Osteoarthritis

Evaluating Hip Osteoarthritis as a Risk Factor for Immune Checkpoint Inhibitor–Induced Inflammatory Arthritis

J RheumatolPublished Retrospective cohort study

An erratum to this article was published (J Rheumatol, 1 Jun 2026 ↗)

Main finding · ICI-IAResult — go to the resultHazard ratio 1.24

Authors' conclusion

CT-derived hip OA was not significantly associated with development of ICI-IA in this cohort of patients with lung cancer. ICI-IA was associated with decreased mortality.

Study context

Population
Patients treated for thoracic cancer with immune checkpoint inhibitor (ICI) therapy and with computed tomography (CT) of the abdomen/pelvis within 1 month of ICI start
Participants
309 patients
Exposure
Hip osteoarthritis (OA) vs no hip OA
  • Hip OAn = 103
Outcome
Development of ICI-induced inflammatory arthritis (ICI-IA)
Methodological detailschart review, Kaplan-Meier curves, Cox proportional hazards
  • Chart review
  • Kaplan-Meier curves
  • Cox proportional hazards

Main finding

ICI-IA

Hazard ratio

1.24

P = 0.55

As reported in the abstract

Overall cumulative incidence of ICI-IA
54.8/1000 person-years

Observational data: associations, not effects.

Further findings

ICI-IA by BMI (higher BMI)

Higher BMI associated with significantly lower hazard for ICI-IA, HR (P = 0.049)
0.93

Overall survival

ICI-IA, HR (P = 0.02)
0.59
Higher BMI, HR (P = 0.03)
0.97
Higher cancer stage, HR (P < 0.01)
1.60
Survival did not differ by hip OA status
  • Multivariable analysis

Original publication

Evaluating Hip Osteoarthritis as a Risk Factor for Immune Checkpoint Inhibitor–Induced Inflammatory Arthritis. J Rheumatol. Published 15 January 2026. doi:10.3899/jrheum.2025-0808

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