Table 1. Infections Where PAFs Were Estimated Using the Prevalence of Infection in the Population and Measures of Association.
Infection, cancer(s) | Data used to estimate measure of associationa | OR (95% CI) | Source of prevalence data | Range of prevalence estimates by sex and age group, y | PAF, % (95% CI)b |
---|---|---|---|---|---|
Hepatitis B virus | |||||
Hepatocellular carcinoma | Pooled ORs from 4 US case-control studies | 24.2 (14.5 to 40.3) | NHANES data collected, 1999-2010 |
|
9.4 (2.9 to 14.5) |
Intrahepatic bile duct | Pooled ORs from 4 US case-control studies | 3.4 (1.2 to 9.4) | 0.9 (0.0 to 1.8) | ||
HCV | |||||
Hepatocellular carcinoma | Pooled ORs from 5 US case-control studies | 29.8 (11.9 to 74.6) | NHANES data collected, 1999-2010 |
|
32.1 (9.0 to 45.2) |
Intrahepatic bile duct | Pooled ORs from 4 US case-control studies | 4.5 (3.5 to 5.7) | 4.9 (2.2 to 7.4) | ||
Burkitt lymphoma (age, ≥50 y only) | ORs from 5 studies (from Australia, Canada, Europe, and the US) assessing HCV seropositivity in the InterLymph Non-Hodgkin Lymphoma Subtypes Project | 4.1 (1.1 to 15.4) | 3.7 (0.0 to 7.1) | ||
Chronic lymphocytic leukemia or small vessel lymphoma | 2.08 (1.23 to 3.49) | 1.9 (0.0 to 3.7) | |||
DLBCL |
|
1.5 (0.2 to 2.8) | |||
Lymphoplasmacytic lymphoma | 2.51 (1.03 to 6.17) | 2.0 (0.0 to 3.9) | |||
Marginal zone lymphoma | 3.04 (1.65 to 5.60) | 2.7 (0.1 to 5.2) | |||
Helicobacter pylori | |||||
Gastric, noncardia | Pooled ORs from nested case-control studies from the US, Europe, and Australia: 5 studies that used ELISA or EIA corrected for measurement error and 3 studies that used immunoblot | 12.8 (8.5 to 19.2) | NHANES data collected, 1999-2000 |
|
75.4 (67.8 to 78.8) |
Gastric, MALT, and DLBCL | One US study of 20 cases matched to 82 controls | 7.9 (1.6 to 38.1) | 70.8 (0.8 to 90.5) | ||
Esophageal adenocarcinoma, protective effect | Pooled ORs from US case-control and nested case-control studies: 3 studies used ELISA and 1 study used immunoblot | 0.73 (0.55 to 0.95) | −10.9 (−1.8 to −20.8)c |
Abbreviations: DLBCL, diffuse large B-cell lymphoma; EIA, enzyme immunoassay; ELISA, enzyme-linked immunosorbent assay; HCV, hepatitis C virus; MALT, mucosa-associated lymphoid tissue; NHANES, National Health and Nutrition Examination Survey; OR, odds ratio; PAF, population attributable fraction.
The characteristics of included studies are reported in Supplement 1 under their respective infection and cancers.
The PAF was calculated by summing the number of attributable cases obtained after applying sex- and age-specific PAFs, then dividing the sum by the associated cancer cases.
To account for H pylori’s protective effect in esophageal adenocarcinoma, cases attributable to esophageal adenocarcinoma were subtracted from the total cases attributable to H pylori.