Long-term use of lithium and risk of colorectal adenocarcinoma: a nationwide case-control study.

Abstract:

BACKGROUND:Lithium accumulates in the colon and inhibits the enzyme GSK-3β that possesses anti-carcinogenic effects. We therefore examined the association between lithium use and colorectal cancer risk in a nationwide study. METHODS:We used the Danish Cancer Registry to identify all patients diagnosed with incident colorectal adenocarcinoma during 2000-2012 (n=36 248). Using a matched case-control approach, we estimated the association between long-term use (⩾5 years) of lithium and risk of colorectal adenocarcinoma using conditional logistic regression. RESULTS:Long-term use of lithium was similar among cases (0.22%) and controls (0.20%), yielding an odds ratio of 1.13 (95% confidence interval (CI), 0.89-1.43) for colorectal adenocarcinoma. Dose-response, subgroup and other subanalyses returned neutral associations. However, ORs differed for colorectal subsites (proximal colon: 1.01 (95% CI, 0.66-1.55; distal colon: 1.52 (95% CI, 1.05-2.20); and rectum: 0.80 (95% CI, 0.50-1.30). CONCLUSIONS:Lithium use was not associated with an overall increased risk of colorectal adenocarcinoma. The variation by subsite warrants further investigation.

journal_name

Br J Cancer

authors

Pottegård A,Ennis ZN,Hallas J,Jensen BL,Madsen K,Friis S

doi

10.1038/bjc.2016.10

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

571-5

issue

5

eissn

0007-0920

issn

1532-1827

pii

bjc201610

journal_volume

114

pub_type

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