HealthPop
By

Ryan Jaslow /

CBS News/ March 21, 2012, 10:09 AM

Daily aspirin protects against deadly cancer, studies suggest

istockphoto

(CBS News) Many doctors recommend that patients take a daily dose of aspirin to reduce their risk for a future heart attack or stroke. Now three new studies suggest taking the cheap powdery pill every day can also reduce a person's risk for cancer, or prevent the disease from getting worse in patients who already have it.

PICTURES: Cancer: 25 Deadliest States

The studies, all led by Professor Peter M. Rothwell, a professor of clinical neurology at the University of Oxford in the U.K. are published in the March 20 issue of The Lancet and The Lancet Oncology.

For one of the studies, Rothwell and his colleagues reviewed data from 51 earlier trials that primarily looked at the effect daily aspirin use had on heart attack prevention. After reviewing the data, the researchers found people who took aspirin daily had a 15 percent lower risk of dying from cancer, and the risk reduction climbed to 37 percent for people who took aspirin daily for 5 years or more.

Men and women were about 25 percent less likely to develop cancer in the first place if they took aspirin daily for three years or longer.

The second study examined whether aspirin would stall the spread of cancer, known as metastasis. Researchers looked at five earlier trials in which people took a daily dose of aspirin and found that aspirin-takers had a 36 percent lower chance of having their cancer spread. Specifically, colon cancer patients had a 74 percent lower risk of having their cancer spread to other organs if they took aspirin daily. Aspirin also was tied to a 46 percent lower risk for colon, lung and prostate cancers and an 18 percent lower risk for bladder and kidney cancer.

"These findings provide the first proof in man that aspirin prevents distant cancer metastasis," the authors wrote. "That aspirin prevents metastasis at least partly accounts for the reduced cancer mortality recently reported in trials of aspirin."

The third study also looked at if aspirin could impact cancer's spread, but this time researchers reviewed observational case studies, because those results can often be gleaned quickly, rather than waiting 10-20 years for follow-ups from a randomized clinical trial. This study too found a reduced risk for developing colon cancer - about 38 percent lower - and found similar matches in risk for esophageal, stomach and breast cancer.

"In terms of prevention, anyone with a family history would be sensible to take aspirin," Rothwell told The New York Times.

These new studies are not the only ones to find aspirin's protective benefit against cancer. Previous research should taking aspirin as little as once a month curbed their pancreatic cancer risk, while another study found people genetically predisposed to colon cancer cut their risk through daily aspirin.

But aspirin does carry risks for some people, including a greater likelihood of suffering internal bleeding in the stomach and brain for some . People with any bleeding disorders or history of ulcers, asthma, or heart failure face this risk, according to the Mayo Clinic.

Do the cancer prevention benefits outweigh the risks?

In an accompanying editorial in the same issue of The Lancet, Dr. Andrew T. Chan and Dr. Nancy R. Cook, professors at Harvard Medical School in Boston, said, "Despite a convincing case that the vascular and anticancer benefits of aspirin outweigh the harms of major extracranial bleeding, these analyses do not account for less serious adverse effects on quality of life, such as less severe bleeding."

Other experts were equally as cautious.

"Any decision about treatment should be made on an individual basis in consultation with your health care professional," Dr. Eric Jacobs, strategic director of pharmacoepidemiology for the American Cancer Society, told WebMD. "Even low-dose aspirin can substantially increase the risk of serious gastrointestinal bleeding."

Also, questions remain about what happens if patients stop taking aspirin. A study last summer found that people who take aspirin daily but stop after a period of time are 60 percent more likely to suffer a heart attack within a year, HealthPop reported.

The National Institutes of Health has more on aspirin.


© 2012 CBS Interactive Inc. All Rights Reserved.
13 Comments Add a Comment
linkicon reporticon emailicon
phwtb100 says:
by markag55 to TRICKYWV
Please explain your post. I just don't get it.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Let me explain it to you. You didn't read the lead on the article. This is what it says- READ CAREFULLY.


Studies: Daily aspirin protects against cancer

Three studies found protective benefits from taking CANCER daily, including preventing the spread of cancer in patients who already have it
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

I agree, gordonrogers123. Who IS prove reading these articles? Don't they employ editors anymore??????
reply
linkicon reporticon emailicon
RichZubaty says:
This is BS. A daily dose of aspirin will destroy your stomach lining and you'll die of leaky gut related illnesses.
reply
markag55 replies:
linkicon reporticon emailicon
How much aspirin are you taking as a daily dose? 81mg is next to nothing.
linkicon reporticon emailicon
train99 says:
Seconding tess2ube's comment

I take an 81mg. every day. I wonder if CBS cares enough to say dosage.
Every time they, or others in media, run an article on health they skip that info.
reply
markag55 replies:
linkicon reporticon emailicon
My grandfather had headaches and upset stomach for most of his adult life. He took two old-fashioned Alka-Seltzer, aspirin (700 mg.?) buffered by the antacid soda at least twice a day for years and years. He died at 84 from a heart attack. Everyone is different.
linkicon reporticon emailicon
longtree-2009 says:
before you start taking an aspirin a day do check with your physician first.
reply
linkicon reporticon emailicon
gordonrogers123 says:
The caption for the link reads:

Three studies found protective benefits from taking cancer daily, including preventing the spread of cancer in patients who already have it.

Who's proof reading around here?
reply
markag55 replies:
linkicon reporticon emailicon
I (at 59) have been taking the mini-dose of 81 mg. with food at dinner with a multivitamin. No problems yet, and don't expect any.
linkicon reporticon emailicon
john5673 says:
I read several reports in several news papers, every one and their doctors have given positive opinion about use of daily Aspirin but unfortunately no one has stated the size and limit of Aspirin tablet.
Are they follow their leader like sheep?
reply
markag55 replies:
linkicon reporticon emailicon
Every study or comment I've read about taking aspirin in order to keep your arteries open (or have plaque in the arteries not to build up) say take the "baby" aspirin, 81 mg. Like I've stated in previous comments, if you're worried about aspirin causing an ulcer, then just take one Alka-Seltzer and don't worry about it.
linkicon reporticon emailicon
hunger4justice says:
A recent analysis of pooled data from the British Doctors' Trial and the UK-TIA Trial further support our findings on the necessary dose of aspirin to reduce risk of colorectal cancer. Randomization to higher doses of aspirin (300 mg to 1200 mg per day) was associated with a significant reduction in risk of colorectal cancer, and the significant benefit associated with aspirin was not apparent until at least 10 years of follow-up.7 Several lines of evidence support our findings that the anti-cancer benefit of aspirin is highly dose-dependent. First, experimental data demonstrate that higher doses are needed to inhibit the COX-2 isoenzyme,19 which is directly relevant to colorectal neoplasia.2
reply
hunger4justice replies:
linkicon reporticon emailicon
In a pooled analysis of all studies, aspirin use was associated with reduced risk for breast cancer (odds ratio [OR] = 0.86, 95% confidence interval [CI] = 0.81, 0.92). In the subgroup analysis by study design, results were similar except for RCT (OR = 0.98, 95% CI = 0.87, 1.09). In conclusion, this meta-analysis indicated that regular use of aspirin may be associated with reduced risk of breast cancer.
linkicon reporticon emailicon
Tess2ube says:
Why does this report not bother to mention the correct daily aspirin DOSE to take? I've been taking two baby aspirins for several years, but conflicting reports suggest 82 mg/day up to one full aspirin per day. You could save many lives by clarifying this for us.
reply
See all 13 Comments