Vasculitis & polymyalgia rheumatica

Lifetime risk of malignancy in polymyalgia rheumatica: a population-based matched cohort study from southern Norway

Rheumatology (Oxford)Published Population-based matched cohort study

Main finding · MalignancyResult — go to the resultHazard ratio 0.94 95% CI 0.73–1.21

Authors' conclusion

In this long-term follow-up of a population-based PMR inception cohort, we found no excess malignancy risk at any time from PMR diagnosis through the end of life.

Study context

Population
All incident polymyalgia rheumatica (PMR) cases in Aust-Agder County, Norway, 1987–1997, diagnosed clinically by rheumatologists (mean age 72 years; 67.6% female)matched cohort
Participants
296 vs 4,440
Exposure
PMR vs matched random comparators
  • PMRn = 296
  • Comparatorsn = 4,440reference
Outcome
Malignancy risk (first cancer diagnosis, Cancer Registry of Norway)
Follow-up
Lifetime ( to 31 December 2024)
Methodological detailsprospective, inception cohort, matched by age, sex and residency to 15 random comparators, Cox regression stratified on matched groups, 95.6% deceased by 31 December 2024
  • Prospective
  • Inception cohort
  • Matched by age, sex and residency to 15 random comparators
  • Cox regression stratified on matched groups
  • 95.6% deceased by 31 December 2024

Main finding

Malignancy

Hazard ratio

0.94

95% CI 0.73–1.21

Events by group

PMRvs Comparators
HR 0.94 (95% CI 0.73–1.21)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Median follow-up

Malignancy by cancer type and by time since diagnosis

No significant excess risk in separate analyses by cancer type or by time since diagnosis

Original publication

Lifetime risk of malignancy in polymyalgia rheumatica: a population-based matched cohort study from southern Norway. Rheumatology (Oxford). Published 9 June 2026. doi:10.1093/rheumatology/keag297

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