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Celecoxib for the Prevention of Sporadic Colorectal Adenomas
Ist Teil von
The New England journal of medicine, 2006-08, Vol.355 (9), p.873-884
Ort / Verlag
Boston, MA: Massachusetts Medical Society
Erscheinungsjahr
2006
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
In this placebo-controlled trial of patients who had had colonic adenomas removed before study entry, celecoxib reduced the risk of recurrence of adenomas after three years of treatment (risk ratio, 0.67 for 200 mg of celecoxib twice daily and 0.55 for 400 mg of celecoxib twice daily) and increased the risk of serious cardiovascular events (risk ratio, 2.6 and 3.4, respectively).
Celecoxib reduced the risk of recurrence of adenomas after three years of treatment and increased the risk of serious cardiovascular events.
Colorectal cancer is a common malignant condition, responsible for approximately 150,000 new patients and approximately 55,000 deaths per year in the United States alone.
1
Despite these statistics, colorectal cancer is one of the most preventable cancers. Most colorectal cancers develop from precursor adenomas, which can be identified and removed during a screening colonoscopy. This procedure may lower the rates of death due to colorectal cancer by as much as 30 to 40 percent.
2
The aim of chemoprevention is to use pharmacologic agents to augment the benefits of colonoscopic polypectomy by inhibiting early stages of tumorigenesis, thereby preventing malignant transformation of . . .