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1. The association between dietary fiber intake and gastric cancer: a pooled analysis of 11 case–control studies

Author

Collatuzzo, Giulia, Cortez Lainez, Jacqueline, Pelucchi, Claudio, Negri, Eva, Bonzi, Rossella, Palli, Domenico, Ferraroni, Monica, Zhang, Zuo-Feng, Yu, Guo-Pei, Lunet, Nuno, Morais, Samantha, López-Carrillo, Lizbeth, Zaridze, David, Maximovitch, Dmitry, Guevara, Marcela, Santos-Sanchez, Vanessa, Vioque, Jesus, Garcia de la Hera, Manoli, Ward, Mary H., Malekzadeh, Reza, Pakseresht, Mohammadreza, Hernández-Ramírez, Raúl Ulises, Turati, Federica, Rabkin, Charles S., Liao, Linda M., Sinha, Rashmi, López-Cervantes, Malaquias, Tsugane, Shoichiro, Hidaka, Akihisa, Camargo, M. Constanza, Curado, Maria Paula, Zubair, Nadia, Kristjansson, Dana, Shah, Shailja, La Vecchia, Carlo, and Boffetta, Paolo

Published
2024
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3. Dietary intake of vitamin C and gastric cancer: a pooled analysis within the Stomach cancer Pooling (StoP) Project

Author

Sassano, Michele, Seyyedsalehi, Monireh Sadat, Collatuzzo, Giulia, Pelucchi, Claudio, Bonzi, Rossella, Ferraroni, Monica, Palli, Domenico, Yu, Guo-Pei, Zhang, Zuo-Feng, López-Carrillo, Lizbeth, Lunet, Nuno, Morais, Samantha, Zaridze, David, Maximovich, Dmitry, Martín, Vicente, Castano-Vinyals, Gemma, Vioque, Jesús, González-Palacios, Sandra, Ward, Mary H., Malekzadeh, Reza, Pakseresht, Mohammadreza, Hernández-Ramirez, Raul Ulises, López-Cervantes, Malaquias, Negri, Eva, Turati, Federica, Rabkin, Charles S., Tsugane, Shoichiro, Hidaka, Akihisa, Lagiou, Areti, Lagiou, Pagona, Camargo, M. Constanza, Curado, Maria Paula, Boccia, Stefania, La Vecchia, Carlo, and Boffetta, Paolo

Published
2024
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4. Reproductive factors, hormonal interventions, and gastric cancer risk in the Stomach cancer Pooling (StoP) Project

Author

Song, Minkyo, Jayasekara, Harindra, Pelucchi, Claudio, Rabkin, Charles S., Johnson, Kenneth C., Hu, Jinfu, Palli, Domenico, Ferraroni, Monica, Liao, Linda M., Bonzi, Rossella, Zaridze, David, Maximovitch, Dmitry, Aragonés, Nuria, Martin, Vicente, Castaño-Vinyals, Gemma, Guevara, Marcela, Tsugane, Shoichiro, Hamada, Gerson Shigueaki, Hidaka, Akihisa, Negri, Eva, Ward, Mary H., Sinha, Rashmi, Lagiou, Areti, Lagiou, Pagona, Boffetta, Paolo, Curado, Maria Paula, Lunet, Nuno, Vioque, Jesus, Zhang, Zuo-Feng, La Vecchia, Carlo, and Camargo, M. Constanza

Published
2024
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6. Implementation of the updated Sydney system biopsy protocol improves the diagnostic yield of gastric preneoplastic conditions: Results from a real-world study

Author

Latorre, Gonzalo, Vargas, José Ignacio, Shah, Shailja C., Ivanovic-Zuvic, Danisa, Achurra, Pablo, Fritzsche, Martín, Leung, Jai-Sen, Ramos, Bernardita, Jensen, Elisa, Uribe, Javier, Montero, Isabella, Gandara, Vicente, Robles, Camila, Bustamante, Miguel, Silva, Felipe, Dukes, Eitan, Corsi, Oscar, Martínez, Francisca, Binder, Victoria, Candia, Roberto, González, Robinson, Espino, Alberto, Agüero, Carlos, Sharp, Allan, Torres, Javiera, Roa, Juan Carlos, Pizarro, Margarita, Corvalan, Alejandro H., Rabkin, Charles S., Camargo, M. Constanza, and Riquelme, Arnoldo

Published
2024
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7. Tea consumption and gastric cancer: a pooled analysis from the Stomach cancer Pooling (StoP) Project consortium

Author

Martimianaki, Georgia, Alicandro, Gianfranco, Pelucchi, Claudio, Bonzi, Rossella, Rota, Matteo, Hu, Jinfu, Johnson, Kenneth C, Rabkin, Charles S, Liao, Linda M, Sinha, Rashmi, Zhang, Zuo-Feng, Dalmartello, Michela, Lunet, Nuno, Morais, Samantha, Palli, Domenico, Ferraroni, Monica, Yu, Guo-Pei, Tsugane, Shoichiro, Hidaka, Akihisa, Curado, Maria Paula, Dias-Neto, Emmanuel, Zaridze, David, Maximovitch, Dmitry, Vioque, Jesus, Garcia de la Hera, Manoli, López-Carrillo, Lizbeth, Hernández-Ramírez, Raúl Ulises, Hamada, Gerson Shigueaki, Ward, Mary H, Mu, Lina, Malekzadeh, Reza, Pourfarzi, Farhad, Trichopoulou, Antonia, Karakatsani, Anna, Kurtz, Robert C, Lagiou, Areti, Lagiou, Pagona, Boccia, Stefania, Boffetta, Paolo, Camargo, M Constanza, Negri, Eva, and La Vecchia, Carlo

