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Association between nonsteroidal anti-inflammatory drugs use and risk of central nervous system tumors: a
Tao Zhang1, Xiaowen Yang2, Pei Liu3
1Department of Neurosurgery, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, 442000, China.
Abstract:
Although studies have examined the association between nonsteroidal anti-inflammatory drugs (NSAIDs) use and central nervous system (CNS) tumors risk, the results are inconclusive. Here, we conducted a dose-response meta-analysis in order to investigate the correlation between NSAIDs use and CNS tumors risk. Up to July 2017, 12 studies were included in current meta-analysis. NSAIDs use was significantly associated with a lower risk of CNS tumors. Furthermore, non-aspirin NSAIDs or aspirin use are significantly associated with a lower risk of CNS tumors. Additionally, NSAIDs use was associated with significantly a lower risk of glioma, glioblastoma but not meningioma. Subgroup analysis showed consistent findings. Furthermore, a significant dose-response relationship was observed between NSAIDs use and CNS tumors risk. Increasing cumulative 100 defined daily dose of NSAIDs use was associated with a 5% decrement of CNS tumors risk, increasing NSAIDs or non-aspirin NSAIDs or aspirin use (per 3 prescriptions increment) was associated with a 7%, 7%, 10% decrement of CNS tumors risk, increasing per 2 year of duration of NSAIDs or non-aspirin NSAIDs or aspirin use was associated with a 6%, 8%, 6% decrement of CNS tumors risk. Considering these promising results, NSAIDs use might provide helpful for reducing CNS tumors risk. Large sample size and different ethnic population are warranted to validate this association.
Insights
Nonsteroidal anti-inflammatory drugs (NSAIDs) use is linked to a reduced risk of central nervous system (CNS) tumors. This meta-analysis found that NSAIDs, including aspirin and non-aspirin types, may lower the risk of developing brain tumors.
Area of Science:
- Oncology
- Pharmacology
- Epidemiology
Background:
- The relationship between nonsteroidal anti-inflammatory drugs (NSAIDs) and central nervous system (CNS) tumor risk remains unclear despite previous investigations.
- Existing studies present inconclusive findings regarding the protective effects of NSAIDs against CNS tumors.
Purpose of the Study:
- To conduct a dose-response meta-analysis evaluating the association between NSAIDs consumption and the risk of developing CNS tumors.
- To clarify the correlation between NSAIDs use and CNS tumor incidence.
Main Methods:
- A meta-analysis was performed, incorporating data from 12 relevant studies published up to July 2017.
- Dose-response relationships were analyzed to quantify the impact of NSAIDs usage patterns on CNS tumor risk.
Main Results:
- NSAIDs use, encompassing both aspirin and non-aspirin formulations, demonstrated a significant association with a reduced risk of CNS tumors.
- Specifically, NSAIDs use correlated with a lower risk of glioma and glioblastoma, but not meningioma.
- A significant dose-response relationship was identified, with increased NSAIDs use (cumulative defined daily doses, prescriptions, or duration) correlating with decreased CNS tumor risk.
Conclusions:
- NSAIDs consumption may play a beneficial role in mitigating the risk of CNS tumors.
- Further large-scale studies with diverse ethnic populations are recommended to validate these findings and confirm the association.
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