Across rheumatic diseases

Improved lung cancer clinical outcomes in patients with autoimmune rheumatic diseases

RMD OpenPublished Retrospective cohort study

Authors' conclusion

Patients with ARD and lung cancer had better OS compared with their counterparts, independent of cancer stage and treatments and were less likely to have advanced stage lung cancer at diagnosis.

Study context

Population
Patients with lung cancer treated at Johns Hopkins
Participants
10,963 patients
Exposure
Lung cancer patients with vs without autoimmune rheumatic diseases
  • Autoimmune rheumatic diseases (ARD)n = 454
Outcome
Tumour characteristics at diagnosis and clinical (survival) outcomes
Methodological detailssingle-centre, logistic regression, Kaplan-Meier and Cox proportional hazards models
  • Single-centre
  • Logistic regression
  • Kaplan-Meier and Cox proportional hazards models

Main finding

As reported in the abstract

Median overall survival (OS)

P < 0.001

Observational data: associations, not effects.

Further findings

Stage 1 lung cancer at diagnosis

P < 0.001

Mean

OutcomeARDWithout ARDORP value
Smaller tumour sizeControlling for sex, race and histology0.76P = 0.01
Age at diagnosis69 (SD 10)68 (SD 12)P = 0.02

Factors associated with history of ARD

Female sex, OR
1.75
Smoking history, OR
1.46
  • p<0.05

Original publication

Improved lung cancer clinical outcomes in patients with autoimmune rheumatic diseases. RMD Open. Published 31 October 2023. doi:10.1136/rmdopen-2023-003471

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