Evidence map›Paper›PMID 35328014›Full record

ReviewGenes2022

Aspirin Colorectal Cancer Prevention in Lynch Syndrome: Recommendations in the Era of Precision Medicine.

Davide Serrano, Paola Patrignani, Vittoria Stigliano, Daniela Turchetti, Stefania Sciallero, Franco Roviello, Alessandro D'Arpino, Ignazio Grattagliano, Salvo Testa, Cristina Oliani and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Genes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 1 country.

Davide SerranoDivision of Cancer Prevention and Genetics, European Institute of Oncology IRCCS, 20141 Milan, Italy.ORCID 0000-0002-2945-4108
Paola PatrignaniDepartment of Neuroscience, Imaging and Clinical Sciences, and CAST, "G. d'Annunzio" University, 66100 Chieti, Italy.ORCID 0000-0003-1419-2691
Vittoria StiglianoDivision of Gastroenterology and Digestive Endoscopy, IRCCS, Regina Elena National Cancer Institute, 00144 Rome, Italy.
Daniela TurchettiCenter for Hereditary Cancer, Department of Medical and Surgical Sciences, University of Bologna, 40100 Bologna, Italy.
Stefania ScialleroIRCCS Ospedale Policlinico San Martino, 16100 Genoa, Italy.
Franco RovielloUnit of General Surgery and Surgical Oncology, Department of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, Italy.
Alessandro D'ArpinoHospital Pharmacy Unit, Santa Maria della Misericordia Hospital, Azienda Ospedaliera di Perugia, 06100 Perugia, Italy.
Ignazio GrattaglianoItalian College of General Practitioners and Primary Care, 70100 Bari, Italy.ORCID 0000-0002-3472-9364
Salvo TestaMutagens Foundation, 20100 Milano, Italy.ORCID 0000-0001-5915-9321
Cristina OlianiAmbulatorio Familiarita' Neoplastica UOC Oncologia Medica ULSS5 Polesana, 45100 Rovigo, Italy.
Lucio BertarioDivision of Cancer Prevention and Genetics, European Institute of Oncology IRCCS, 20141 Milan, Italy.
Bernardo BonanniDivision of Cancer Prevention and Genetics, European Institute of Oncology IRCCS, 20141 Milan, Italy.ORCID 0000-0003-3589-2128
European Institute of Oncology · ITAssociazione Italiana Di Oncologia Medica · ITAzienda Ospedaliera di Perugia · ITOspedale Policlinico San Martino · ITSocietà Italiana di Medicina Generale · ITUniversity of Bologna · ITUniversity of Chieti-Pescara · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer prevention in the era of precision medicine has to consider integrated therapeutic approaches. Therapeutic cancer prevention should be offered to selected cohorts with increased cancer risk. Undoubtedly, carriers of hereditary cancer syndromes have a well-defined high cancer risk. Lynch Syndrome is one of the most frequent hereditary syndromes; it is mainly associated with colorectal cancer (CRC). Nonsteroidal anti-inflammatory drugs and, in particular, aspirin use, has been associated with reduced CRC risk in several studies, initially with contradictory results; however, longer follow-up confirmed a reduced CRC incidence and mortality. The CAPP2 study recruited 861 Lynch syndrome participants randomly assigned to 600 mg of aspirin versus placebo. Like sporadic CRCs, a significant CRC risk reduction was seen after an extended follow-up, with a median treatment time that was relatively short (2 years). The ongoing CAPP3 will address whether lower doses are equally effective. Based on pharmacology and clinical data on sporadic CRCs, the preventive effect should also be obtained with low-dose aspirin. The leading international guidelines suggest discussing with Lynch syndrome carriers the possibility of using low-dose aspirin for CRC prevention. We aim systematically promote this intervention with all Lynch syndrome carriers.

Indexed as

Colorectal Neoplasms, Hereditary NonpolyposisAnti-Inflammatory Agents, Non-SteroidalAspirinHeterozygoteHumansPrecision MedicineAnti-Inflammatory Agents, Non-SteroidalAspirinaspirincolorectal cancerlynch syndrome

Identifiers

PMID35328014
PMCPMC8952565
OpenAlexW4214897225

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.