Table 1 Summary of characteristics of studies included in the meta-analysis.

From: Haemoglobin A1c and serum glucose levels and risk of gastric cancer: a systematic review and meta-analysis

Biomarker

First author and publication year

Study design

Settings

Country

Number of participants

Male (%)

Age distribution (years)

Study period (mean/median follow-up in years)

Primary outcome

Number of gastric cancer cases

Overall risk of biasa

HbA1cb

Travier 2007

Cohort

Screening

New Zealand

46,575

44.6

>= 18, and more than 60% <40

1999–2004 (4.4)

All cancer incidence

25

Moderate to high

HbA1c

Ikeda 2009

Cohort

Screening

Japan

2603

41.2

Mean age 59.2

1988–2002 (not reported)

Gastric cancer incidence

97

Low

HbA1c

Goto 2016

Cohort

Health check-up

Japan

29,629

38.3

Mean age 62.6

1998–2008 (8.5)

All cancer incidence

282

Low

HbA1c

Cheung 2019

Cohort

Registry-based cohort

China (Hong Kong)

7266

52.0

Median age 65.2 (interquartile range 56.1–74.2)

2003–2015 (5.5)

Gastric cancer incidence

37

Low

HbA1c

Peila 2020

Cohort

Biobank cohort

United Kingdom

476,517

45.6

Mean age 56.4

2006–2016 (7.1)

All cancer incidence

380

Moderate to high

Serum glucose

Jee 2005

Cohort

Health check-up

Korea

1,298,385

63.9

Mean age for men 45.3; mean age for women 49.6

1992–2002 (not reported)

All cancer incidence

Not reported

Moderate to high

Serum glucose

Yamagata 2005

Cohort

Screening

Japan

2466

41.7

Mean age for men 57.5; mean age for women 58.8

1988–1997 (not reported)

Gastric cancer incidence

66

Low

Serum glucose

Wulaningsih 2012

Cohort

Screening

Sweden

540,309

53.7

Mean age for participants with gastric cancer 57.8

1985–2002 (12)

Incidence of cancer of the oesophagus, stomach, colon, and rectum

776

Moderate to high

Serum glucose (fasting and non-fasting)

Lindkvist 2013

Cohort

Registry-based cohorts

Norway, Austria, Sweden

578,700

50.1

Mean age for men 43.9; mean age for women 44.1

Norwegian cohorts 1972–2003; Austrian cohort 1985–2003; Swedish cohorts 1985–2006 (10.4)

Gastric adenocarcinoma incidence

1210

Moderate to high

Serum glucose (non-fasting)

Hidaka 2015

Nested case–control

Screening

Japan

123,576

66.9

Mean age 57.2

1990–2004 (not applicable)

Gastric cancer incidence

477

Low

Serum glucose

Kim 2016

Cohort

Health check-up

Korea

23,218

62.4

Mean age for participants with gastric cancer 56.5; mean age for participants without gastric cancer 53.2

2004–2015 (6.8)

Gastric adenocarcinoma incidence

154

Moderate to high

Serum glucose (non-fasting)

Pan 2018

Cohort

Prospective cohorts

China

508,892

41.0

Age range 30-79; more than 75% between 30-59

2004–2013 (7.1)

All cancer incidence

2104

Moderate to high

  1. aAssessed by the Newcastle-Ottawa Scale, for which the details are available in Supplementary Table 1.
  2. bHaemoglobin A1c.