{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T14:51:27Z","timestamp":1784127087635,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,2,23]],"date-time":"2017-02-23T00:00:00Z","timestamp":1487808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008363","name":"Danish Cancer Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008363","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["1000143 to EPIC\u2010Norfolk; United Kingdom"],"award-info":[{"award-number":["1000143 to EPIC\u2010Norfolk; United Kingdom"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl Journal of Cancer"],"published-print":{"date-parts":[[2017,4,15]]},"abstract":"<jats:p>The association between <jats:italic>H. pylori<\/jats:italic> infection and pancreatic cancer risk remains controversial. We conducted a nested case\u2010control study with 448 pancreatic cancer cases and their individually matched control subjects, based on the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort, to determine whether there was an altered pancreatic cancer risk associated with <jats:italic>H. pylori<\/jats:italic> infection and chronic corpus atrophic gastritis. Conditional logistic regression models were applied to calculate odds ratios (ORs) and corresponding 95% confidence intervals (CIs), adjusted for matching factors and other potential confounders. Our results showed that pancreatic cancer risk was neither associated with <jats:italic>H. pylori<\/jats:italic> seropositivity (OR\u2009=\u20090.96; 95% CI: 0.70, 1.31) nor CagA seropositivity (OR\u2009=\u20091.07; 95% CI: 0.77, 1.48). We also did not find any excess risk among individuals seropositive for <jats:italic>H. pylori<\/jats:italic> but seronegative for CagA, compared with the group seronegative for both antibodies (OR\u2009=\u20090.94; 95% CI: 0.63, 1.38). However, we found that chronic corpus atrophic gastritis was non\u2010significantly associated with an increased pancreatic cancer risk (OR\u2009=\u20091.35; 95% CI: 0.77, 2.37), and although based on small numbers, the excess risk was particularly marked among individuals seronegative for both <jats:italic>H. pylori<\/jats:italic> and CagA (OR\u2009=\u20095.66; 95% CI: 1.59, 20.19, <jats:italic>p<\/jats:italic> value for interaction\u2009&lt;\u20090.01). Our findings provided evidence supporting the null association between <jats:italic>H. pylori<\/jats:italic> infection and pancreatic cancer risk in western European populations. However, the suggested association between chronic corpus atrophic gastritis and pancreatic cancer risk warrants independent verification in future studies, and, if confirmed, further studies on the underlying mechanisms.<\/jats:p>","DOI":"10.1002\/ijc.30590","type":"journal-article","created":{"date-parts":[[2016,12,29]],"date-time":"2016-12-29T10:21:46Z","timestamp":1483006906000},"page":"1727-1735","source":"Crossref","is-referenced-by-count":30,"title":["<i>Helicobacter pylori<\/i> infection, chronic corpus atrophic gastritis and pancreatic cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort: A nested case\u2010control study"],"prefix":"10.1002","volume":"140","author":[{"given":"Jiaqi","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet Solna Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrika","family":"Zagai","sequence":"additional","affiliation":[{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet Solna Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6ran","family":"Hallmans","sequence":"additional","affiliation":[{"name":"Department of Public Health and Clinical Nutrition Ume\u00e5 University Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olof","family":"Nyr\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet Solna Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Engstrand","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Tumor and Cell Biology Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael","family":"Stolzenberg\u2010Solomon","sequence":"additional","affiliation":[{"name":"Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics National Cancer Institute, National Institutes of Health Rockville MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric J","family":"Duell","sequence":"additional","affiliation":[{"name":"Unit of Nutrition and Cancer, Cancer Epidemiology Research Program Catalan Institute of Oncology (ICO\u2010IDIBELL) Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Overvad","sequence":"additional","affiliation":[{"name":"Department of Public Health, Section for Epidemiology Aarhus University Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verena A","family":"Katzke","sequence":"additional","affiliation":[{"name":"Division of Cancer Epidemiology German Cancer Research Center (DKFZ) Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudolf","family":"Kaaks","sequence":"additional","affiliation":[{"name":"Division of Cancer Epidemiology German Cancer Research Center (DKFZ) Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mazda","family":"Jenab","sequence":"additional","affiliation":[{"name":"Prevention and Implementation Group, Section of Early Detection and Prevention, Section of Nutrition and Metabolism International Agency for Research on Cancer Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin Young","family":"Park","sequence":"additional","affiliation":[{"name":"Prevention and Implementation Group, Section of Early Detection and Prevention, Section of Nutrition and Metabolism International Agency for Research on Cancer Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raul","family":"Murillo","sequence":"additional","affiliation":[{"name":"Prevention and Implementation Group, Section of Early Detection and Prevention, Section of Nutrition and Metabolism International Agency for Research on Cancer Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonia","family":"Trichopoulou","sequence":"additional","affiliation":[{"name":"Hellenic Health Foundation Athens Greece"},{"name":"WHO Collaborating Center for Nutrition and Health, Unit of Nutritional Epidemiology and Nutrition in Public Health, Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine National and Kapodistrian University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pagona","family":"Lagiou","sequence":"additional","affiliation":[{"name":"Hellenic Health Foundation Athens Greece"},{"name":"WHO Collaborating Center for Nutrition and Health, Unit of Nutritional Epidemiology and Nutrition in Public Health, Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine National and Kapodistrian University of Athens Athens Greece"},{"name":"Department of Epidemiology Harvard T. 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