Tag Archives: low dose aspirin

A daily aspirin may reduce cancer risk

A study of more than 100,000 healthy people found that those who took a dose of aspirin every day were two fifths less likely to develop and die from stomach, oesophageal or colorectal cancer in the following decade.

They also had a 12 per cent lower risk of dying from other cancers, adding up to an overall 16 per cent lower risk of death from cancer of any type.

Although earlier research had found similar results, the new paper adds to the evidence in favour of taking the drug as a protective measure.

Doctors have previously called for low doses of aspirin to be taken from middle age, especially for people with a family history of cancer or heart disease, which it is also thought to protect against.

The authors of the latest study, published in the Journal of the National Cancer Institute, said: “Even a relatively modest benefit with respect to overall cancer mortality could still meaningfully influence the balances of risks and benefits of prophylactic (protective) aspirin use.”

The researchers, from the American Cancer Society, studied data on more than 100,000 healthy men and women, most of whom were over 60, and questioned them about their use of aspirin at regular intervals over the next decade.

Aspirin

Aspirin

They found that those who used aspirin every day were less likely to die from cancer in the following eleven years, with the biggest effect on cancers of the gastrointestinal tract.

Unlike previous research, the study found there was no difference between patients who had been taking the drug daily for less than five years, and those whose use was longer-term.

Referencing a separate study, the scientists said there was “some suggestion” the protective effect of aspirin could begin within three years of daily use.


In an editorial accompanying the article Dr John Baron of North Carolina University said the health benefit of aspirin estimated by the study could be “conservative”, adding: “The drug clearly reduces the incidence and mortality from luminal gastrointestinal cancers, and it may similarly affect other cancers.”

But Dr Eric Jacobs, who led the study, emphasised people should not take aspirin every day before discussing the potential side effects, such as stomach bleeds, with their doctors.

He said: “Although recent evidence about aspirin use and cancer is encouraging, it is still premature to recommend people start taking aspirin specifically to prevent cancer.

“Even low-dose aspirin can substantially increase the risk of serious gastrointestinal bleeding. Decisions about aspirin use should be made by balancing the risks against the benefits in the context of each individual’s medical history.”

Aspirin safety screening urged

A mass-screening programme for 50- to 70-year-olds could cut the risk of stomach bleeds due to daily doses of aspirin, cancer experts have said.

About a third of this group carry the bacterium Helicobacter pylori, which makes stomach bleeds three times more likely – and antibiotics eradicate it.

Research has shown taking low-doses of aspirin can cut the risk of cancer.

Professor Jack Cuzick said screening would make the choice to take it a “no-brainer”.

University of London epidemiology Prof Cuzick told the BBC’s Newsnight programme: “The test is cheap and very easy to do, and eradication takes only five days.

“Bleeding is the only major setback.

“It’s trying to identify those who are infected that matters.”

The society working with an international team of experts on cancer prevention is expected to publish a statement on the risks and benefits of long-term aspirin use within weeks.

“We will say this looks very important and needs to be further evaluated”, Prof Cuzick said.

Aspirin

Aspirin

The society first looked into aspirin as a cancer-prevention measure in 2009, and has reconvened as evidence of potential benefits has grown.

Taking low-dose aspirin for five years halves the risk of developing colon cancer, according to data published two years ago by Peter Rothwell, from Oxford University.


But Prof Cuzick told Newsnight the most up-to-date data showed “much stronger results”.

Last year, research indicated daily low-dose aspirin cut the risk of dying by 66% for oesophageal cancer and 25% for lung cancer. When researchers looked at all solid cancers together, the risk also fell, by 25%.

This year, the team looked at aspirin’s effect on the spread of cancer, and found it reduced the risk of secondary spread to the lungs, liver and the brain by “about half”.

Low-dose aspirin is already recommended to cut the risk of heart attack and stroke, but there are no national guidelines on who should consider taking it to prevent cancer, or how much to take.