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. 2009 Apr 7;100(9):1503–1507. doi: 10.1038/sj.bjc.6605024

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).

a

1 year subtracted from diagnosis and censoring dates (except age and shift of treatment).

b

Adjusted for: age, gender, calendar period, gastroscopy (⩾1 year before censoring events), use of NSAIDs and H. pylori eradication.