Subjects
Biomedical and Clinical Sciences, Oncology and Carcinogenesis, Digestive Diseases, Clinical Research, Cancer, Case-Control Studies, Helicobacter Infections, Humans, Odds Ratio, Risk Factors, Stomach Neoplasms, Tea, Public Health and Health Services, Oncology & Carcinogenesis, Oncology and carcinogenesis
Abstract

BackgroundEvidence from epidemiological studies on the role of tea drinking in gastric cancer risk remains inconsistent. We aimed to investigate and quantify the relationship between tea consumption and gastric cancer in the Stomach cancer Pooling (StoP) Project consortium.MethodsA total of 9438 cases and 20,451 controls from 22 studies worldwide were included. Odds ratios (ORs) and the corresponding 95% confidence intervals (CIs) of gastric cancer for regular versus non-regular tea drinkers were estimated by one and two-stage modelling analyses, including terms for sex, age and the main recognised risk factors for gastric cancer.ResultsCompared to non-regular drinkers, the estimated adjusted pooled OR for regular tea drinkers was 0.91 (95% CI: 0.85-0.97). When the amount of tea consumed was considered, the OR for consumption of 1-2 cups/day was 1.01 (95% CI: 0.94-1.09) and for >3 cups/day was 0.91 (95% CI: 0.80-1.03). Stronger inverse associations emerged among regular drinkers in China and Japan (OR: 0.67, 95% CI: 0.49-0.91) where green tea is consumed, in subjects with H. pylori infection (OR: 0.68, 95% CI: 0.58-0.80), and for gastric cardia cancer (OR: 0.64, 95% CI: 0.49-0.84).ConclusionOur results indicate a weak inverse association between tea consumption and gastric cancer.

Published
2022

8. The mediating role of combined lifestyle factors on the relationship between education and gastric cancer in the Stomach cancer Pooling (StoP) Project

Author

Alicandro, Gianfranco, Bertuccio, Paola, Collatuzzo, Giulia, Pelucchi, Claudio, Bonzi, Rossella, Liao, Linda M, Rabkin, Charles S, Sinha, Rashmi, Negri, Eva, Dalmartello, Michela, Zaridze, David, Maximovich, Dmitry, Vioque, Jesus, Garcia de la Hera, Manoli, Tsugane, Shoichiro, Hidaka, Akihisa, Hamada, Gerson Shigueaki, López-Carrillo, Lizbeth, Hernández-Ramírez, Raúl Ulises, Malekzadeh, Reza, Pourfarzi, Farhad, Zhang, Zuo-Feng, Kurtz, Robert C, Camargo, M Constanza, Curado, Maria Paula, Lunet, Nuno, Boffetta, Paolo, and La Vecchia, Carlo

Subjects
Biomedical and Clinical Sciences, Oncology and Carcinogenesis, Substance Misuse, Prevention, Nutrition, Cancer, Digestive Diseases, Quality Education, Case-Control Studies, Educational Status, Humans, Life Style, Male, Risk Factors, Stomach Neoplasms, Public Health and Health Services, Oncology & Carcinogenesis, Oncology and carcinogenesis
Abstract

BackgroundThe causal pathway between high education and reduced risk of gastric cancer (GC) has not been explained. The study aimed at evaluating the mediating role of lifestyle factors on the relationship between education and GC METHODS: Ten studies with complete data on education and five lifestyle factors (smoking, alcohol drinking, fruit and vegetable intake, processed meat intake and salt consumption) were selected from a consortium of studies on GC including 4349 GC cases and 8441 controls. We created an a priori score based on the five lifestyle factors, and we carried out a counterfactual-based mediation analysis to decompose the total effect of education on GC into natural direct effect and natural indirect effect mediated by the combined lifestyle factors. Effects were expressed as odds ratios (ORs) with a low level of education as the reference category.ResultsThe natural direct and indirect effects of high versus low education were 0.69 (95% CI: 0.62-0.77) and 0.96 (95% CI: 0.95-0.97), respectively, corresponding to a mediated percentage of 10.1% (95% CI: 7.1-15.4%). The mediation effect was limited to men.ConclusionsThe mediation effect of the combined lifestyle factors on the relationship between education and GC is modest. Other potential pathways explaining that relationship warrants further investigation.

