Table 1.
Characteristics of included studies: country, setting and population
| References | Country (population) | Settinga | Cases and controls | |||||
|---|---|---|---|---|---|---|---|---|
| Cases (N) | Controls (N) | |||||||
| Hosp | Other | All | HC | NM | PM | |||
| Gastric cancer only | ||||||||
| Cai et al. [23] | China | × | – | 60 | 60 | 60 | 0 | 0 |
| Chen et al. [24] | China | × | × | 249 | 1203 | 0 | 1203 | 0 |
| Chen et al. [25] | China | × | – | 87 | 105 | 40 | 65 | 0 |
| Chung et al. [26] | South Korea | × | – | 147 | 94 | Ub | Ub | 24 |
| Ding et al. [27] | China | × | – | 110 | 110 | 110 | 0 | 0 |
| Dong et al. [28] | China | × | – | 90 | 57 | 57 | 0 | 0 |
| Gantuya et al. [29] | Mongolia | × | – | 50 | 752 | 0 | 752 | 0 |
| Gwak et al. [30] | South Korea | U | U | 96 | 187 | 0 | 187 | 0 |
| He et al. [31] | China | × | – | 149 | 235 | 124 | 111 | 0 |
| Hoshino et al. [32] | Japan | – | × | 248 | 74 | 74 | 0 | 0 |
| Huang et al. [33] | China | × | – | 197 | 125 | 37 | 88 | 0 |
| Huang et al. [34] | China | × | × | 62 | 59 | 59 | 0 | 0 |
| Huang et al. [35] | China | × | – | 60 | 60 | 60 | 0 | 0 |
| Iwasaki et al. [36] | Japan | × | – | 54 | 54 | 54 | 0 | 0 |
| Ji et al. [37] | China | × | – | 168 | 74 | 74 | 0 | 0 |
| Juan Cai et al. [38] | China | × | – | 106 | 358 | 160 | 198 | 0 |
| Kaise et al. [39] | Japan | × | – | 187 | 561 | 561 | 0 | 0 |
| Kang et al. [40] | South Korea | × | – | 380 | 626 | 228 | 291 | 107 |
| Kikuchi et al. [41] | Japan | × | – | 122 | 178 | 79 | 99 | 0 |
| Kim et al. [42] | South Korea | × | – | 120 | 120 | Ub | Ub | 0 |
| Kurilovich et al. [43] | Russia | – | × | 52 | 104 | 104 | 0 | 0 |
| Li et al. [44] | China | × | – | 60 | 60 | 60 | 0 | 0 |
| Li et al. [45] | China | × | – | 79 | 112 | 81 | 0 | 31 |
| Li et al. [46] | China | × | – | 65 | 65 | 65 | 0 | 0 |
| Li et al. [47] | South Korea | × | – | 100 | 100 | 100 | 0 | 0 |
| Li et al. [48] | China | × | – | 234 | 428 | 270 | 0 | 158 |
| Lim et al. [49] | South Korea | × | – | 100 | 90 | Ub | Ub | 30 |
| Lim et al. [50] | South Korea | × | – | 100 | 100 | Ub | Ub | 30 |
| Lin et al. [51] | China | U | U | 51 | 78 | 60 | 18 | 0 |
| Liu et al. [52] | China | × | – | 142 | 105 | 105 | 0 | 0 |
| Liu et al. [53] | China | × | – | 119 | 148 | 99 | 49 | 0 |
| Liu et al. [54] | China | × | – | 50 | 50 | 50 | 0 | 0 |
| Meistere et al. [55] | Taiwan, Latvia, Lithuania, Germany | × | × | 829 | 929 | 929 | 0 | 0 |
| Mroczko et al. [56] | Poland | × | – | 73 | 61 | 61 | 0 | 0 |
| Ning et al. [57] | China | × | – | 169 | 75 | 75 | 0 | 0 |
| Oue et al. [58] | Japan | × | – | 123 | 96 | 76 | 20 | 0 |
| Pan et al. [59] | China | × | – | 81 | 130 | 77 | 53 | 0 |
| Park et al. [60] | South Korea | × | – | 81 | 103 | 32 | 63 | 8 |
| Parvaee et al. [61] | Iran | – | × | 50 | 50 | 50 | 0 | 0 |
