Rheumatoid arthritis

Are Glucocorticoids Associated With Worse Survival Among Patients With Rheumatoid Arthritis and Lung Cancer Treated With Immune Checkpoint Inhibitors?

Arthritis RheumatolPublished Retrospective cohort study

Authors' conclusion

Glucocorticoids, at the dosages used to treat ICI-treated patients with RA and mNSCLC, had a negligible effect on survival in the 91 days after ICI initiation.

Study context

Population
Medicare patients with rheumatoid arthritis (RA) aged ≥66 years, RA diagnosed before metastatic non-small cell lung cancer (metastatic nonsmall cell lung cancer (mNSCLC)), initiating nivolumab, pembrolizumab or atezolizumab (2015–2019)mean age 75 years
Participants
663 patients
Exposure
Early GC use vs no GC use
  • GCn = 363
Outcome
Survival, GC use (time-varying Cox model)
Methodological detailsMedicare cohort, landmark Kaplan-Meier analysis, time-varying adjusted Cox models
  • Medicare cohort
  • Landmark Kaplan-Meier analysis
  • Time-varying adjusted Cox models

Main finding

As reported in the abstract

  • GC use was not associated with survival

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Are Glucocorticoids Associated With Worse Survival Among Patients With Rheumatoid Arthritis and Lung Cancer Treated With Immune Checkpoint Inhibitors? Arthritis Rheumatol. Published 29 January 2026. doi:10.1002/art.43445

Composed by AI from the published abstract and checked against it. How Briefs are made →

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