Published
2022

9. Prevalence of Gastric Precursor Lesions in Countries With Differential Gastric Cancer Burden: A Systematic Review and Meta-analysis

Author

Mülder, Duco T., Hahn, Anne I., Huang, Robert J., Zhou, Margaret J., Blake, Benjamin, Omofuma, Omonefe, Murphy, John D., Gutiérrez-Torres, Daniela S., Zauber, Ann G., O’Mahony, James F., Camargo, M. Constanza, Ladabaum, Uri, Yeh, Jennifer M., Hur, Chin, Lansdorp-Vogelaar, Iris, Meester, Reinier, and Laszkowska, Monika

Published
2024
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10. “True” Helicobacter pylori infection and non‐cardia gastric cancer: A pooled analysis within the Stomach Cancer Pooling (StoP) Project

Author

Morais, Samantha, Costa, Adriana, Albuquerque, Gabriela, Araújo, Natália, Tsugane, Shoichiro, Hidaka, Akihisa, Hamada, Gerson Shigueaki, Ye, Weimin, Plymoth, Amelie, Leja, Marcis, Gasenko, Evita, Zaridze, David, Maximovich, Dmitry, Malekzadeh, Reza, Derakhshan, Mohammad H, Pelucchi, Claudio, Negri, Eva, Camargo, M Constanza, Curado, Maria Paula, Vioque, Jesus, Zhang, Zuo‐Feng, La Vecchia, Carlo, Boffetta, Paolo, and Lunet, Nuno

Subjects
Epidemiology, Biomedical and Clinical Sciences, Health Sciences, Clinical Research, Emerging Infectious Diseases, Cancer, Digestive Diseases - (Peptic Ulcer), Infectious Diseases, Prevention, Digestive Diseases, 4.1 Discovery and preclinical testing of markers and technologies, Detection, screening and diagnosis, Case-Control Studies, Helicobacter Infections, Helicobacter pylori, Humans, Prospective Studies, Risk Factors, Stomach Neoplasms, Helicobacter pylori, Consortium, pooled analysis, stomach neoplasms, Biological Sciences, Medical and Health Sciences, Gastroenterology & Hepatology, Biological sciences, Biomedical and clinical sciences, Health sciences
Abstract

BackgroundHelicobacter pylori is the most important risk factor for non-cardia gastric cancer (NCGC); however, the magnitude of the association varies across epidemiological studies. This study aimed to quantify the association between H. pylori infection and NCGC, using different criteria to define infection status.MethodsA pooled analysis of individual-level H. pylori serology data from eight international studies (1325 NCGC and 3121 controls) from the Stomach Cancer Pooling (StoP) Consortium was performed. Cases and controls with a negative H. pylori infection status were reclassified as positive considering the presence of anti-Cag A antibodies, gastric atrophy, or advanced stage at diagnosis, as available and applicable. A two-stage approach was used to pool study-specific adjusted odds ratios (OR), and 95% confidence intervals (95% CI). A meta-analysis of published prospective studies assessing H. pylori seropositivity in NCGCs was conducted.ResultsThe OR for the association between serology-defined H. pylori and NCGC was 1.45 (95% CI: 0.87-2.42), which increased to 4.79 (95% CI: 2.39-9.60) following the reclassification of negative H. pylori infection. The results were consistent across strata of sociodemographic characteristics, clinical features and lifestyle factors, though significant differences were observed according to geographic region-a stronger association in Asian studies. The pooled risk estimates from the literature were 3.01 (95% CI: 2.22-4.07) for ELISA or EIA and 9.22 (95% CI: 3.12-27.21) for immunoblot or multiplex serology.ConclusionThe NCGC risk estimate from StoP based on the reclassification of H. pylori seronegative individuals is consistent with the risk estimates obtained from the literature. Our classification algorithm may be useful for future studies.

Published
2022

11. The association between diabetes and gastric cancer: results from the Stomach Cancer Pooling Project Consortium

Author

Dabo, Bashir, Pelucchi, Claudio, Rota, Matteo, Jain, Harshonnati, Bertuccio, Paola, Bonzi, Rossella, Palli, Domenico, Ferraroni, Monica, Zhang, Zuo-Feng, Sanchez-Anguiano, Aurora, Pham, Yen Thi-Hai, Tran, Chi Thi-Du, Pham, Anh Gia, Yu, Guo-Pei, Nguyen, Tin C, Muscat, Joshua, Tsugane, Shoichiro, Hidaka, Akihisa, Hamada, Gerson S, Zaridze, David, Maximovitch, Dmitry, Kogevinas, Manolis, de Larrea, Nerea Fernàndez, Boccia, Stefania, Pastorino, Roberta, Kurtz, Robert C, Lagiou, Areti, Lagiou, Pagona, Vioque, Jesus, Camargo, M Constanza, Curado, Maria Paula, Lunet, Nuno, Boffetta, Paolo, Negri, Eva, La Vecchia, Carlo, and Luu, Hung N

Subjects
Epidemiology, Health Sciences, Infectious Diseases, Prevention, Cancer, Stomach Cancer, Digestive Diseases, Emerging Infectious Diseases, Rare Diseases, Diabetes, Metabolic and endocrine, Stroke, Case-Control Studies, Diabetes Mellitus, Type 2, Helicobacter Infections, Helicobacter pylori, Humans, Risk Factors, Stomach Neoplasms, diabetes, gastric cancer, risk factors, Oncology and Carcinogenesis, Public Health and Health Services, Oncology & Carcinogenesis, Oncology and carcinogenesis, Public health
Abstract

