Aspirin for the Primary Prophylaxis of Colorectal Cancer

Context Increasing epidemic of colorectal cancer worldwide and the expenses of the current screening and treatment of this potentially fatal condition have raised the interest of in finding a primary prophylactic measure. Aspirin has been administrated for more than 40 years to achieve this. Evi...

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Main Author: Kamran B Lankarani
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2013-12-01
Series:Iranian Journal of Colorectal Research
Subjects:
Online Access:https://colorectalresearch.sums.ac.ir/article_45458_225b0ded1a6747b0809ab9a606768aad.pdf
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author Kamran B Lankarani
author_facet Kamran B Lankarani
author_sort Kamran B Lankarani
collection DOAJ
description Context Increasing epidemic of colorectal cancer worldwide and the expenses of the current screening and treatment of this potentially fatal condition have raised the interest of in finding a primary prophylactic measure. Aspirin has been administrated for more than 40 years to achieve this. Evidence Acquisitions In this manuscript, we reviewed the best available evidence on the prophylatic use of aspirin for colorectal cancer prevention. Results The analysis and large cohort studies revealed that although using ASA would probably decrease the risk of colon cancer, this would not occur before 5-8 years after treatment. ASA usage would increase the risk of major gastrointestinal bleeding. Conclusions Aspirin has been proposed as a chemopreventive agent in colorectal cancer (CRC) for many years, but there are still debates on the proper candidates, treatment time and cost benefit analysis of this potentially harmful drug. This brief review would try to answer these questions using the currently available evidence.
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spelling doaj.art-6e61bd91510648cf993d77eb8fb532592022-12-21T23:09:30ZengShiraz University of Medical SciencesIranian Journal of Colorectal Research2783-24302013-12-01137810.17795/acr-1626445458Aspirin for the Primary Prophylaxis of Colorectal CancerKamran B Lankarani0Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, IR IranContext Increasing epidemic of colorectal cancer worldwide and the expenses of the current screening and treatment of this potentially fatal condition have raised the interest of in finding a primary prophylactic measure. Aspirin has been administrated for more than 40 years to achieve this. Evidence Acquisitions In this manuscript, we reviewed the best available evidence on the prophylatic use of aspirin for colorectal cancer prevention. Results The analysis and large cohort studies revealed that although using ASA would probably decrease the risk of colon cancer, this would not occur before 5-8 years after treatment. ASA usage would increase the risk of major gastrointestinal bleeding. Conclusions Aspirin has been proposed as a chemopreventive agent in colorectal cancer (CRC) for many years, but there are still debates on the proper candidates, treatment time and cost benefit analysis of this potentially harmful drug. This brief review would try to answer these questions using the currently available evidence.https://colorectalresearch.sums.ac.ir/article_45458_225b0ded1a6747b0809ab9a606768aad.pdfaspirincolorectal cancerprimary prevention
spellingShingle Kamran B Lankarani
Aspirin for the Primary Prophylaxis of Colorectal Cancer
Iranian Journal of Colorectal Research
aspirin
colorectal cancer
primary prevention
title Aspirin for the Primary Prophylaxis of Colorectal Cancer
title_full Aspirin for the Primary Prophylaxis of Colorectal Cancer
title_fullStr Aspirin for the Primary Prophylaxis of Colorectal Cancer
title_full_unstemmed Aspirin for the Primary Prophylaxis of Colorectal Cancer
title_short Aspirin for the Primary Prophylaxis of Colorectal Cancer
title_sort aspirin for the primary prophylaxis of colorectal cancer
topic aspirin
colorectal cancer
primary prevention
url https://colorectalresearch.sums.ac.ir/article_45458_225b0ded1a6747b0809ab9a606768aad.pdf
work_keys_str_mv AT kamranblankarani aspirinfortheprimaryprophylaxisofcolorectalcancer