Table 4 Odds ratiosa and 95% confidence intervals for biliary tract cancer in relation to gallstones and other factors, Shanghai, China

From: Gallstones and the risk of biliary tract cancer: a population-based study in China

  

Biliary tract cancer

 

Controls

Gallbladder

Extrahepatic bile duct

Ampulla of Vater

 

n b

n c

n

OR

95% CI

n

OR

95% CI

n

OR

95% CI

Gallstones and chronic cholecystitis d

 No gallstones, no cholecystitis

693

693

47

1.0

59

1.0

27

1.0

 Chronic cholecystitis only

32

32

4

2.0

0.7–5.8

2

0.9

0.2–3.9

2

1.8

0.4–8.1

 Gallstones only

182

136

185

20.9

14.2–30.7

84

6.5

4.4–9.7

31

5.0

2.8–8.7

 Gallstones and chronic cholecystitis

38

29

65

34.3

19.9–59.2

24

9.6

5.2–17.6

3

2.8

0.8–9.8

P-interaction

  

0.78 e

0.54

0.23

Gallstones and pancreatitis

 No gallstones, no pancreatitis

730

730

59

1.0

62

1.0

 

29

1.0

 Pancreatitis only

4

4

1

3.0

0.3–28.0

1

2.4

0.2–23.3

0

 

 Gallstones only

214

163

292

23.2

16.5–32.6

116

7.8

5.4–11.3

33

4.4

2.6–7.5

 Gallstones and pancreatitis

10

4

6

20.8

5.6–77.6

7

8.7

3.2–24.2

1

2.5

0.3–20.5

P-interaction

  

0.37

0.55

0.99

Gallstones and BMI

 No gallstones, BMI <23

399

399

31

1.0

36

1.0

 

15

1.0

 

 No gallstones, BMI 23

335

335

28

1.1

0.6–1.8

27

0.9

0.6–1.6

17

1.4

0.7–2.8

 Gallstones, BMI <23

77

62

115

25.2

15.4–41.2

57

9.8

5.9–16.4

15

5.7

2.6–12.3

 Gallstones, BMI 23

147

105

191

25.0

15.8–39.3

69

6.6

4.1–10.6

21

4.5

2.2–9.1

P-interaction

  

0.79

0.36

0.28

Gallstones and diabetes

 No gallstones, no diabetes

688

688

55

1.0

61

1.0

31

1.0

 Diabetes only

47

47

5

1.5

0.6–4.0

3

0.8

0.3–2.8

1

0.5

0.1–3.8

 Gallstones only

193

146

262

23.8

16.7–34.0

110

7.9

5.4–11.5

32

4.2

2.4–7.1

 Gallstones and diabetes

31

21

46

30.7

16.7–56.5

17

8.0

4.0–15.9

4

3.3

1.1–10.1

P-interaction

  

0.79

0.78

0.71

  1. Adjusted for age, sex, and education level.
  2. bIncluded all population controls. Compared with cancer of the bile duct and ampulla of Vater.
  3. cExcluded population controls with a history of cholecystectomy (n=55) or unknown history (N=2). Compared with cancer of the gallbladder.
  4. dExcluded subjects with cholecystitis or pancreatitis diagnosed within 2 years of cancer diagnosis or interview.