Observational Study
Copyright ©The Author(s) 2021.
World J Gastrointest Endosc. May 16, 2021; 13(5): 125-136
Published online May 16, 2021. doi: 10.4253/wjge.v13.i5.125
Table 1 Endoscopic gastritis based on Kyoto classification of Helicobacter pylori-infected patients with vs without gastric cancer

Gastric cancer (+)
Cancer (-)
Univariate analysis
Multivariate analysis



Odds ratio
95%CI
P value
Odds ratio
95%CI
P value
n132367
Age, mean (SD), yr66.4 (12.4)50.9 (12.4)1.0991.078-1.120< 0.001
Age ≥ 65 yr, %60.615.38.5445.446-13.405< 0.0014.0102.436-6.603< 0.001
Male sex, %55.347.71.3570.910-2.0240.134
Atrophy score, mean (SD)1.871 (0.336)1.411 (0.642)6.1733.635-10.486< 0.0012.8001.583-4.954< 0.001
Intestinal metaplasia score, mean (SD)1.402 (0.809)0.624 (0.878)2.5702.031-3.253< 0.0011.5671.188-2.0670.001
Enlarged folds score, mean (SD)0.364 (0.483)0.441 (0.497)0.7230.480-1.0900.121
Nodularity score, mean (SD)0.152 (0.360)0.387 (0.488)0.2830.168-0.476< 0.0010.5080.282-0.9130.024
Diffuse redness score, mean (SD)1.841 (0.507)1.823 (0.466)1.0850.706-1.6670.709
Kyoto score, mean (SD)5.629 (1.149)4.687 (1.637)1.5681.342-1.831< 0.001
Table 2 Endoscopic gastritis based on Kyoto classification of Helicobacter pylori-infected patients with diffuse-type gastric cancer vs without gastric cancer

Diffuse-type cancer (+)
Cancer (-)
Univariate analysis
Multivariate analysis



Odds ratio
95%CI
P value
Odds ratio
95%CI
P value
n39367
Age, mean (SD), yr58.00 (13.00)50.88 (12.41)1.0441.018-1.0720.001
Age ≥ 65 yr, %28.215.32.1821.027-4.6340.0421.4340.633-3.2460.388
Male sex, %38.547.70.6860.348-1.3490.275
Atrophy score, mean (SD)1.692 (0.468)1.411 (0.642)2.3271.223-4.4280.0102.3271.223-4.4280.010
Intestinal metaplasia score, mean (SD)0.974 (0.903)0.624 (0.878)1.5161.065-2.1580.0211.3130.905-1.9060.152
Enlarged folds score, mean (SD)0.564 (0.502)0.441 (0.497)1.6380.842-3.1860.146
Nodularity score, mean (SD)0.282 (0.456)0.387 (0.488)0.6220.300-1.2900.202
Diffuse redness score, mean (SD)1.821 (0.556)1.823 (0.466)0.9900.495-1.9780.976
Kyoto score, mean (SD)5.333 (1.402)4.687 (1.637)1.3061.044-1.6320.019
Table 3 Endoscopic gastritis based on Kyoto classification of Helicobacter pylori-infected patients with intestinal-type gastric cancer vs without gastric cancer

Intestinal-type cancer (+)
Cancer (-)
Univariate analysis
Multivariate analysis



Odds ratio
95%CI
P value
Odds ratio
95%CI
P value
n93367
Age, mean (SD), yr69.86 (10.29)50.88 (12.41)1.1381.107-1.169< 0.001
Age ≥ 65 yr, %74.215.315.9679.261-27.527< 0.0016.2203.394-11.400< 0.001
Male sex, %62.447.71.8181.140-2.9000.0121.7940.955-3.3720.069
Atrophy score, mean (SD)1.946 (0.227)1.411 (0.642)15.3126.147-38.144< 0.0016.1672.321-16.382< 0.001
Intestinal metaplasia score, mean (SD)1.581 (0.697)0.624 (0.878)3.3682.499-4.539< 0.0011.6831.166-2.4300.005
Enlarged folds score, mean (SD)0.280 (0.451)0.441 (0.497)0.4910.299-0.8080.0050.4530.237-0.8670.017
Nodularity score, mean (SD)0.097 (0.297)0.387 (0.488)0.1700.083-0.348< 0.0010.3230.141-0.7420.008
Diffuse redness score, mean (SD)1.849 (0.488)1.823 (0.466)1.1350.681-1.8910.626
Kyoto score, mean (SD)5.753 (1.007)4.687 (1.637)1.6961.407-2.004< 0.001
Table 4 Endoscopic gastritis based on Kyoto classification of Helicobacter pylori-infected patients with diffuse- vs intestinal-type gastric cancer

Diffuse-type
Intestinal-type
Univariate analysis
Multivariate analysis



Odds ratio
95%CI
P value
Coefficient
95%CI
Odds ratio
95%CI
P value
n3993
Age, mean (SD), yr58.00 (13.00)69.86 (10.29)1.0911.051-1.132< 0.001
Age ≥ 65 yr, %28.274.27.3183.166-16.917< 0.0011.9831.045, 2.9217.2632.843-18.553< 0.001
Male sex, %38.562.42.6511.228-5.7240.0131.0210.069, 1.9732.7761.071-7.1930.036
Atrophy score, mean (SD)1.692 (0.468)1.946 (0.227)7.8222.530-24.188< 0.0010.727-0.927, 2.3812.0690.396-10.8160.389
Intestinal metaplasia score, mean (SD)0.974 (0.903)1.581 (0.697)2.4731.544-3.959< 0.0010.6780.128, 1.2281.9701.136-3.4130.016
Enlarged folds score, mean (SD)0.564 (0.502)0.280 (0.451)0.3000.138-0.6530.002-1.308-2.261, -0.3560.2700.104-0.7010.007
Nodularity score, mean (SD)0.282 (0.456)0.097 (0.297)0.2730.102-0.7260.009-0.237-1.621, 1.1470.7890.198-3.1490.737
Diffuse redness score, mean (SD)1.821 (0.556)1.849 (0.488)1.1160.545-2.2880.764
Kyoto score, mean (SD)5.333 (1.402)5.753 (1.007)1.3550.987-1.8600.060