Use of nonsteroidal anti-inflammatory drugs and risk of oral cancer: a cohort study
8/8/2006 S Friis et al. British Journal of Cancer (2006) 95, 363-365 Epidemiologic data regarding the chemopreventive potential of nonsteroidal anti-inflammatory drugs (NSAIDs) against oral cancer are sparse. We found a relative risk for oral cancer of 1.2 (95% CI, 1.0-1.6) among 169 589 Danish NSAID users (2 prescriptions), with no apparent trends in subgroups. Our study provided no clear evidence that NSAIDs may protect against oral cancer. There is substantial experimental and epidemiological evidence that aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) protect against colorectal adenomas and cancer (Baron, 2003; Ulrich et al, 2006). Epidemiologic studies have also consistently pointed to inverse associations between NSAID use and cancers of the stomach and oesophagus, whereas the results are mixed for other cancer sites (Gonzalez-Perez et al, 2003). Studies of animal models and human cancer cell lines have indicated that the potential chemopreventive effect of NSAIDs might extend to oral cancer (Goodin and Shiff, 2004; Wang, 2005), and this year a large phase III prevention trial of COX-2 inhibitors in patients with premalignant oral lesions (leukoplakia) is scheduled to be launched (Nelson, 2006). Interestingly, only a few epidemiological studies have provided data on the relationship between NSAID use and oral cancer, and the data are conflicting (Thun et al, 1993; Bosetti et al, 2003; Sørensen et al, 2003). This paucity of epidemiologic data prompted us to examine the incidence of oral cancer in a large cohort of NSAID users in Denmark. Materials & Methods: The study was carried out within the [...]