BackgroundPrior epidemiologic studies on the association between diabetes and gastric cancer risk provided inconclusive findings, while traditional, aggregate data meta-analyses were characterized by high between-study heterogeneity.ObjectiveTo investigate the association between type 2 diabetes and gastric cancer using data from the 'Stomach Cancer Pooling (StoP) Project', an international consortium of more than 30 case-control and nested case-control studies, which is large and provides harmonized definition of participants' characteristics across individual studies. The data have the potential to minimize between-study heterogeneity and provide greater statistical power for subgroup analysis.MethodsWe included 5592 gastric cancer cases and 12 477 controls from 14 studies from Europe, Asia, North America, and South America in a two-stage individual-participant data meta-analysis. Random-effect models were used to estimate summary odds ratios (ORs) and their corresponding 95% confidence intervals (CIs) by pooling study-specific ORs.ResultsWe did not find an overall association between diabetes and gastric cancer (pooled OR = 1.01, 95% CI, 0.94-1.07). However, the risk of cardia gastric cancer was significantly higher among individuals with type 2 diabetes (OR = 1.16, 95% CI, 1.02-1.33). There was no association between diabetes and gastric cancer risk in strata of Helicobacter pylori infection serostatus, age, sex, BMI, smoking status, alcohol consumption, fruit/vegetable intake, gastric cancer histologic type, and source of controls.ConclusionThis study provides additional evidence that diabetes is unrelated to gastric cancer overall but may be associated with excess cardia gastric cancer risk.

Published
2022

12. The Association between Peptic Ulcer Disease and Gastric Cancer: Results from the Stomach Cancer Pooling (StoP) Project Consortium

Author

Paragomi, Pedram, Dabo, Bashir, Pelucchi, Claudio, Bonzi, Rossella, Bako, Abdulaziz T, Sanusi, Nabila Muhammad, Nguyen, Quan H, Zhang, Zuo-Feng, Palli, Domenico, Ferraroni, Monica, Vu, Khanh Truong, Yu, Guo-Pei, Turati, Federica, Zaridze, David, Maximovitch, Dmitry, Hu, Jinfu, Mu, Lina, Boccia, Stefania, Pastorino, Roberta, Tsugane, Shoichiro, Hidaka, Akihisa, Kurtz, Robert C, Lagiou, Areti, Lagiou, Pagona, Camargo, M Constanza, Curado, Maria Paula, Lunet, Nuno, Vioque, Jesus, Boffetta, Paolo, Negri, Eva, La Vecchia, Carlo, and Luu, Hung N

Subjects
Biomedical and Clinical Sciences, Oncology and Carcinogenesis, Rare Diseases, Digestive Diseases, Cancer, Digestive Diseases - (Peptic Ulcer), Gastric ulcers, duodenal ulcers, risk factors, gastric cancer, Oncology and carcinogenesis
Abstract

BackgroundGastric cancer (GC) is the fifth most common type of cancer and the fourth most common cause of cancer-related mortality. Although the risk of GC and peptic ulcer disease (PUD) is known to be increased by H. pylori infection, evidence regarding the direct relationship between PUD and GC across ethnicities is inconclusive. Therefore, we investigated the association between PUD and GC in the Stomach cancer Pooling (StoP) consortium.MethodsHistory of peptic ulcer disease was collected using a structured questionnaire in 11 studies in the StoP consortium, including 4106 GC cases and 6922 controls. The two-stage individual-participant data meta-analysis approach was adopted to generate a priori. Unconditional logistic regression and Firth's penalized maximum likelihood estimator were used to calculate study-specific odds ratios (ORs) and 95% confidence intervals (CIs) for the association between gastric ulcer (GU)/duodenal ulcer (DU) and risk of GC.ResultsHistory of GU and DU was thoroughly reported and used in association analysis, respectively, by 487 cases (12.5%) and 276 controls (4.1%), and 253 cases (7.8%) and 318 controls (6.0%). We found that GU was associated with an increased risk of GC (OR = 3.04, 95% CI: 2.07-4.49). No association between DU and GC risk was observed (OR = 1.03, 95% CI: 0.77-1.39).ConclusionsIn the pooled analysis of 11 case-control studies in a large consortium (i.e., the Stomach cancer Pooling (StoP) consortium), we found a positive association between GU and risk of GC and no association between DU and GC risk.

Published
2022

13. Inverse Association between Dietary Iron Intake and Gastric Cancer: A Pooled Analysis of Case-Control Studies of the Stop Consortium

Author

Collatuzzo, Giulia, Teglia, Federica, Pelucchi, Claudio, Negri, Eva, Rabkin, Charles S, Liao, Linda M, Sinha, Rashmi, López-Carrillo, Lizbeth, Lunet, Nuno, Morais, Samantha, Aragonés, Nuria, Moreno, Victor, Vioque, Jesus, de la Hera, Manoli Garcia, Ward, Mary H, Malekzadeh, Reza, Pakseresht, Mohammadreza, Hernández-Ramírez, Raúl Ulises, López-Cervantes, Malaquias, Bonzi, Rossella, Dalmartello, Michela, Tsugane, Shoichiro, Hidaka, Akihisa, Camargo, M Constanza, Curado, Maria Paula, Zhang, Zuo-Feng, Zubair, Nadia, La Vecchia, Carlo, Shah, Shailja, and Boffetta, Paolo

