Table 3 Adjusted hazard ratio (HR) estimates for haematological cancer occurrence in systemic lupus erythaematosus (SLE) after immunosuppressive exposure, lag-time 5 years*
Exposure†HR95% CI
Immunosuppressive exposure2.291.02–5.15
Anti-malarial agents1.880.86–4.11
Systemic glucocorticoids1.630.72–3.66
NSAIDs0.710.27–1.86
Aspirin0.880.33–2.36
Tobacco use‡0.790.54–1.15
Age ⩾652.710.96–7.61
Female sex1.990.56–7.10
White1.040.50–2.14
Damage§2.101.01–4.40
Residence in North America1.080.43–2.71
Sjögren syndrome¶1.080.35–3.37
Cohort entry before 19902.381.07–5.32
  • *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.