRC, colorectal cancer; HR, Hazard ratio; RR, relative risk.