Table 2 Adjusted hazard ratio (HR) estimates for cancer occurrence in systemic lupus erythaematosus (SLE)*
HR95% CI
All malignancies (246 cases)
Cyclophosphamide†1.160.54–2.51
Azathioprine0.750.43–1.31
Methotrexate1.330.61–2.89
Anti-malarial agents1.040.59–1.84
Systemic glucocorticoids1.090.68–1.74
NSAIDs0.750.43–1.33
Aspirin0.920.51–1.66
Tobacco use‡1.130.92–1.39
Age ⩾652.691.38–5.24
Female sex1.080.58–2.00
White1.641.04–2.58
Damage3.071.97–4.81
Residence in North America2.401.21–4.73
Cohort entry before 19901.360.90–2.05
Haematological malignancies (46 cases)
Cyclophosphamide2.090.69–6.30
Azathioprine1.190.48–2.92
Methotrexate1.910.71–5.16
Anti-malarial agents1.900.87–4.16
Systemic glucocorticoids1.620.71–3.70
NSAIDs0.800.30–2.15
Aspirin0.940.35–2.52
Tobacco use‡0.810.56–1.18
Age ⩾652.220.81–6.14
Female sex1.900.53–6.79
White1.080.52–2.22
Damage?1.920.90–4.10
Residence in North America1.130.44–2.92
Sjögren syndrome?0.620.16–2.35
Cohort entry before 19902.611.15–5.91
Lung cancer (35 cases)
Cyclophosphamide1.430.21–9.60
Azathioprine0.430.09–1.97
Methotrexate0.800.04–15.34
Anti-malarial agents1.770.55–5.73
Systemic glucocorticoids0.350.12–1.03
NSAIDs0.770.23–2.53
Aspirin1.340.42–4.28
Tobacco use‡3.601.32–9.83
Age ⩾651.080.24–4.81
Female sex0.450.17–1.21
White2.520.87–7.30
Damage§1.870.41–8.54
Residence in North America2.500.92–6.76
Cohort entry before 19907.652.82–20.80
  • *Our sample included 538 cancer-free controls.

  • †All medication exposures are ever/never and time-dependent, and include both oral and parenteral exposures. Anti-malarial agents includes hydroxychloroquine and chloroquine.

  • ‡Tobacco use considered as a categorical variable (ever/never smoker/missing).

  • §We controlled for organ damage as assessed by the Systemic Lupus International Collaborating Clinics/American College of Rheumatology damage index (SLICC/ACR DI), not including the item related to cancer.

  • ¶A categorical variable indicated physician-confirmed Sjögren syndrome (ie, based on sicca symptoms, serology, and confirmatory tests, as per diagnostic criteria).