Table 2. Adjusted rate ratios for gastric cancer for exclusive users of PPIs and H2RAs compared with non-users of both PPI and H2RA, and for PPI users compared with H2RA users.
|
Lag time=1 Yeara
|
|||
|---|---|---|---|
| Person-years | Gastric cancers | IRR (95% CI)b | |
| Unexposed | 2 345 905 | 519 | reference |
| PPI vs Unexposed | |||
| 2+ Prescriptions | 51 854 | 24 | 1.2 (0.8–2.0) |
| Years of follow-up | |||
| <1 | 13 316 | 10 | 2.3 (1.2–4.3) |
| 1 | 10 391 | 3 | 0.8 (0.2–2.4) |
| 2–4 | 19 363 | 4 | 0.5 (0.2–1.4) |
| 5+ | 8783 | 7 | 2.3 (1.2–4.3) |
| No. of prescriptions | |||
| 2–4 | 30 588 | 8 | 0.8 (0.4–1.6) |
| 5–14 | 13 851 | 9 | 1.6 (0.8–3.3) |
| 15+ | 7415 | 7 | 2.1 (1.0–4.7) |
| H2RA vs Unexposed | |||
| 2+ Prescriptions | 81 256 | 30 | 1.2 (0.8–1.8) |
| Years of follow-up | |||
| <1 | 14 847 | 5 | 1.2 (0.5–2.8) |
| 1 | 12 821 | 10 | 2.6 (1.4–4.9) |
| 2–4 | 28 925 | 6 | 0.7 (0.3–1.5) |
| 5+ | 24 663 | 9 | 1.1 (0.5–2.8) |
| No. of prescriptions | |||
| 2–4 | 43 060 | 9 | 0.8 (0.4–1.5) |
| 5–14 | 24 213 | 13 | 1.7 (0.9–2.9) |
| 15+ | 13 984 | 8 | 1.6 (0.8–3.2) |
| PPI vs H2RA | |||
| 2+ Prescriptions | 1.3 (0.7–2.3) | ||
| Years of follow-up | |||
| <1 | 2.4 (0.7–8.0) | ||
| 1 | 0.7 (0.2–3.0) | ||
| 2–4 | 0.8 (0.2–3.3) | ||
| 5+ | 1.8 (0.6–5.0) | ||
| No. of prescriptions | |||
| 2–4 | 1.1 (0.4–3.2) | ||
| 5–14 | 1.7 (0.7–4.5) | ||
| 15+ | 1.4 (0.5–4.3) | ||
Abbreviations: H2RA=histamine-2-antagonist; IRR=incidence rate ratio; PPI=proton pump inhibitor.
North Jutland County, Denmark (1990–2003).
1 year subtracted from diagnosis and censoring dates (except age and shift of treatment).
Adjusted for: age, gender, calendar period, gastroscopy (⩾1 year before censoring events), use of NSAIDs and H. pylori eradication.