Evidence mapPaperPMID 39154222Full record

ArticleCancer2024

Aspirin but not statins is inversely related to gastric cancer with a duration-risk effect: Results from the Stomach Cancer Pooling Project Consortium.

Roberta Pastorino, Denise Pires Marafon, Michele Sassano, Ilda Hoxhaj, Claudio Pelucchi, Linda M Liao, Charles S Rabkin, Rashmi Sinha, Nuno Lunet, Samantha Morais and 17 more

Abstract read
In one paragraph

Article in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
field-weighted citation impact
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

6 citing papers in PubMed.

  1. Gastric intestinal metaplasia: Management and surveillance strategies.World journal of gastrointestinal pathophysiology · 2026
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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

27 authors.

Roberta PastorinoSection of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID https://orcid.org/0000-0001-5013-0733
Denise Pires MarafonSection of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Michele SassanoSection of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID https://orcid.org/0000-0002-3158-1827
Ilda HoxhajSection of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Claudio PelucchiDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Linda M LiaoDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, USA.
Charles S RabkinDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, USA.
Rashmi SinhaDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, USA.
Nuno LunetUnidade de Investigação em Epidemiologia, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.
Samantha MoraisUnidade de Investigação em Epidemiologia, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.
David ZaridzeDepartment of Clinical Epidemiology, N. N. Blokhin National Medical Research Center for Oncology, Moscow, Russia.
Dmitry MaximovichDepartment of Clinical Epidemiology, N. N. Blokhin National Medical Research Center for Oncology, Moscow, Russia.
Nuria AragonésCancer Epidemiology Section, Public Health Division, Department of Health of Madrid, Madrid, Spain.
Gemma Castaño-VinyalsConsortium for Biomedical Research in Epidemiology and Public Health, Madrid, Spain.ORCID https://orcid.org/0000-0003-4468-1816
Inés Gómez-AceboConsortium for Biomedical Research in Epidemiology and Public Health, Madrid, Spain.
Lizbeth López-CarrilloMexico National Institute of Public Health, Morelos, Mexico.
Malaquias López-CervantesFacultad de Medicina, Universidad Nacional Autónoma de México, Coyoacán, Mexico.
Rossella BonziDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Federica TuratiDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Paolo BoffettaDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Maria Constanza CamargoDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, USA.
Maria Paula CuradoCentro Internacional de Pesquisa, A. C. Camargo Cancer Center, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-8172-2483
Jesus VioqueConsortium for Biomedical Research in Epidemiology and Public Health, Madrid, Spain.
Zuo-Feng ZhangDepartment of Epidemiology, Fielding School of Public Health and Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, California, USA.
Eva NegriDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Carlo La VecchiaDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Stefania BocciaSection of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.

Funding

Associazione Italiana per la Ricerca sul Cancro 21378Ministero dell'Istruzione, dell'Università e della Ricerca 2022A4WZFC
6 · The paper itself

Abstract

backgroundAspirin and statins have been suggested to have potential chemopreventive effects against gastric cancer (GC), although the results of previous studies have been inconsistent. This study therefore aimed to investigate the association between the use of aspirin and statins and GC.

methodsA pooled analysis of seven case-control studies within the Stomach Cancer Pooling Project, including 3220 cases and 9752 controls, was conducted. Two-stage modeling analyses were used to estimate the association between aspirin and statin use and GC after adjusting for potential confounders.

resultsThe pooled odds ratio (OR) of GC for aspirin users versus nonusers was 0.72 (95% confidence interval [CI], 0.54-0.95). The protective effect of aspirin appeared stronger in individuals without a GC family history (OR, 0.60; 95% CI, 0.37-0.95), albeit with borderline heterogeneity between those with and without a family history (p = .064). The OR of GC decreased with increasing duration of aspirin use, with an OR of 0.41 (95% CI, 0.18-0.95) for durations of ≥15 years. An inverse, nonsignificant association with the risk of GC was observed for the use of statins alone (OR, 0.79; 95% CI, 0.52-1.18).

conclusionsThese findings suggest that aspirin use, particularly long-term use, is associated with a reduced risk of GC, whereas a similar association was not observed with statins, possibly because of the low frequency of use.

Indexed as

AspirinHydroxymethylglutaryl-CoA Reductase InhibitorsStomach NeoplasmsAdultAgedAnti-Inflammatory Agents, Non-SteroidalCase-Control StudiesFemaleHumansMaleMiddle AgedOdds RatioRisk FactorsAnti-Inflammatory Agents, Non-SteroidalAspirinHydroxymethylglutaryl-CoA Reductase Inhibitorsaspirinepidemiological studygastric cancerstatins

Identifiers

PMID39154222
PMCPMC11585341

What Socratic holds

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Registered trials

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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.