Association between low-dose aspirin and the risk of gastric cancer and adenoma according to a family history of gastric cancer

Copyright © 2024. Published by Elsevier Ltd..

This study aimed to evaluate the association between low-dose aspirin use and the risk of GC and gastric adenoma according to a family history of GC. We conducted a population-based study of 7,596,003 participants screened for GC between 2013 and 2014. Aspirin users and non-users were matched in a 1:1 ratio through propensity score matching (PSM). After PSM, 51,818 participants with a family history of GC and 359,840 without a family history of GC were analyzed (mean follow-up periods: 4.9 ± 0.8 and 4.8 ± 0.8 years, respectively). In patients with a family history of GC, aspirin use was significantly associated with a reduced risk of GC (adjusted hazard ratio [aHR]=0.80; 95 % confidence interval [CI]=0.65-0.995) and gastric adenoma (aHR=0.81; 95% CI=0.69-0.94). In those without a family history of GC, aspirin use was associated with a reduced risk of gastric adenoma (aHR = 0.92; 95 % CI = 0.86-0.98), but not with that of GC (aHR = 0.99; 95 % CI = 0.90-1.08). Low-dose aspirin use was associated with a reduced risk of gastric adenoma, regardless of a family history of GC, and may play a role in the early stages of gastric carcinogenesis. However, the association between aspirin and GC was only observed in those with a family history of GC.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver - (2024) vom: 09. März

Sprache:

Englisch

Beteiligte Personen:

Jung, Yoon Suk [VerfasserIn]
Tran, Mai Thi Xuan [VerfasserIn]
Park, Boyoung [VerfasserIn]
Moon, Chang Mo [VerfasserIn]

Links:

Volltext

Themen:

Aspirin
Chemoprevention
Family history
Gastric adenoma
Gastric cancer
Journal Article

Anmerkungen:

Date Revised 10.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.dld.2024.02.013

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369521617