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. 2023 Oct 19;9(12):1678–1687. doi: 10.1001/jamaoncol.2023.4273

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
  • Males: 0.46% overall, from 0.31% (≥60 y) to 0.96% (50-59 y)

  • Females: 0.23% overall, from 0.08% (15-29 y) to 0.35% (30-39 y)

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
  • Males: 1.76% overall, from 0.26% (15-29 y) to 4.45% (45-49 y)

  • Females: 0.82% overall, from 0.10% (15-29 y) to 2.43% (45-49 y)

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
  • Males: 2.17 (1.44 to 3.26)

  • Females: 1.98 (1.18 to 3.34)

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
  • Males: 29.2% overall, from 14.6% (10-14 y) to 51.0% (80-84 y)

  • Females: 28.3% overall, from 9.3% (10-14 y) to 49.6% (70-74 y)

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.

a

The characteristics of included studies are reported in Supplement 1 under their respective infection and cancers.

b

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.

c

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.