Subjects
Biomedical and Clinical Sciences, Nutrition and Dietetics, Health Sciences, Nutrition, Cancer, Prevention, Digestive Diseases, Case-Control Studies, Diet, Humans, Iron, Iron, Dietary, Risk Factors, Stomach Neoplasms, gastric cancer, iron, diet, cancer subtypes, cancer subsites, Food Sciences, Clinical sciences, Nutrition and dietetics, Public health
Abstract

Background: Inconsistent findings have been reported regarding the relationship between dietary iron intake and the risk of gastric cancer (GC). Methods: We pooled data from 11 case-control studies from the Stomach Cancer Pooling (StoP) Project. Total dietary iron intake was derived from food frequency questionnaires combined with national nutritional tables. We derived the odds ratios (ORs) and 95% confidence intervals (CIs) for quartiles of dietary iron through multivariable unconditional logistic regression models. Secondary analyses stratified by sex, smoking status, caloric intake, anatomical subsite and histological type were performed. Results: Among 4658 cases and 12247 controls, dietary iron intake was inversely associated with GC (per quartile OR 0.88; 95% CI: 0.83-0.93). Results were similar between cardia (OR = 0.85, 95% CI = 0.77-0.94) and non-cardia GC (OR = 0.87, 95% CI = 0.81-0.94), and for diffuse (OR = 0.79, 95% CI = 0.69-0.89) and intestinal type (OR = 0.88, 95% CI = 0.79-0.98). Iron intake exerted an independent effect from that of smoking and salt intake. Additional adjustment by meat and fruit/vegetable intake did not alter the results. Conclusions: Dietary iron is inversely related to GC, with no difference by subsite or histological type. While the results should be interpreted with caution, they provide evidence against a direct effect of iron in gastric carcinogenesis.

Published
2022

16. Helicobacter pylori infection

Author

Malfertheiner, Peter, Camargo, M. Constanza, El-Omar, Emad, Liou, Jyh-Ming, Peek, Richard, Schulz, Christian, Smith, Stella I., and Suerbaum, Sebastian

Published
2023
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17. Coffee consumption and gastric cancer: a pooled analysis from the Stomach cancer Pooling Project consortium

Author

Martimianaki, Georgia, Bertuccio, Paola, Alicandro, Gianfranco, Pelucchi, Claudio, Bravi, Francesca, Carioli, Greta, Bonzi, Rossella, Rabkin, Charles S, Liao, Linda M, Sinha, Rashmi, Johnson, Ken, Hu, Jinfu, Palli, Domenico, Ferraroni, Monica, Lunet, Nuno, Morais, Samantha, Tsugane, Shoichiro, Hidaka, Akihisa, Hamada, Gerson Shigueaki, López-Carrillo, Lizbeth, Hernández-Ramírez, Raúl Ulises, Zaridze, David, Maximovitch, Dmitry, Aragonés, Nuria, Martin, Vicente, Ward, Mary H, Vioque, Jesus, de la Hera, Manoli Garcia, Zhang, Zuo-Feng, Kurtz, Robert C, Lagiou, Pagona, Lagiou, Areti, Trichopoulou, Antonia, Karakatsani, Anna, Malekzadeh, Reza, Camargo, M Constanza, Curado, Maria Paula, Boccia, Stefania, Boffetta, Paolo, Negri, Eva, and La Vecchia, Carlo

Subjects
Clinical Research, Cancer, Coffee, Humans, Logistic Models, Observational Studies as Topic, Odds Ratio, Risk Factors, Stomach Neoplasms, cardia cancer, case-control study, coffee, gastric cancer, pooled analysis, Oncology and Carcinogenesis, Public Health and Health Services, Oncology & Carcinogenesis
Abstract

ObjectiveThis study aimed to evaluate and quantify the relationship between coffee and gastric cancer using a uniquely large dataset from an international consortium of observational studies on gastric cancer, including data from 18 studies, for a total of 8198 cases and 21 419 controls.MethodsA two-stage approach was used to obtain the pooled odds ratios (ORs) and the corresponding 95% confidence intervals (CIs) for coffee drinkers versus never or rare drinkers. A one-stage logistic mixed-effects model with a random intercept for each study was used to estimate the dose-response relationship. Estimates were adjusted for sex, age and the main recognized risk factors for gastric cancer.ResultsCompared to never or rare coffee drinkers, the estimated pooled OR for coffee drinkers was 1.03 (95% CI, 0.94-1.13). When the amount of coffee intake was considered, the pooled ORs were 0.91 (95% CI, 0.81-1.03) for drinkers of 1-2 cups per day, 0.95 (95% CI, 0.82-1.10) for 3-4 cups, and 0.95 (95% CI, 0.79-1.15) for five or more cups. An OR of 1.20 (95% CI, 0.91-1.58) was found for heavy coffee drinkers (seven or more cups of caffeinated coffee per day). A positive association emerged for high coffee intake (five or more cups per day) for gastric cardia cancer only.ConclusionsThese findings better quantify the previously available evidence of the absence of a relevant association between coffee consumption and gastric cancer.

