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Table 4 Standardized incidence ratio (SIR) of specific cancer types among subjects in the biologics cohort and nonbiologic DMARDs cohort

From: The risk of cancer in patients with rheumatoid arthritis taking tumor necrosis factor antagonists: a nationwide cohort study

Cancer origin

Biologics

SIR (95% CI)

nbDMARDs

SIR (95% CI)

 

N

Expected

 

N

Expected

 

Non-hematologic cancers

73

88.46

0.83 (0.65, 1.04)

455

347.47

1.31 (1.19, 1.44)

Oral cavity

2

4.55

0.44 (0.05, 1.59)

20

17.92

1.12 (0.68, 1.72)

Digestive system1

20

32.03

0.62 (0.38, 0.97)

135

125.75

1.07 (0.90, 1.27)

Lungs2

11

10.39

1.06 (0.53, 1.89)

57

40.77

1.40 (1.06, 1.81)

Breast, cervix3

22

19.96

1.10 (0.69, 1.67)

115

78.45

1.47 (1.21, 1.76)

Bladder/kidney4

14

15.75

0.89 (0.49, 1.49)

96

61.81

1.55 (1.26, 1.90)

Melanoma

0

0.21

-

0

0.83

-

NMSC

5

2.43

2.05 (0.66, 4.79)

15

9.58

1.57 (0.88, 2.58)

Unspecified origin

4

5.79

0.69 (0.19, 1.77)

32

22.76

1.41 (0.96, 1.99)

Hematologic cancers 5

16

3.45

4.64 (2.65, 7.53)

31

13.57

2.28 (1.55, 3.24)

Lymphoma

13

2.12

6.13 (3.26, 10.49)

21

8.34

2.52 (1.56, 3.85)

NHL

12

2.05

5.86 (3.02, 10.24)

20

8.06

2.48 (1.52, 3.83)

HL

1

0.07

13.97 (0.18, 77.7)

1

0.28

3.56 (0.05, 19.79)

Leukemia

1

1.33

0.75 (0.01, 4.18)

9

5.23

1.72 (0.79, 3.27)

  1. 1Cancers of digestive system include cancers of the stomach, colon, liver, pancreas. 2Including cancers of the lungs, bronchus and pleura. 3Including cancers of the uterus and other female reproductive organs. 4Including cancers of the prostate, testis and other male reproductive organs. 5Myeloma not included. NbDARDS, nonbiologic disease-modifying anti-rheumatic drugs; HL, Hodgkin’s lymphoma; NHL, non-Hodgkin’s lymphoma; NMSC, non-melanoma skin cancers; N, number.