Table 5.
Association with Helicobacter pylori infection and gastric cancer
|
Prevalence of H. pylori
|
Diagnostic tool of H. pylori
|
Study design
|
P
value
|
Helicobacter and Cancer Collaborative Group[68] | Non-cardia GC: OR: 5.9; 95%CI: 3.4-10.3 | Serology and/or histology | Meta-analysis | P = 0.002 |
Huang et al[66] | For cagA-positive OR: 1.64; 95%CI: 1.21-2.241 | Serology and/or histology | Meta-analysis | NA |
Gastric cancer incidence decreased after H. pylori eradication | ||||
Lee et al[70] | Incidence rate ratio = 0.53; 95%CI: 0.44-0.64 | Serology and/or histology; rapid urease test | Meta-analysis | NA |
Chiang et al[71] | Reducing GC incidence of 0.53; 95%CI :0.3-0.69 | Rapid urease test | Prospective study | P < 0.001 |
In Helicobacter pylori-infected populations, cagA-positive strains further increased the risk for gastric cancer by 1.64-fold. GC: Gastric cancer; OR: Odds ratio; CI: Confidence interval; H. pylori: Helicobacter pylori; NA: Not available.