Published
2021

20. Polyphenol Intake and Gastric Cancer Risk: Findings from the Stomach Cancer Pooling Project (StoP).

Author

Vitelli-Storelli, Facundo, Rossi, Marta, Pelucchi, Claudio, Rota, Matteo, Palli, Domenico, Ferraroni, Monica, Lunet, Nuno, Morais, Samantha, López-Carrillo, Lizbeth, Zaridze, David Georgievich, Maximovich, Dmitry, Rubín García, María, Castaño-Vinyals, Gemma, Aragonés, Nuria, Garcia de la Hera, Manuela, Hernández-Ramírez, Raúl Ulises, Negri, Eva, Bonzi, Rossella, Ward, Mary H, Lagiou, Areti, Lagiou, Pagona, López-Cervantes, Malaquías, Boffetta, Paolo, Camargo, M Constanza, Curado, Maria Paula, Zhang, Zuo-Feng, Vioque, Jesus, La Vecchia, Carlo, and Martín Sánchez, Vicente

Subjects
diet, epidemiology, flavonoids, gastric cancer, polyphenols, Oncology and Carcinogenesis
Abstract

Phenolic compounds may exert a favorable effect on the risk of several cancer types, including gastric cancer (GC). However, selected polyphenol classes have not been adequately investigated in relation to GC. The aim of this study is to evaluate the association between the intake of polyphenols in relation to GC risk. We used data from the Stomach cancer Pooling (StoP) Project, including 10 studies from six countries (3471 GC cases and 8344 controls). We carried out an individual participant data pooled analysis using a two-stage approach. The summary odds ratios (ORs) of GC for each compound, and the corresponding 95% confidence intervals (95% CI), were computed by pooling study specific ORs obtained through multivariate logistic regression, using random effect models. Inverse associations with GC emerged for total polyphenols (OR = 0.67, 95% CI = 0.54-0.81, for the highest versus lowest quartile of intake), total flavonoids (OR = 0.73, 95% CI = 0.55-0.90), anthocyanidins (OR = 0.74, 95% CI = 0.56-0.92), flavanols (OR = 0.77, 95% CI = 0.66-0.88), flavanones (OR = 0.57, 95%CI = 0.44-0.69), total phenolic acids (OR = 0.75, 95%CI = 0.55-0.94), and hydroxybenzoic acids (OR = 0.73, 95%CI = 0.57-0.89). Results were consistent across strata of age, sex, social class, and smoking habit. Suggestive inverse associations were also found for flavonols (OR = 0.76, 95%CI = 0.51-1.01) and hydroxycinnamic acids (OR = 0.82, 95%CI = 0.58-1.06). Further investigations from longitudinal data are needed to confirm this association.

Published
2020

21. Meat intake and risk of gastric cancer in the Stomach cancer Pooling (StoP) project

Author

Ferro, Ana, Rosato, Valentina, Rota, Matteo, Costa, Ana Rute, Morais, Samantha, Pelucchi, Claudio, Johnson, Kenneth C, Hu, Jinfu, Palli, Domenico, Ferraroni, Monica, Zhang, Zuo‐Feng, Bonzi, Rossella, Yu, Guo‐Pei, Peleteiro, Bárbara, López‐Carrillo, Lizbeth, Tsugane, Shoichiro, Hamada, Gerson Shigueaki, Hidaka, Akihisa, Zaridze, David, Maximovitch, Dmitry, Vioque, Jesus, Navarrete‐Munoz, Eva M, Aragonés, Nuria, Martín, Vicente, Hernández‐Ramírez, Raúl Ulisses, Bertuccio, Paola, Ward, Mary H, Malekzadeh, Reza, Pourfarzi, Farhad, Mu, Lina, López‐Cervantes, Malaquias, Persiani, Roberto, Kurtz, Robert C, Lagiou, Areti, Lagiou, Pagona, Boffetta, Paolo, Boccia, Stefania, Negri, Eva, Camargo, M Constanza, Curado, Maria Paula, La Vecchia, Carlo, and Lunet, Nuno

Subjects
Biomedical and Clinical Sciences, Nutrition and Dietetics, Cancer, Clinical Research, Adult, Aged, Case-Control Studies, Cohort Studies, Diet, Female, Humans, Male, Meat, Meat Products, Middle Aged, Red Meat, Stomach Neoplasms, diet, meat, nutrition, pooled analysis, stomach neoplasms, Oncology and Carcinogenesis, Oncology & Carcinogenesis, Oncology and carcinogenesis
Abstract

The consumption of processed meat has been associated with noncardia gastric cancer, but evidence regarding a possible role of red meat is more limited. Our study aims to quantify the association between meat consumption, namely white, red and processed meat, and the risk of gastric cancer, through individual participant data meta-analysis of studies participating in the "Stomach cancer Pooling (StoP) Project". Data from 22 studies, including 11,443 cases and 28,029 controls, were used. Study-specific odds ratios (ORs) were pooled through a two-stage approach based on random-effects models. An exposure-response relationship was modeled, using one and two-order fractional polynomials, to evaluate the possible nonlinear association between meat intake and gastric cancer. An increased risk of gastric cancer was observed for the consumption of all types of meat (highest vs. lowest tertile), which was statistically significant for red (OR: 1.24; 95% CI: 1.00-1.53), processed (OR: 1.23; 95% CI: 1.06-1.43) and total meat (OR: 1.30; 95% CI: 1.09-1.55). Exposure-response analyses showed an increasing risk of gastric cancer with increasing consumption of both processed and red meat, with the highest OR being observed for an intake of 150 g/day of red meat (OR: 1.85; 95% CI: 1.56-2.20). This work provides robust evidence on the relation between the consumption of different types of meat and gastric cancer. Adherence to dietary recommendations to reduce meat consumption may contribute to a reduction in the burden of gastric cancer.

