Table 3

Risk of cancer in patients with psoriatic arthritis and age-matched and sex-matched controls

No of cancers (%)IR of cancers (/10 000 PYs) (95% CI)HR (95% CI)aHR (95% CI)*
PsA patientsControlsPsA patientsControls
Overall162 (3.45)1307 (2.79)83.2 (70.8 to 97.0)66.9 (63.3 to 70.6)1.24 (1.06 to 1.46)1.20 (1.02 to 1.41)
Overall excluding NMSC154 (3.28)1285 (2.74)79.1 (67.1 to 92.6)65.8 (62.2 to 69.5)1.20 (1.02 to 1.42)1.16 (0.98 to 1.37)
NMSC8 (0.17)22 (0.05)4.1 (1.8 to 8.1)1.1 (0.7 to 1.7)3.65 (1.62 to 8.19)3.64 (1.61 to 8.23)
Solid140 (2.99)1223 (2.61)71.9 (60.5 to 84.8)62.6 (59.2 to 66.2)1.15 (0.96 to 1.37)1.10 (0.93 to 1.32)
 Thyroid24 (0.51)126 (0.27)12.3 (7.9 to 18.3)6.5 (5.4 to 7.7)1.91 (1.24 to 2.96)1.83 (1.18 to 2.85)
 Stomach24 (0.51)162 (0.35)12.3 (7.9 to 18.3)8.3 (7.1 to 9.7)1.49 (0.97 to 2.28)1.40 (0.91 to 2.15)
 Colorectal16 (0.34)161 (0.34)8.2 (4.7 to 13.3)8.2 (7.0 to 9.6)1.00 (0.60 to 1.66)0.96 (0.57 to 1.60)
 Liver12 (0.26)101 (0.22)6.2 (3.2 to 10.8)5.2 (4.2 to 6.3)1.19 (0.65 to 2.17)1.09 (0.60 to 1.99)
 Biliary8 (0.17)45 (0.10)4.1 (1.8 to 8.1)2.3 (1.7 to 3.1)1.78 (0.84 to 3.78)1.86 (0.87 to 3.95)
 Pancreas4 (0.09)55 (0.12)2.1 (0.6 to 5.3)2.8 (2.1 to 3.7)0.73 (0.26 to 2.01)0.64 (0.23 to 1.77)
 Lung13 (0.28)167 (0.36)6.7 (3.6 to 11.4)8.6 (7.3 to 10.0)0.78 (0.44 to 1.37)0.78 (0.44 to 1.37)
 Breast11 (0.23)109 (0.23)5.7 (2.8 to 10.1)5.6 (4.6 to 6.7)1.01 (0.54 to 1.88)0.96 (0.51 to 1.79)
 Prostate7 (0.15)56 (0.12)3.6 (1.5 to 7.4)2.9 (2.2 to 3.7)1.25 (0.57 to 2.75)1.24 (0.56 to 2.72)
 Bladder3 (0.06)25 (0.05)1.5 (0.3 to 4.5)1.3 (0.8 to 1.9)1.20 (0.36 to 3.98)1.18 (0.35 to 3.93)
 Kidney2 (0.04)27 (0.06)1.0 (0.1 to 3.7)1.4 (0.9 to 2.0)0.74 (0.18 to 3.12)0.69 (0.16 to 2.91)
Haematologic14 (0.30)62 (0.13)7.2 (3.9 to 12.1)3.2 (2.4 to 4.1)2.26 (1.27 to 4.04)2.24 (1.25 to 4.01)
 Lymphoma10 (0.21)38 (0.08)5.1 (2.5 to 9.4)2.0 (1.4 to 2.7)2.64 (1.31 to 5.29)2.63 (1.30 to 5.30)
 Leukaemia3 (0.06)14 (0.03)1.5 (0.3 to 4.5)0.7 (0.4 to 1.2)2.14 (0.62 to 7.46)2.19 (0.63 to 7.68)
  • *Adjusted for age, sex, diabetes and hypertension.

  • aHR, adjusted HR ; IR, incidence rate; NMSC, non-melanoma skin cancer; No, number; PsA, psoriatic arthritis; PYs, person-years.