Lupus & antiphospholipid syndrome

Higher mortality risk from gynaecological neoplasms and non-Hodgkin’s lymphoma in patients with systemic lupus erythematosus: an observational study from the Spanish National Registry

Lupus Sci MedPublished Retrospective cohort study

Authors' conclusion

Patients with SLE present a higher risk of death from vulvar neoplasms, cervical carcinomas and B-cell non-Hodgkin's lymphoma in comparison with the general Spanish population.

Study context

Population
In-hospital deaths from neoplasms certified in Spain, 2016–2019 (Spanish Hospital Discharge Database)
Participants
139,531 in-hospital neoplasm deaths
Exposure
In-hospital neoplasm-related deaths in patients with SLE vs the general Spanish population
  • SLEn = 91
Outcome
Risk of dying from each neoplasm type and lineage
Methodological detailsobservational, national hospital discharge database, binary logistic regression adjusted for age, female sex, tobacco and alcohol consumption
  • Observational
  • National hospital discharge database
  • Binary logistic regression adjusted for age, female sex, tobacco and alcohol consumption

Main finding

As reported in the abstract

OR

Solid organ neoplasms: 80.2% vs 91.1%
0.393
Colorectal carcinoma: 1.1% vs 10.8%
0.110
Gynaecological neoplasms: 8.8% vs 3%
3.039
Vulvar neoplasms: 2% vs 0.2%
14.767
Cervical carcinomas: 3.3% vs 0.5%
3.809
Haematological neoplasms: 19.8% vs 8.9%
2.546
non-Hodgkin's lymphoma: 11% vs 2.9%
4.060
B cell lineage non-Hodgkin's lymphoma: 9.9% vs 2.5%
4.133

Observational data: associations, not effects.

Original publication

Higher mortality risk from gynaecological neoplasms and non-Hodgkin’s lymphoma in patients with systemic lupus erythematosus: an observational study from the Spanish National Registry. Lupus Sci Med. Published 17 April 2024. doi:10.1136/lupus-2024-001153

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