Published
2020

22. Evaluation of trefoil factor 3 as a non-invasive biomarker of gastric intestinal metaplasia and gastric cancer in a high-risk population

Author

Latorre, Gonzalo, Pizarro, Margarita, Ford, James Stephen, Gándara, Vicente, Muñoz, Gonzalo, Araya, Juan Carlos, Bellolio, Enrique, Villaseca, Miguel, Fuentes-López, Eduardo, Cortés, Pablo, Rollán, Antonio, Bufadel, María Ester, Araya, Raúl, Vargas, José Ignacio, Espino, Alberto, Sharp, Allan, Agüero, Carlos, Donoso, Andrés, Bresky, Gustavo, Pedrero, Pamela, Rueda, Carlos, Calvo, Alfonso, Odagaki, Tomoyuki, Moriyama, Tomohiko, Ishida, Tsukasa, Parra-Blanco, Adolfo, Camargo, M. Constanza, González, Robinson, Corvalán, Alejandro H., and Riquelme, Arnoldo

Published
2023
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24. Race/Ethnicity-, Socioeconomic Status-, and Anatomic Subsite-Specific Risks for Gastric Cancer

Author

Gupta, Samir, Tao, Li, Murphy, James D, Camargo, M Constanza, Oren, Eyal, Valasek, Mark A, Gomez, Scarlett Lin, and Martinez, Maria Elena

Subjects
Cancer, American Indian or Alaska Native, Digestive Diseases, Prevention, Aged, Ethnicity, Female, Humans, Incidence, Male, Middle Aged, Racial Groups, Risk Factors, SEER Program, Social Class, Social Determinants of Health, Stomach Neoplasms, United States, Gastric Cancer, Minorities, Socioeconomic Status, Anatomic Subsite, Clinical Sciences, Neurosciences, Paediatrics and Reproductive Medicine, Gastroenterology & Hepatology
Abstract

Anatomic subsite risk factors for gastric cancer differ substantially, and subsite-specific distribution of risk factors (such as Helicobacter pylori) can vary by race and ethnicity and neighborhood socioeconomic status (nSES). We examined differences in gastric cancer incidence by subsite, stratified by race and ethnicity and nSES, using Surveillance Epidemiology and End Results Program 2000-2014 data for 77,881 incident gastric cancer cases (cardia, n = 23,651; non-cardia, n = 35,825; overlapping or unspecified, n = 18,405). Compared with non-Hispanic whites, cardia cancer multivariable-adjusted incidence rate ratios were 35%-47% lower for blacks, Hispanics, Asian or Pacific Islanders, and American Indian or Alaska Natives; conversely, non-cardia incidence rate ratios were 1.7- to 3.9-fold higher for blacks, Hispanics, Asian or Pacific Islanders, and American Indian or Alaska Natives. Higher adjusted incidence rate ratios with decreasing nSES (lowest vs highest nSES quintile) were observed for all gastric (1.3-fold) and non-cardia (1.3-fold) cancers but were borderline significant for cardia cancers (1.1-fold). In conclusion, non-cardia cancer incidence is higher in minorities and varies by nSES, but cardia cancer incidence is higher in non-Hispanic whites and does not vary substantially by nSES. Clarifying reasons for higher cardia risk in non-Hispanic whites and targeted interventions to address non-cardia cancer risk in minorities could lessen the burden of gastric cancer.

Published
2019

26. Salt intake and gastric cancer: a pooled analysis within the Stomach cancer Pooling (StoP) Project

Author

Morais, Samantha, Costa, Adriana, Albuquerque, Gabriela, Araújo, Natália, Pelucchi, Claudio, Rabkin, Charles S., Liao, Linda M., Sinha, Rashmi, Zhang, Zuo-Feng, Hu, Jinfu, Johnson, Kenneth C., Palli, Domenico, Ferraroni, Monica, Bonzi, Rossella, Yu, Guo-Pei, López-Carrillo, Lizbeth, Malekzadeh, Reza, Tsugane, Shoichiro, Hidaka, Akihisa, Hamada, Gerson Shigueaki, Zaridze, David, Maximovitch, Dmitry, Vioque, Jesus, de la Hera, Manoli García, Moreno, Victor, Vanaclocha-Espi, Mercedes, Ward, Mary H., Pakseresht, Mohammadreza, Hernández-Ramirez, Raúl Ulises, López-Cervantes, Malaquias, Pourfarzi, Farhad, Mu, Lina, Kurtz, Robert C., Boccia, Stefania, Pastorino, Roberta, Lagiou, Areti, Lagiou, Pagona, Boffetta, Paolo, Camargo, M. Constanza, Curado, Maria Paula, Negri, Eva, La Vecchia, Carlo, and Lunet, Nuno

