Systemic sclerosis & Raynaud's

Clinical and immunological features of patients with cancer-associated systemic sclerosis: An observational study

Joint Bone SpinePublished Retrospective cohort study

Authors' conclusion

In addition to anti-RNA Pol 3 antibodies, anti-SSA antibodies associated with an increased risk of cancer in SSc patients. Interstitial lung disease was a risk factor specifically for lung cancer and cancers diagnosed more than 3 years after SSc diagnosis.

Study context

Population
Patients with systemic sclerosis (SSc), single centre74 (16%) with cancer
Participants
464 patients
Exposure
SSc patients with vs without associated malignancy
  • Cancern = 74
Outcome
Clinical and immunological predictive factors of cancer-associated SSc
Methodological detailsmonocentric, observational, multivariate analysis
  • Monocentric
  • Observational
  • Multivariate analysis

Main finding

As reported in the abstract

Independent risk factors of overall cancer (multivariate analysis)
Odds ratio (95% CI)P value
Anti-RNA Pol 3 antibodies
4.12(1.6–10.7)
P < 0.01
Anti-SSA antibodies
2.43(1.1–5.4)
P < 0.05

Observational data: associations, not effects.

Further findings

Cancer prevalence and type
16% · 74
Cancer prevalence and type — Cancer diagnosed <3 years before or after SSc diagnosis
23 patients (31%)

Lung cancer and cancer >3 years after SSc diagnosis (subgroups)

ILD and anti-topoisomerase antibodies associated with increased risk

Original publication

Clinical and immunological features of patients with cancer-associated systemic sclerosis: An observational study. Joint Bone Spine. Published 25 February 2023. doi:10.1016/j.jbspin.2023.105555

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