Table 5.
OR (95%CI) for the associations between serologic profiles of anti-Parietal cell antibodies & pepsinogen I/II ratio and upper gastrointestinal cancers in the Linxian General Population Nutrition Intervention Trial
| Disease | Serologic profilea | Case No. | ORb | 95%CI | P value | P global | |
|---|---|---|---|---|---|---|---|
| Esophageal squamous cell carcinoma | Normal PG I/II ratioc | 86 | 1.00 | ||||
| Low PG I/II ratioc | 14 | 1.80 | 0.89 | 3.65 | 0.1 | ||
| APCA −d | 81 | 1.00 | |||||
| APCA +d | 19 | 1.05 | 0.58 | 1.88 | 0.9 | ||
| Normal PG I/II ratio, APCA − | 72 | 1.00 | 0.1 | ||||
| Normal PG I/II ratio, APCA + | 14 | 1.05 | 0.55 | 2.01 | 0.9 | ||
| Low PG I/II ratio, APCA + | 5 | 1.55 | 0.52 | 4.69 | 0.4 | ||
| Low PG I/II ratio, APCA − | 9 | 2.00 | 0.84 | 4.75 | 0.1 | 0.1 | |
| Gastric cardia adenocarcinoma | Normal PG I/II ratioc | 169 | 1.00 | ||||
| Low PG I/II ratioc | 31 | 1.90 | 1.05 | 3.43 | 0.03 | ||
| APCA −d | 180 | 1.00 | |||||
| APCA +d | 20 | 0.42 | 0.24 | 0.75 | 0.003 | ||
| Normal PG I/II ratio, APCA − | 154 | 1.00 | |||||
| Normal PG I/II ratio, APCA + | 15 | 0.47 | 0.25 | 0.89 | 0.02 | ||
| Low PG I/II ratio, APCA + | 5 | 0.69 | 0.23 | 2.10 | 0.5 | ||
| Low PG I/II ratio, APCA − | 26 | 2.06 | 1.04 | 4.07 | 0.04 | 0.3 | |
| Gastric non-cardia adenocarcinoma | Normal PG I/II ratioc | 153 | 1.00 | ||||
| Low PG I/II ratioc | 47 | 3.48 | 2.02 | 6.02 | <0.0001 | ||
| APCA −d | 171 | 1.00 | |||||
| APCA +d | 29 | 0.82 | 0.50 | 1.36 | 0.4 | ||
| Normal PG I/II ratio, APCA − | 133 | 1.00 | |||||
| Normal PG I/II ratio, APCA + | 20 | 0.81 | 0.45 | 1.46 | 0.5 | ||
| Low PG I/II ratio, APCA + | 9 | 1.77 | 0.69 | 4.55 | 0.2 | ||
| Low PG I/II ratio, APCA − | 38 | 4.13 | 2.16 | 7.88 | <0.0001 | <0.0001 | |
| Upper gastrointestinal cancer | Normal PG I/II ratioc | 408 | 1.00 | ||||
| Low PG I/II ratioc | 92 | 2.32 | 1.46 | 3.67 | 0.0004 | ||
| APCA −d | 432 | 1.00 | |||||
| APCA +d | 68 | 0.71 | 0.48 | 1.05 | 0.08 | ||
| Normal PG I/II ratio, APCA − | 359 | 1.00 | |||||
| Normal PG I/II ratio, APCA + | 49 | 0.70 | 0.46 | 1.08 | 0.1 | ||
| Low PG I/II ratio, APCA + | 19 | 1.26 | 0.59 | 2.69 | 0.5 | ||
| Low PG I/II ratio, APCA − | 73 | 2.58 | 1.47 | 4.52 | 0.0009 | 0.005 | |
Note, APCA, anti-Parietal cell antibodies; PG I/II ratio, pepsinogen I/pepsinogen II ratio; Numbers in bold mean that the P value was less than 0.05;
APCA sero-positivity was defined as concentration of anti-Parietal cell antibodies ≥10 units; ratio of PG I/II was defined as low for PGI/II ratio ≤4 and normal for PGI/II ratio >4;
adjusted for age, sex, tobacco smoking, alcohol drinking, body mass index, family history of UGI cancer, H. pylori CagA sero-positivity;
additionally adjusted for APCA sero-positivity;
additionally adjusted for PG I/II ratio.