Table 3

Recent studies evaluating the risk of lymphoma in patients with celiac disease

Study and year publishedRisk of being diagnosed with lymphoma
Suggestion that GFD may be protective
All NHLETLOther NHL
Catassi et al,144  2002 OR = 3.1 NR Gut NHL: OR = 16.9; Any T-cell NHL: OR = 19.2 NR 
Askling et al,145  2002 SIR = 5.9 NR NR Yes 
Green et al,149  2003 SMR = 5.3-9.1 NR NR No 
Card et al,164  2004 SIR = 5.8 NR Gut NHL: SIR = 40.5 NR 
Smedby et al,148  2005 SIR = 6.6 NR Gut NHL: SIR = 24; Any T-cell NHL: SIR = 51; Non-GI NHL: SIR = 3.6 NR 
Mearin et al,163  2006* OR = 2.6 OR = 28 Gut NHL: OR = 11.8 NR 
Viljamaa et al,162  2006 SIR = 3.2 NR NR Yes 
Smedby et al,161  2006 OR = 2.1 NR Gut NHL: OR = 12; Any T-cell NHL: OR = 17; DLBCL: OR = 2.8 No 
Study and year publishedRisk of being diagnosed with lymphoma
Suggestion that GFD may be protective
All NHLETLOther NHL
Catassi et al,144  2002 OR = 3.1 NR Gut NHL: OR = 16.9; Any T-cell NHL: OR = 19.2 NR 
Askling et al,145  2002 SIR = 5.9 NR NR Yes 
Green et al,149  2003 SMR = 5.3-9.1 NR NR No 
Card et al,164  2004 SIR = 5.8 NR Gut NHL: SIR = 40.5 NR 
Smedby et al,148  2005 SIR = 6.6 NR Gut NHL: SIR = 24; Any T-cell NHL: SIR = 51; Non-GI NHL: SIR = 3.6 NR 
Mearin et al,163  2006* OR = 2.6 OR = 28 Gut NHL: OR = 11.8 NR 
Viljamaa et al,162  2006 SIR = 3.2 NR NR Yes 
Smedby et al,161  2006 OR = 2.1 NR Gut NHL: OR = 12; Any T-cell NHL: OR = 17; DLBCL: OR = 2.8 No 

GFD indicates gluten-free diet; NHL, non-Hodgkin lymphoma; ETL, enteropathy-type T-cell lymphoma; SIR, standardized incidence ratio; SMR, standardized morbidity ratio; NR, not reported; and DLBCL, diffuse large B-cell lymphoma.

*

There was a marked difference in the observed odds ratio for lymphoma between centers in this multicenter European study.

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