No matter which study I saw first, the other would be surprising. A 100k trial doesn’t explain away evidence from eight trials totaling 25k. Given that all of these studies are quite large, I’m more concerned about methodological flaws than size.
I have very slightly increased my estimate that aspirin reduces cancer mortality (since the new study showed 7% reduction, and that certainly isn’t evidence against mortality reduction). I have slightly decreased my estimate that the mortality reduction is as strong as concluded by the meta-analysis. I have decreased my estimate that the risk tradeoff will be worth it later in life. I have very slightly increased my estimate that sick people are generally more likely to develop cancer and aspirin is especially good at preventing that kind of cancer, but I mention that only because it’s an amusingly weird explanation.
If this new study is continued with similar results, or even if its data doesn’t show increased reduction when sliced by quartile (4.6, 6.0, 7.4 years), I would significantly lower my estimate of the mortality reduction.
I’ll continue to take low-dose aspirin since my present risk of bleeding death is very low, and if the graphs of cumulative cancer mortality reduction on p34 of the meta-analysis reflect reality, I’ll be banking resistance to cancer toward a time when I’m much more likely to need it. I can’t decide to take low-dose aspirin retroactively.
No matter which study I saw first, the other would be surprising. A 100k trial doesn’t explain away evidence from eight trials totaling 25k. Given that all of these studies are quite large, I’m more concerned about methodological flaws than size.
I have very slightly increased my estimate that aspirin reduces cancer mortality (since the new study showed 7% reduction, and that certainly isn’t evidence against mortality reduction). I have slightly decreased my estimate that the mortality reduction is as strong as concluded by the meta-analysis. I have decreased my estimate that the risk tradeoff will be worth it later in life. I have very slightly increased my estimate that sick people are generally more likely to develop cancer and aspirin is especially good at preventing that kind of cancer, but I mention that only because it’s an amusingly weird explanation.
If this new study is continued with similar results, or even if its data doesn’t show increased reduction when sliced by quartile (4.6, 6.0, 7.4 years), I would significantly lower my estimate of the mortality reduction.
I’ll continue to take low-dose aspirin since my present risk of bleeding death is very low, and if the graphs of cumulative cancer mortality reduction on p34 of the meta-analysis reflect reality, I’ll be banking resistance to cancer toward a time when I’m much more likely to need it. I can’t decide to take low-dose aspirin retroactively.
It doesn’t have to, since they are not trials involving the same populations.