| Qin et al. [62] | China | × | × | 407 | 407 | 407 | 0 | 0 |
| Qiu et al. [63] | China | × | – | 200 | 200 | 200 | 0 | 0 |
| Song et al. [64] | China | – | × | 68 | 68 | 0 | 68 | 0 |
| Su et al. [65] | China | × | 82 | 59 | 50 | 9 | 0 | |
| Sun et al. [66] | China | × | × | 332 | 332 | 332 | 0 | 0 |
| Tsalikidis et al. [67] | Greece | × | – | 99 | 78 | 78 | 0 | 0 |
| Wang et al. [68] | Taiwan | U | U | 170 | 116 | 116 | 0 | 0 |
| Wang et al. [69] | China | × | – | 72 | 54 | 54 | 0 | 0 |
| Wang et al. [70] | China | × | × | 186 | 186 | 186 | 0 | 0 |
| Wang et al. [71] | China | × | – | 60 | 120 | 60 | 60 | 0 |
| Werner et al. [72] | Germany | – | × | 146 | 97 | 97 | 0 | 0 |
| Wu et al. [73] | China | × | – | 90 | 90 | 90 | 0 | 0 |
| Wu et al. [74] | China | × | – | 99 | 132 | 100 | 30 | 2 |
| Wu et al. [75] | China | × | – | 201 | 318 | 157 | 161 | 0 |
| Yanaoka et al. [76] | Japan | – | × | 63 | 5146 | 5146 | 0 | 0 |
| Yang et al. [77] | South Korea | – | × | 290 | 290 | 290 | 0 | 0 |
| Yang et al. [78] | China | × | – | 109 | 106 | 0 | 106 | 0 |
| Yoon et al. [79] | South Korea | × | × | 500 | 200 | 200 | 0 | 0 |
| Yun et al. [80] | China | × | – | 194 | 376 | 185 | 191 | 0 |
| Zayakin et al. [81] | Latvia, Germany | × | – | 235 | 367 | 213 | 154 | 0 |
| Zhang et al. [82] | China | × | – | 114 | 298 | 187 | 111 | 0 |
| Zhang et al. [83] | China | × | × | 80 | 70 | 0 | 70 | 0 |
| Zhang et al. [84] | China | × | – | 80 | 80 | 0 | 80 | 0 |
| Zhou et al. [85] | China | × | – | 50 | 50 | Ub | Ub | Ub |
| Zhou et al. [86] | China | × | – | 71 | 61 | 61 | 0 | 0 |
| Zhou et al. [87] | China | × | – | 70 | 70 | 70 | 0 | 0 |
| Pancreatic cancer only | ||||||||
| Akita et al. [88] | Japan | × | – | 116 | 138 | 138 | 0 | 0 |
| Balasenthil et al. [89] | USA | – | × | 98 | 154 | 61 | 93 | 0 |
| Brand et al. [90] | USA | × | – | 173 | 120 | 120 | 0 | 0 |
| Cao et al. [91] | China | × | – | 156 | 115 | 0 | 57 | 58 |
| Capello et al. [92] | USA | × | – | 73 | 134 | 60 | 74 | 0 |
| Chung et al. [93] | South Korea | × | – | 55 | 93 | 70 | 23 | 0 |
| Chung et al. [94] | South Korea | × | – | 54 | 80 | 55 | 25 | 0 |
| Deng et al. [95] | China | × | – | 303 | 640 | 600 | 40 | 0 |
| Duraker et al. [96] | Turkey | × | – | 123 | 173 | 0 | 173 | 0 |
| Firpo et al. [97] | USA | × | × | 75 | 261 | 150 | 84 | 27 |
| Fukutake et al. [98] | Japan | × | – | 240 | 7800 | 7772 | 28 | 0 |
| Gao et al. [99] | China | × | – | 70 | 120 | 50 | 70 | 0 |
| Gold et al. [100] | USA | – | × | 53 | 130 | 43 | 87 | 0 |
| Gold et al. [101] | USA | × | × | 298 | 199 | 79 | 120 | 0 |
| Groblewska et al. [102] | Poland | U | U | 62 | 65 | 65 | 0 | 0 |
| Guo et al. [103] | China | × | – | 250 | 300 | 150 | 150 | 0 |
| Honda et al. [104] | Japan, Germany | × | – | 319 | 291 | 181 | 110 | 0 |
