HR (95% CI)* of haematological malignancy in TNFi-treated versus bDMARD-naïve PsA from the clinical rheumatology register (comparator group 1) | HR (95% CI)* of haematological malignancy in TNFi-treated versus bDMARD-naïve PsA from the national patient register (comparator group 2) | HR (95% CI)* of haematological malignancy in TNFi-treated PsA versus the general population group 1† | HR (95% CI)* of haematological malignancy in PsA overall versus the general population group 2‡ | |||||
Sweden | Denmark | Sweden | Denmark | Sweden | Denmark | Sweden | Denmark | |
Subjects, n | 6505 vs 9560 | 2429 vs 6779 | 6505 vs 21 629 | 2429 vs 5657 | 6505 vs 32 625 | 2429 vs 12 007 | 25 980 vs 135 639 | 10 204 vs 48 898 |
Person-years | 36 950 vs 39 058 | 12 426 vs 21 693 | 36 950 vs 121 663 | 12 426 vs 23 595 | 36 950 vs 184 252 | 12 426 vs 53 334 | 147 713 vs 900 016 | 42 379 vs 234 151 |
Haematological cancer overall, n | 28 vs 31 | 7 vs 28 | 28 vs 145 | 7 vs 27 | 28 vs 110 | 7 vs 15 | 162 vs 716 | 48 vs 192 |
HR (95% CI) | ||||||||
Crude | 1.33 (0.79 to 2.22) | 0.59 (0.25 to 1.36) | 0.89 (0.59 to 1.33) | 0.72 (0.31 to 1.69) | 1.25 (0.83 to 1.89) | 2.28 (0.89 to 5.86) | 1.30 (1.10 to 1.55) | 1.37 (0.99 to 1.90) |
Adjusted for sex, age and calendar time | 1.33 (0.79 to 2.22) | 0.54 (0.23 to 1.29) | 0.90 (0.60 to 1.35) | 0.71 (0.30 to 1.67) | 1.25 (0.83 to 1.89) | 2.28 (0.89 to 5.86) | 1.30 (1.09 to 1.54) | 1.37 (0.99 to 1.90) |
Adjusted for sex, age and calendar time and excluding first year of follow-up | 1.19 (0.68 to 2.08) | 0.56 (0.22 to 1.44) | 0.93 (0.59 to 1.47) | 0.78 (0.31 to 1.98) | 1.23 (0.78 to 1.94) | 1.96 (0.75 to 5.17) | 1.19 (0.99 to 1.44) | 1.24 (0.86 to 1.79) |
Bold values = statistically significant with 95% confidence intervals.
*Multivariate Cox regression with HR with 95% CI adjusted for sex and calendar period (2006–2010, 2011-end of follow-up) with attained age as time scale.
†General population group 1: Each TNFi treated patients with PsA are matched 1:5 on age, sex and calendar period to five comparators from the general population. For Sweden also matched to area of residence. The follow-up begins at the start of TNFi for the patients with PsA and at the same date for their general population comparators.
‡This PsA group includes all patients with PsA identified in the national patient register (NPR) and/or in clinical rheumatology register (CRR) irrespective of treatment. General population group 2: Each of the patients with PsA are matched 1:5 on age, sex, calendar period to the five comparators from the general population. For Sweden also matched to area of residence. Start of follow-up for the patients with PsA is whichever comes first of a first visit with PsA diagnosis in NPR, the inclusion date in CRR with a diagnosis of PsA or initiating a first TNFi according to CRR. Start of follow-up for the gen pop comparator was at the same date as start of follow-up of their index PsA patient.
N/A, Not available; PsA, psoriatic arthritis; TNFi, tumour necrosis factor inhibitor.