Inflammatory myopathies

Familial Co‐Aggregation of Idiopathic Inflammatory Myopathies and Cancer: A Swedish Population‐Based Study

Arthritis RheumatolPublished Population-based family study

Authors' conclusion

We found little evidence of shared familial susceptibility as a major pathologic mechanism contributing to the co-occurrence of IIM and cancer overall.

Study context

Population
Swedish national registers: first-degree relatives of patients with IIM and of matched individuals without IIM
Participants
8,460 vs 41,127
Exposure
First-degree relatives of patients with IIM vs relatives of matched individuals without IIM
  • First-degree relatives of patients with IIMn = 8,460
  • Relatives of matched individuals without IIMn = 41,127reference
Outcome
Familial co-aggregation of IIM and cancer overall (adjusted OR)
Methodological detailsnational registers, matched, conditional logistic regression
  • National registers
  • Matched
  • Conditional logistic regression

Main finding

As reported in the abstract

Familial co-aggregation of IIM and cancer overall
  • No statistically significant familial associations between IIM and cancer overall

Observational data: associations, not effects.

Further findings

Familial co-aggregation of IIM and cancer in male relative pairs of patients with dermatomyositis

Adjusted OR for familial association
1.39 [95% confidence interval (95% CI) 1.15-1.68]
  • Remained statistically significant after controlling for multiple testing
  • Consistent between kinships

Familial co-aggregation of IIM and cancer diagnosed before 50 years of age

Only observed in offspring

Myeloid malignancies in male relative pairs (exploratory)

Adjusted OR
2.27 [95% CI 1.43-3.60]
  • Remained significant after controlling for multiple testing

Liver cancer in male relative pairs (exploratory)

Adjusted OR
2.01 [95% CI 1.21-3.33]
  • Remained significant after controlling for multiple testing

Original publication

Familial Co‐Aggregation of Idiopathic Inflammatory Myopathies and Cancer: A Swedish Population‐Based Study. Arthritis Rheumatol. Published 8 May 2023. doi:10.1002/art.42493

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