| Honda et al. [105] | Japan, USA | × | × | 384 | 342 | 192 | 150 | 0 |
| Honda et al. [106] | Ten European countriesc | – | × | 156 | 213 | 213 | 0 | 0 |
| Jiang et al. [107] | China | × | – | 96 | 252 | 200 | 52 | 0 |
| Kaur et al. [108] | USA | × | – | 154 | 167 | 0 | 167 | 0 |
| Kim et al. [109] | USA | × | × | 278 | 418 | 220 | 83 | 115 |
| Kuwatani et al. [110] | Japan | × | – | 98 | 158 | 105 | 21 | 32 |
| LeCalvez-Kelm et al. [111] | Czech Republic, Slovakia | × | × | 397 | 533 | 374 | 159 | 0 |
| Lee et al. [112] | South Korea | × | – | 51 | 112 | 0 | 112 | 0 |
| Liao et al. [113] | Taiwan | × | × | 58 | 146 | 102 | 44 | 0 |
| Liu et al. [114] | China | × | – | 138 | 175 | 68 | 107 | 0 |
| Liu et al. [115] | China | × | – | 172 | 215 | 133 | 82 | 0 |
| Liu et al. [116] | China | – | × | 235 | 470 | 240 | 230 | 0 |
| Matsubara et al. [117] | Japan | × | – | 140 | 97 | 87 | 0 | 10 |
| Mayerle et al. [118] | Germany | – | × | 79 | 160 | 80 | 80 | 0 |
| Mellby et al. [119] | Denmark, USA | – | × | 143 | 276 | 219 | 57 | 0 |
| Mizuno et al. [120] | Japan | × | – | 180 | 180 | 84 | 96 | 0 |
| O'Brien et al. [121] | UK | – | × | 101 | 184 | 184 | 0 | 0 |
| Park et al. [122] | South Korea | – | × | 139 | 146 | 74 | 72 | 0 |
| Park et al. [123] | South Korea | U | U | 292 | 165 | 94 | 71 | 0 |
| Peng et al. [124] | Taiwan | × | × | 263 | 230 | 185 | 45 | 0 |
| Poruk et al. [125] | USA | × | × | 86 | 134 | 86 | 48 | 0 |
| Ritchie et al. [126] | Canada | – | × | 84 | 99 | 99 | 0 | 0 |
| Rychlikova et al. [127] | Czech Republic | × | – | 64 | 185 | 48 | 137 | 0 |
| Sakai et al. [128] | Japan | × | – | 53 | 147 | 102 | 22 | 23 |
| Song et al. [129] | USA | – | × | 188 | 220 | 89 | 68 | 63 |
| Tachezy et al. [130] | Germany | × | × | 116 | 243 | 128 | 115 | 0 |
| Talar-Wojnarowska et al. [131] | Poland | × | – | 85 | 122 | 50 | 72 | 0 |
| Tavano et al. [132] | Italy | × | – | 74 | 117 | 117 | 0 | 0 |
| Ward et al. [133] | UK | × | – | 75 | 61 | 0 | 61 | 0 |
| Xu et al. [134] | China | × | – | 156 | 180 | 65 | 57 | 58 |
| Zhang et al. [135] | China | × | – | 129 | 278 | 183 | 95 | 0 |
| Zhang et al. [136] | China | × | – | 67 | 206 | 145 | 61 | 0 |
| Zhong et al. [137] | China | × | – | 183 | 202 | 141 | 61 | 0 |
| Zhou et al. [138] | China | × | – | 152 | 207 | 96 | 91 | 20 |
| Zhou et al. [139] | China | × | – | 156 | 199 | 163 | 36 | 0 |
| Zhou et al. [140] | China | × | – | 64 | 64 | 64 | 0 | 0 |
| Oesophageal cancer only | ||||||||
| Bagaria et al. [141] | India | × | – | 50 | 50 | 50 | 0 | 0 |
| Bai et al. [142] | China | × | – | 89 | 125 | 80 | 14 | 31 |
| Bagaria et al. [143] | India | × | – | 50 | 50 | 50 | 0 | 0 |
| Brockmann et al. [144] | Germany | × | – | 50 | 150 | 50 | 100 | 0 |
| Huang et al. [145] | China | × | – | 60 | 60 | 60 | 0 | 0 |
