Rheumatoid arthritis

Head and neck cancer risk in patients with rheumatoid arthritis compared with matched controls: a nationwide cohort study

RMD OpenPublished Retrospective cohort study

Main finding · Overall HNCsResult — go to the resultAdjusted hazard ratio 1.53 95% CI 1.12–2.09

Authors' conclusion

Patients with RA have an increased risk of developing overall HNCs, particularly pharyngeal cancer. However, no significant association was found for other HNC types.

Study context

Population
Patients with rheumatoid arthritis (RA) and matched non-RA controls, Korean National Health Insurance Service
Exposure
RA vs matched non-RA controls
  • RAn = 40,990
  • Controlsn = 204,950reference
Outcome
Risk of head and neck cancers (HNCs)
Methodological detailsnationwide, matched, Cox proportional hazards models
  • Nationwide
  • Matched
  • Cox proportional hazards models

Main finding

Overall HNCs

Adjusted hazard ratio

1.53

95% CI 1.12–2.09

RAvs Controls
aHR 1.53 (95% CI 1.12–2.09)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeaHR (95% CI)
Pharyngeal cancerRAvs Controls2.20 (1.33–3.64)

Oral, salivary or laryngeal cancer

RA showed no significant association with oral, salivary or laryngeal cancer

Head and neck cancer (HNCs) by seropositivity status

No significant difference in HNC risk between seropositive and seronegative RA

Original publication

Head and neck cancer risk in patients with rheumatoid arthritis compared with matched controls: a nationwide cohort study. RMD Open. Published 4 March 2026. doi:10.1136/rmdopen-2025-006480

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