Exposure† | HR | 95% CI |
Immunosuppressive exposure | 2.29 | 1.02–5.15 |
Anti-malarial agents | 1.88 | 0.86–4.11 |
Systemic glucocorticoids | 1.63 | 0.72–3.66 |
NSAIDs | 0.71 | 0.27–1.86 |
Aspirin | 0.88 | 0.33–2.36 |
Tobacco use‡ | 0.79 | 0.54–1.15 |
Age ⩾65 | 2.71 | 0.96–7.61 |
Female sex | 1.99 | 0.56–7.10 |
White | 1.04 | 0.50–2.14 |
Damage§ | 2.10 | 1.01–4.40 |
Residence in North America | 1.08 | 0.43–2.71 |
Sjögren syndrome¶ | 1.08 | 0.35–3.37 |
Cohort entry before 1990 | 2.38 | 1.07–5.32 |
*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).28
NSAIDs, non-steroidal anti-inflammatory drugs.