| Jia et al. [146] | China | × | – | 101 | 98 | 98 | 0 | 0 |
| Liao et al. [147] | China | × | – | 151 | 230 | 194 | 36 | 0 |
| Lukaszewicz-Zajac et al. [148] | Poland | × | – | 56 | 65 | 65 | 0 | 0 |
| Lv et al. [149] | China | × | – | 126 | 80 | 80 | 0 | 0 |
| Pan et al. [150] | China | × | – | 50 | 110 | 60 | 50 | 0 |
| Peng et al. [151] | China | × | – | 104 | 53 | 53 | 0 | 0 |
| Sudo et al. [152] | Japan | × | × | 283 | 9364 | 9203 | 161 | 0 |
| Wang et al. [153] | China | × | – | 84 | 154 | 154 | 0 | 0 |
| Xing et al. [154] | China | × | – | 169 | 154 | 80 | 74 | 0 |
| Xu et al. [155] | China | × | – | 237 | 134 | 134 | 0 | 0 |
| Xu et al. [156] | China | × | – | 70 | 80 | 80 | 0 | 0 |
| Yan et al. [157] | China | × | – | 364 | 229 | 229 | 0 | 0 |
| Zhang et al. [158] | China | × | – | 81 | 81 | 81 | 0 | 0 |
| Zhang et al. [159] | China | × | – | 62 | 58 | 58 | 0 | 0 |
| Zhang et al. [160] | China | × | – | 81 | 81 | 81 | 0 | 0 |
| Zhang et al. [161] | China | × | – | 186 | 186 | 186 | 0 | 0 |
| Zhang et al. [162] | China | × | – | 112 | 112 | 112 | 0 | 0 |
| Zheng et al. [163] | China | × | – | 150 | 185 | 126 | 59 | 0 |
| Zhou et al. [164] | China | – | × | 88 | 479 | 200 | 0 | 279 |
| Biliary tract cancers only | ||||||||
| Deng et al. [165] | China | × | – | 153 | 65 | 0 | 65 | 0 |
| Leelawat et al. [166] | Thailand | × | – | 59 | 128 | 0 | 128 | 0 |
| Wang et al. [167] | China | × | – | 78 | 156 | 78 | 78 | 0 |
| More than one tumour type | ||||||||
| Bagaria et al. [168] | India | × | – |
50 GC 50 OC |
50 | 50 | 0 | 0 |
| Markar et al. [169] | UK | × | – | 163 GC or OC | 172d | 89 | 82 | 0 |
| Ren et al. [170] | China | × | – |
1049 GC 268 OC 160 PaC |
1019 | 747 | 272 | 0 |
| Schneider et al. [171] | Germany | U | U |
122 GC 86 OC |
53 | 53 | 0 | 0 |
GC gastric cancer, HC healthy control, Hosp hospital, NM non-malignant, OC oesophageal cancer, PaC pancreatic cancer, PM pre-malignant, U unclear, UK United Kingdom, USA United States of America
aDue to wide variations in health systems across different countries, hospital setting is a broad definition than can encompass secondary and tertiary care. Other setting refers to biobanks, reference sets, databases, or archived samples; general population cohorts or cohorts from population screening programmes; or cohorts from previous trials or observational studies
bIn most of these studies, unclear numbers refer to healthy controls and non-malignant conditions combined (70 controls for [26], 120 controls for [42], 60 controls for [49], and 70 controls for [50]). In the case of Zhou et al. [85], it is also unclear whether controls had pre-malignant conditions
cDenmark, France, Italy, Germany, Greece, Spain, UK, Norway, Sweden & Netherlands
dSum of controls does not add up to total number of controls (mismatch in paper)