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. 2019 Sep 4;11(9):e5563. doi: 10.7759/cureus.5563

Table 2. Risk of gastric cancer in all individuals exposed to PPIs, stratified by indication.

PPIs - proton pump inhibitors; NSAID - nonsteroidal anti-inflammatory drug; SIR - standardized incidence ratio; CI - confidence interval

Note: adapted from Brusselaers N, Wahlin K, Engstrand L, et al. [17]

Indications Gastric cancer
Cases (n)/total SIR (95% CI)
All 2,219 / 797,067 3.38 (3.25-3.53)
Gastro-oesophageal reflux 557 / 201,868 3.04 (2.80-3.31)
Peptic ulcers 721 / 79,597 8.75 (8.12-9.41)
Gastroduodenitis 350 / 104,955 3.68 (3.31-4.09)
Dyspepsia 136 / 43,901 3.07 (2.58-3.63)
Helicobacter pylori 440 / 58,366 9.76 (8.87-10.71)
No Helicobacter pylori 1,779 / 781,955 2.91 (2.78-3.05)
NSAID exposure 347 / 256,598 1.82 (1.64-2.03)
Only NSAID exposure 93 / 118,987 1.41 (1.14-1.73)
Aspirin exposure 872 / 293,590 2.42 (2.26-2.60)
Only aspirin exposure 252 / 126,863 1.93 (1.70-2.18)