Table 4 Relative risks for adenocarcinomas of the oesophagus and gastro-oesophageal junction associated with symptoms of gastro-oesophageal reflux or smoking, overall and combined with body mass index (BMI) category
Frequency of refluxReflux overall associationReflux combined with BMI
BMI <25BMI 25–24.9BMI ⩾30
Controls/casesOR* (95% CI)Controls/casesOR† (95% CI)Controls/casesOR (95% CI)Controls/casesOR (95% CI)
Adenocarcinoma oesophagus
    Never698/821.0 (ref)279/221.0 (ref)253/361.6 (0.9 to 2.8)122/202.2 (1.1 to 4.3)
    <Weekly6861281.5 (1.1 to 2.0)218/261.4 (0.8 to 2.7)320/531.8 (1.1 to 3.2)143/463.9 (2.2 to 7.0)
    ⩾Weekly184/1536.4 (4.5 to 9.0)52/245.6 (2.8 to 11.3)77/597.4 (4.1 to 13.5)49/6416.5 (8.9 to 30.6)
Adenocarcinoma gastro-oesophageal junction
    Never698/1201.0 (ref)279/381.0 (ref)253/360.8 (0.5 to 1.4)122/402.1 (1.3 to 3.6)
    <Weekly686/1501.1 (0.9 to 1.5)218/401.2 (0.7 to 1.9)320/581.0 (0.7 to 1.7)143/471.9 (1.2 to 3.2)
    ⩾Weekly184/1534.5 (3.3 to 6.1)52/283.6 (2.0 to 6.7)77/745.5 (3.3 to 8.9)49/475.8 (3.3 to 10.1)
Smoking historySmoking overall associationSmoking combined with BMI
BMI <25BMI 25–24.9BMI ⩾30
Controls/casesOR (95% CI)Controls/casesOR‡ 95% CI†)Controls/casesOR (95% CI)Controls/casesOR (95% CI)
Adenocarcinoma oesophagus
    Never smoker710/941.0 (ref)277/221.0 (ref)274/351.2 (0.7 to 2.3)127/343.5 (1.9 to 6.6)
    1–29 Pack-years602/1421.4 (1.0 to 2.0)185/191.2 (0.6 to 2.4)272/632.0 (1.1 to 3.5)117/563.8 (2.1 to 6.9)
    30+ Pack-years268/1312.3 (1.6 to 3.3)87/313.0 (1.5 to 5.8)104/523.5 (1.9 to 6.5)70/403.8 (2.0 to 7.4)
Adenocarcinoma gastro-oesophageal junction
    Never smoker710/971.0 (ref)277/341.0 (ref)274/330.9 (0.5 to 1.6)127/251.9 (1.1 to 3.5)
    1–29 Pack-years602/1802.1 (1.5 to 2.8)185/351.8 (1.0 to 3.1)272/822.0 (1.2 to 3.2)117/583.6 (2.2 to 6.1)
    30+ Pack-years268/1493.2 (2.3 to 4.6)87/393.2 (1.8 to 5.8)104/533.1 (1.8 to 5.4)70/514.6 (2.6 to 8.1)
  • *Odds ratio and 95% confidence interval adjusted for age (in years), sex, income, state of residence, cumulative smoking history, alcohol consumption, frequency of aspirin use in the past 5 years, frequency of gastro-oesophageal reflux symptoms 10 years before diagnosis and BMI in the year before diagnosis.

  • †Odds ratio and 95% confidence interval adjusted for age (in years), sex, income, state of residence, cumulative smoking history, alcohol consumption and frequency of aspirin use in the past 5 years.

  • ‡Odds ratio adjusted for age (in years), sex, income, state of residence, frequency of gastro-oesophageal reflux symptoms 10 years before diagnosis, alcohol consumption and frequency of aspirin use in the past 5 years.