Spondyloarthritis & psoriatic arthritis

Effect of TNF inhibitors on the risk of cancer recurrence in patients with AS: a nested case-control study

Rheumatology (Oxford)Published Nested case-control study

Main findingResult — go to the resultAdjusted odds ratio 1.157 95% CI 0.734–1.825

Authors' conclusion

TNFi exposure was not associated with an increased risk of cancer recurrence in patients with AS.

Study context

Population
Patients with AS and a history of cancer after AS diagnosis, nationwide databasecohort
Participants
2,574 patients
Comparison
Cancer recurrence cases vs matched controls: Tumour necrosis factor inhibitors (TNFi) exposure
  • Casesn = 254
  • Controlsn = 254reference
Outcome
Cancer recurrence associated with TNFi exposure
Methodological detailsnationwide database, controls matched 1:1 for age, sex, date of index cancer diagnosis and follow-up time, multivariable conditional logistic regression
  • Nationwide database
  • Controls matched 1:1 for age, sex, date of index cancer diagnosis and follow-up time
  • Multivariable conditional logistic regression

Main finding

As reported in the abstract

Adjusted odds ratio

1.157

95% CI 0.734–1.825

P = 0.531

By group

TNFi exposurevs No TNFi exposure
aOR 1.157 (95% CI 0.734–1.825); P = 0.531

Observational data: associations, not effects.

Further findings

Cancer recurrence in the cohort

Cancer recurred
394 (15.3%)
Incidence rate of cancer recurrence, /100 person-years
4.87 (95% CI 4.40-5.34)

Original publication

Effect of TNF inhibitors on the risk of cancer recurrence in patients with AS: a nested case-control study. Rheumatology (Oxford). Published 6 June 2025. doi:10.1093/rheumatology/keaf313

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