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Table 1 Basics features of the included literature

From: The relationship between aspirin consumption and hepatocellular carcinoma: a systematic review and meta-analysis

Author

Year

Region

Type of Research

Number of participants

Number of cases

Study population

HR(95% CI)

Confounding factors for adjustment

Yun B [16]

2022

Korea

RC

161673

7083

HBV-infected patients

0.83 (0.75–0.93)

Age, sex, hypertension, diabetes mellitus, dyslipidemia, cirrhosis, antivirals, metformin, statin, smoking, alcohol consumption, and obesity

Singh J [17]

2022

USA

RC

521

45

Liver cirrhosis

0.266 (0.094–0.755)

Age, sex, and CTP in the multivariable model

Won- Mook Choi [18]

2021

Korea

RC

32695

6539

HBV-infected patients

0.81 (0.80–0.82)

Age, gender, socioeconomic status, diabetes mellitus, hypertension, smoking, alcohol consumption, BMI, ALT, and combination medication

Vicki Wing-Ki Hu [19]

2021

Hong Kong

RC

35111

1557

HBV-infected patients

0.60 (0.46–0.78)

Age, gender, cirrhosis, hypertension, renal replacement therapy, creatinine, diabetes mellitus, platelet, albumin, total bilirubin, ALT, HBeAg + 

Simon,T.G [20]

2020

Sweden

PC

50275

1612

HBV and HCV infected patients

0.69 (0.62–0.76)

Gender, consecutive years since diagnosis of hepatitis B or C, severity of liver disease, use of antiviral therapy, presence or absence of diabetes, hypertension, obesity or alcohol abuse, misuse, and use of insulin, metformin and statins

Shin,S [21]

2020

Korea

RC

949

133

Alcoholic cirrhosis

0.13 (0.08–0.21)

Age, gender, Child–Pugh score, MELD score, AST, ALT, albumin, total bilirubin, creatinine, INR and platelet count

Liao YH [22]

2020

Taiwan

RC

3822

278

HCV- infected patients

0.56 (0.43–0.72)

Gender, age, hypertension, diabetes, moderate to severe liver disease, myocardial infarction, congestive heart failure, ischemic stroke, antihypertensives, hypoglycemic agents, coumarins and heparins, other antithrombotic drugs and NSAIDs

Lee,T.Y [23]

2020

Taiwan

RC

7434

436

HCV- infected patients

0.78 (0.64–0.95)

Age, gender, cirrhosis, hepatic decompensation, hyperlipidemia, statin use and interferon therapy

Sung JJ [24]

2020

Hong Kong

RC

138966

751

General population

0.66 (0.59–0.74)

Age, gender, other medications (including H2 antagonists, statins, NSAIDs, and anticoagulants), comorbidities (coronary artery disease, stroke)

Lee,T.Y [25]

2019

Taiwan

RC

10615

697

HBV-infected patients

0.71 (0.58–0.86)

Age, gender, cirrhosis, diabetes, hyperlipidemia, hypertension, statin use, metformin use, and nucleic acid analogue use

Simon,T.G [6]

2018

USA

PC

133371

108

General population

0.51 (0.34–0.77)

Gender, age, race/ethnicity, body mass index, alcohol consumption, smoking status, physical activity, diabetes, hypertension, dyslipidemia, regular use of multivitamins, antidiabetic drugs, statins, routine use of non-aspirin NSAIDs

Hwang,I.C [26]

2018

Korea

RC

460755

2336

General population

0.87 (0.77–0.98)

Age, sex, body mass index, smoking, alcohol consumption, physical activity, concomitant medication, blood pressure category, fasting glucose and total cholesterol, socioeconomic status, and CCI

Ho CM- HBV [27]

2018

Taiwan

RC

7724

552

HBV-infected patients

0.82 (0.67–1.01)

Gender, age, low income, cirrhosis, diabetes, hyperlipidemia, malignancies other than hepatocellular carcinoma, COPD, ESRD, transplantation, alcohol consumption, and concomitant use of ACEIs/ARBs, metformin, and statins

Ho CM- HCV [27]

2018

Taiwan

RC

7873

503

HCV- infected patients

0.55 (0.23–1.28)

Gender, age, low income, cirrhosis, diabetes, hyperlipidemia, malignancies other than hepatocellular carcinoma, COPD, ESRD, transplantation, alcohol consumption, and concomitant use of ACEIs/ARBs, metformin, and statins

Tseng CH [28]

2018

Taiwan

RC

43800

1750

Patients with type 2 diabetes

0.83 (0.69–0.99)

Age, sex, occupation and area of residence, major comorbidities (hypertension, dyslipidemia and obesity), diabetes-related complications, use of antidiabetic medications (insulin, sulfonylureas, meglitinides, acarbose, rosiglitazone and pioglitazone), potential risk factors for cancer (chronic obstructive pulmonary disease, tobacco abuse, alcohol-related diagnoses, gallstones, history of Helicobacter pylori infection, EB virus-related diagnoses, hepatitis B virus infection, hepatitis C virus infection, cirrhosis and other chronic non-alcoholic liver disease) and medications commonly used or that may affect cancer risk in patients with diabetes (ACEI/ARB, calcium channel blockers, statins, betablockers and aspirin)

Lin YS [29]

2018

Taiwan

RC

18243

110

HNSCC

0.67 (0.42–1.08)

Age, gender, urbanization, coronary artery disease, hypertension, diabetes, atrial fibrillation, heart failure, hyperlipidemia, chronic kidney disease, and COX2 and statin use

Lee, M [30]

2017

Korea

RC

1674

63

HBV-infected patients

0.28 (0.11–0.75)

Age, sex, diabetes, cirrhosis, Child–Pugh score, MELD score, HBeAg, ALT, albumin, total bilirubin, Scr, PT and platelet count

Lee, T.Y [31]

2017

Taiwan

RC

18080

41

NAFLD

0.70 (0.37–1.36)

Age, gender, ALT elevation, hypertension, hypercholesterolemia, diabetes, gout, statin use, metformin use

Petrick, J.L [32]

2015

USA

PC

1084133

679

General population

0.63 (0.50–0.78)

Gender, age, race, cohort, BMI, smoking status, alcohol consumption

  1. HCC hepatocellular carcinoma, TACE transcatheter arterial chemoembolization, NSAIDs, nonsteroidal anti-inflammatory drug, COX cyclooxygenase, MI myocardial infarction, NOS Newcastle–Ottawa scale, HNSCC head and neck squamous cell carcinoma, PC prospective cohort, RC retrospective cohort, HR hazard ratio, BMI body mass index, AST aspartate aminotransferase, ALT alanine aminotransferase, INR international normalized ratio, PT prothrombin time, MELD Model for End-Stage Liver Disease, CCI Chronic Coronary Insufficiency, COPD chronic obstructive pulmonary disease, ESRD end-stage renal disease