Osteoarthritis

Glucosamine and Cancer Incidence in Osteoarthritis: A Prevalent New‐User Cohort Design

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Main finding · Any cancer incidenceResult — go to the resultHazard ratio 0.97 95% CI 0.91–1.02

Authors' conclusion

In this large, real-world study of patients with osteoarthritis, designed to emulate a trial, treatment with glucosamine did not reduce the incidence of cancer.

Study context

Population
Patients diagnosed with OA during 1995 through 2017, UK Clinical Practice Research Datalinkmatched cohort
Participants
20,541 vs 20,541
Exposure
Glucosamine initiators vs matched non-users
  • Glucosamine initiatorsn = 20,541
  • Non-usersn = 20,541reference
Outcome
Any cancer incidence
Methodological detailsprevalent new-user cohort design, matched on time-conditional propensity scores, designed to emulate a trial
  • Prevalent new-user cohort design
  • Matched on time-conditional propensity scores
  • Designed to emulate a trial

Main finding

As reported in the abstract

average follow-up of eight years

Hazard ratio

0.97

95% CI 0.91–1.02

Glucosamine initiatorsvs Non-users
HR 0.97 (95% CI 0.91–1.02)
Overall incidence rate of any cancer
16.4 per 1,000 per year

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Lung cancer0.99 (0.83–1.18)
Colorectal cancer1.11 (0.93–1.33)
Breast cancer in women1.07 (0.93–1.23)
Prostate cancer1.03 (0.88–1.22)

Original publication

Glucosamine and Cancer Incidence in Osteoarthritis: A Prevalent New‐User Cohort Design. Arthritis Care Res (Hoboken). Published 8 August 2024. doi:10.1002/acr.25399

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