Published
2022
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40. Coffee consumption and gastric cancer: a pooled analysis from the Stomach cancer Pooling Project consortium

Author

Martimianaki, Georgia, Bertuccio, Paola, Alicandro, Gianfranco, Pelucchi, Claudio, Bravi, Francesca, Carioli, Greta, Bonzi, Rossella, Rabkin, Charles S., Liao, Linda M., Sinha, Rashmi, Johnson, Ken, Hu, Jinfu, Palli, Domenico, Ferraroni, Monica, Lunet, Nuno, Morais, Samantha, Tsugane, Shoichiro, Hidaka, Akihisa, Hamada, Gerson Shigueaki, López-Carrillo, Lizbeth, Hernández-Ramírez, Raúl Ulises, Zaridze, David, Maximovitch, Dmitry, Aragonés, Nuria, Martin, Vicente, Ward, Mary H., Vioque, Jesus, Garcia de la Hera, Manoli, Zhang, Zuo-Feng, Kurtz, Robert C., Lagiou, Pagona, Lagiou, Areti, Trichopoulou, Antonia, Karakatsani, Anna, Malekzadeh, Reza, Camargo, M. Constanza, Curado, Maria Paula, Boccia, Stefania, Boffetta, Paolo, Negri, Eva, and La Vecchia, Carlo

Published
2022
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41. Comparison of OLGA and OLGIM as predictors of gastric cancer in a Latin American population: the ECHOS Study

Author

Latorre, Gonzalo, primary, Silva, Felipe, additional, Montero, Isabella, additional, Bustamante, Miguel, additional, Dukes, Eitan, additional, Uribe, Javier, additional, Corsi Sotelo, Oscar, additional, Reyes, Diego, additional, Fuentes-López, Eduardo, additional, Pizarro, Margarita, additional, Medel, Patricio, additional, Torres, Javiera, additional, Roa, Juan Carlos, additional, Pizarro, Sebastián, additional, Achurra, Pablo, additional, Donoso, Andrés, additional, Wichmann, Ignacio, additional, Corvalán, Alejandro H, additional, Chahuan, Javier, additional, Candia, Roberto, additional, Agüero, Carlos, additional, Gonzalez, Robinson, additional, Vargas, Jose Ignacio, additional, Espino, Alberto, additional, Camargo, M Constanza, additional, Shah, Shailja C, additional, and Riquelme, Arnoldo, additional

Published
2023
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42. Reproductive factors, hormonal interventions, and gastric cancer risk in the Stomach cancer Pooling (StoP) Project

Author

Song, Minkyo, primary, Jayasekara, Harindra, additional, Pelucchi, Claudio, additional, Rabkin, Charles S., additional, Johnson, Kenneth C., additional, Hu, Jinfu, additional, Palli, Domenico, additional, Ferraroni, Monica, additional, Liao, Linda M., additional, Bonzi, Rossella, additional, Zaridze, David, additional, Maximovitch, Dmitry, additional, Aragonés, Nuria, additional, Martin, Vicente, additional, Castaño-Vinyals, Gemma, additional, Guevara, Marcela, additional, Tsugane, Shoichiro, additional, Hamada, Gerson Shigueaki, additional, Hidaka, Akihisa, additional, Negri, Eva, additional, Ward, Mary H., additional, Sinha, Rashmi, additional, Lagiou, Areti, additional, Lagiou, Pagona, additional, Boffetta, Paolo, additional, Curado, Maria Paula, additional, Lunet, Nuno, additional, Vioque, Jesus, additional, Zhang, Zuo-Feng, additional, La Vecchia, Carlo, additional, and Camargo, M. Constanza, additional

Published
2023
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44. Associations of occupational heat exposure and stomach cancer in a population-based case-control study

Author

Turner, Michelle C, primary, Hinchliffe, Alice, additional, Vistós, Miquel Vallbona, additional, Alguacil, Juan, additional, Uuksulainen, Sanni, additional, Aragonés, Nuria, additional, Tardón, Adonina, additional, Vioque, Jesus, additional, Hera, Manoli Garcia De La, additional, Ward, Mary H, additional, Rabkin, Charles S, additional, Camargo, M Constanza, additional, Pelucchi, Claudio, additional, Vecchia, Carlo La, additional, Boffetta, Paolo, additional, and Kogevinas, Manolis, additional

Published
2023
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45. Sleep Duration and Stress Level in the Risk of Gastric Cancer: A Pooled Analysis of Case-Control Studies in the Stomach Cancer Pooling (StoP) Project

Author

Collatuzzo, Giulia, primary, Pelucchi, Claudio, additional, Negri, Eva, additional, Kogevinas, Manolis, additional, Huerta, José María, additional, Vioque, Jesus, additional, de la Hera, Manoli García, additional, Tsugane, Shoichiro, additional, Shigueaki Hamada, Gerson, additional, Hidaka, Akihisa, additional, Zhang, Zuo-Feng, additional, Camargo, M. Constanza, additional, Curado, Maria Paula, additional, Lunet, Nuno, additional, La Vecchia, Carlo, additional, and Boffetta, Paolo, additional

Published
2023
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