Review Article

Hepatitis C Virus and Nonliver Solid Cancers: Is There an Association between HCV and Cancers of the Pancreas, Thyroid, Kidney, Oral Cavity, Breast, Lung, and Gastrointestinal Tract?

Table 2

Cohort studies for association of chronic HCV infection with pancreatic cancer (PC).

AuthorCountryStudy periodTotal number of subjectsPC (n)/HCV (+) cases (n)PC (n)/HCV (−) cases (n)OCECPerson-yearsRisk (95% CI)

Abe et al. [25]Japan16 years20,360NA/1129NA/19,231NANA324,394HR 0.7 (0.3–1.7)
Allison et al. [34]USA2006–20102,143,36919/12,126NA/2,131,243NANA39.984SRR 2.5 (1.7–3.2)
Huang et al. [26]Sweden1990–200650,95334/39,442120/197,2083416.5360,154SIR 2.1 (1.4 2.9)
HR 1.6 (1.0–2.4)
Omland et al. [35]Denmark1994–200342044/4204NA4115,980SIR 3.9 (1.1–10.1)
El-Serag et al. [27]USA1996–2004718,687NA/146,394NA/572,293NANA280,676
1,095,911
HR 1.2 (1.0–1.5)
Amin et al. [28]Australia1990–2002117,54717/75,834NA17NA356,775SIR 1.4 (0.8–2.2)

CI: confidence interval; OC: observed cases; EC: expected cases; SRR: standardized rate ratios; SIR: standardized incidence ratios; OST: opioid substitution therapy. HR adjusted for age, sex, study area, diabetes, BMI, and smoking. SIR WITH lag period after 6 months of HCV notification. Person-years in HCV infected cohort. Person-years in HCV-uninfected cohort. HR adjusted for age, sex, baseline visit date, type of visit (inpatient or outpatient) for the baseline visit, and a preceding visit, previous VA use, and era of military service.