Risk of breast cancer among users of aspirin and other anti-inflammatory drugs.

Risk of breast cancer among users of aspirin and other anti-inflammatory drugs.
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DOI:
10.1038/sj.bjc.6602003
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发表时间:
2004-08-02
影响因子:
8.8
通讯作者:
--
中科院分区:
医学1区
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--
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我们使用全科医学研究数据库进行了一项队列研究,采用巢式病例对照分析来评价抗炎药在乳腺癌发病率中的作用。服用阿司匹林和扑热息痛1年或更长时间的女性与未服用者相比,比值比(OR)分别为0.77(95%置信区间(95% CI):0.62,0.95)和0.76(95% CI:0.65,0.88)。阿司匹林(75毫克)和扑热息痛(高达2000毫克)的每日剂量显示出最大的风险降低。使用非阿司匹林非甾体抗炎药超过1年与乳腺癌风险降低无关(OR=1.00(95%CI:0.84,1.17),使用至少2年的使用者的相应估计值相似。我们的研究结果表明,心脏预防剂量的阿司匹林以及镇痛剂量的扑热息痛与乳腺癌风险降低有关。
We conducted a cohort study with a nested case–control analysis to evaluate the effect of anti-inflammatory drugs in breast cancer incidence using the General Practice Research Database. Women taking aspirin and paracetamol for 1 year or longer had an odds ratio (OR) of 0.77 (95 percent confidence interval (95% CI): 0.62,0.95) and 0.76 (95% CI: 0.65,0.88), respectively, compared to nonusers. Daily doses of aspirin (75 mg) and paracetamol (up to 2000 mg) showed the greatest reduced risk. Use of non-aspirin nonsteroidal anti-inflammatory drugs for more than 1 year was not associated with a reduced risk of breast cancer (OR=1.00 (95% CI: 0.84, 1.17), and the corresponding estimate among users with at least 2 years duration was similar. Our findings suggest that aspirin at cardioprophylactic doses as well as paracetamol at analgesic doses is associated with a reduced risk of breast cancer.
DOI: 10.1592/phco.22.5.303.33189
发表时间: 2002-03-01
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