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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention
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Helicobacter pylori and Stomach Cancer: A Case-Control Study in Venezuela

Martyn Plummer, Jorge Vivas, Jean-Louis Fauchère, Giuseppe Del Giudice, A. Salvador Peña, Antonio Ponzetto, Gladys Lopez, Kazumasa Miki, Walter Oliver and Nubia Muñoz
Martyn Plummer
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Jorge Vivas
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Jean-Louis Fauchère
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Giuseppe Del Giudice
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A. Salvador Peña
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Antonio Ponzetto
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Gladys Lopez
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Kazumasa Miki
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Walter Oliver
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Nubia Muñoz
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DOI:  Published September 2000
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Tables

  • Table 1

    Comparative results of four H. pylori assays using different antigens

    AntigenPrevalenceORa (95% CI)
    ControlsCases
    Dutch strains83 /119 (70%)80 /117 (68%)0.77 (0.41–1.44)
    Venezuelan strains101 /115 (88%)91 /104 (88%)0.95 (0.42–2.2)
    French strains111 /115 (97%)87 /104 (84%)0.18 (0.05–0.51)
    Commercial kit160 /173 (92%)162 /172 (94%)1.25 (0.55–2.92)
    • a OR have been adjusted for age and sex.

  • Table 2

    Quartiles of the ELISA index distribution among controls

    AntigenLower quartileMedianUpper quartileCutoff
    Dutch strains0.620.901.050.65
    Venezuelan strains0.490.831.050.21
    French strains0.390.771.090.21
    Commercial kit95.5275.5>300a20
    • a Upper quartile is not known because values >300 are censored.

  • Table 3

    ORs (95% CIs) for stomach cancer by quartiles of antibody titer, controlling for age and sex

    H. pylori antigenOR by quartile group (95% CI)P for trend
    Q1Q2Q3Q4
    Dutch strains1.01.31 (0.61–2.80)0.51 (0.22–1.19)0.31 (0.12–0.78)0.003
    Venezuelan strains1.01.10 (0.53–2.27)0.64 (0.30–1.38)0.64 (0.29–1.39)0.13
    French strains1.01.05 (0.51–2.15)0.47 (0.22–1.01)0.24 (0.10–0.59)0.0004
    Commercial kit1.01.61 (0.90–2.90)0.79a (0.46–1.38)0.14
    • a The upper two quartile groups were merged for the commercial kit because of the large number of subjects with ELISA indices >300, which were censored.

  • Table 4

    Spearman’s rank correlations between the absorbance values of four H. pylori assays

    Correlations
    DutchVenezuelanFrenchCommercial
    Dutch strains1.000.780.700.78
    Venezuelan strains1.000.710.68
    French strains1.000.58
    Commercial kit1.00
  • Table 5

    H. pylori prevalence among cases by histological type and location of gastric cancer

    H. pylori antigenH. pylori prevalenceP
    Intestinal typeDiffuse type
    Dutch strains41/61 (67%)27/40 (68%)1.00
    French strains46/57 (81%)30/34 (88%)0.52
    Venezuelan strains51/57 (89%)29/34 (85%)0.80
    Commercial kit82/88 (93%)47/50 (94%)0.86
    CardiaNoncardia
    Dutch strains9/13 (69%) 69/100 (69%)1.00
    French strains9/11 (82%)80/90 (89%)0.61
    Venezuelan strains9/11 (82%)76/90 (84%)0.69
    Commercial kit22/22 (100%)129/137 (94%)0.60
  • Table 6

    Subgroup analysis of relationship between antibody titre and gastric cancer by pepsinogen levels

    AntigenNormal (PGI:PGII >3.0)Low (PGI:PGII <3.0)Interaction P
    ORa95% CIPORa95% CIP
    Dutch strains0.69(0.20–2.34)0.550.13(0.03–0.48)0.0020.05
    French strains1.06(0.30–3.80)0.930.28(0.09–0.90)0.030.08
    Venezuelan strains0.93(0.25–3.38)0.910.31(0.10–0.97)0.040.46
    Commercial kit1.09(0.51–2.33)0.830.31(0.14–0.68)0.0030.02
    CagA1.09(0.48–2.48)0.840.19(0.08–0.47)0.0030.002
    • a OR between top and bottom quartile groups (baseline = bottom) according to a trend model, controlling for age and sex.

  • Table 7

    Cases only: H. pylori antibody titres by cancer stage

    Antigen and cancer stageQuartile groupORa (95% CI)P
    Q1Q2Q3Q4
    Dutch strains
    Early4613100.007
    0.19 (0.06–0.65)
    Late24171013
    French strains
    Early4513100.009
    0.17 (0.04–0.63)
    Late18141210
    Venezuelan strains
    Early589100.05
    0.28 (0.08–0.97)
    Late2011149
    Commercial kit
    Early465140.01
    0.21 (0.06–0.72)
    Late30282325
    CagA
    Early5118150.04
    0.36 (0.14–0.95)
    Late54475145
    • a OR between top and bottom quartile groups (baseline = Q1) according to a trend model, controlling for age and sex.

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September 2000
Volume 9, Issue 9
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Helicobacter pylori and Stomach Cancer: A Case-Control Study in Venezuela
Martyn Plummer, Jorge Vivas, Jean-Louis Fauchère, Giuseppe Del Giudice, A. Salvador Peña, Antonio Ponzetto, Gladys Lopez, Kazumasa Miki, Walter Oliver and Nubia Muñoz
Cancer Epidemiol Biomarkers Prev September 1 2000 (9) (9) 961-965;

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Helicobacter pylori and Stomach Cancer: A Case-Control Study in Venezuela
Martyn Plummer, Jorge Vivas, Jean-Louis Fauchère, Giuseppe Del Giudice, A. Salvador Peña, Antonio Ponzetto, Gladys Lopez, Kazumasa Miki, Walter Oliver and Nubia Muñoz
Cancer Epidemiol Biomarkers Prev September 1 2000 (9) (9) 961-965;
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