Systemic sclerosis & Raynaud's

Lung cancer risk in systemic sclerosis: data from an inception cohort and meta-analysis of published studies

Clin Exp RheumatolPublished Prospective inception cohort study with systematic review and meta-analysis

Authors' conclusion

Long-term follow-up data from an SSc inception cohort indicate a fivefold increased lung cancer risk in SSc, nearly doubled among female patients.

Study context

Population
Patients evaluated within 12 months of systemic sclerosis (SSc) onset, January 1995–December 2020, followed until December 20242,110 person-years follow-up
Participants
180 patients
Outcome
Age-standardised incidence ratio (SIR) of lung cancer
Methodological detailssingle academic inception cohort, age-standardised incidence ratio vs Global Cancer Observatory database, Cox proportional hazards models, meta-analysis of lung cancer SIRs
  • Single academic inception cohort
  • Age-standardised incidence ratio vs Global Cancer Observatory database
  • Cox proportional hazards models
  • Meta-analysis of lung cancer SIRs

Pooled result

As reported in the abstract

Lung cancer age-SIR
Lung cancer diagnosed, n
12
Mean time from SSc onset to lung cancer (years)
10.2±5.9
Age-SIR, entire cohort
5.1 (95% CI 4.7-5.4)
Age-SIR, male
3.8 (95% CI 3.5-4.1)
Age-SIR, female
9.5 (95% CI 8.7-10.3)

Further pooled results

Lung cancer determinants (Cox models)

Diffuse subtype, HR
4.22 (95% CI 1.03-17.35)
Smoking history, HR
4.49 (95% CI 1.14-17.69)
Digital ulcers (inverse association), HR
0.13 (95% CI 0.03-0.63)

Meta-analysis: pooled lung cancer age-SIR (17 studies, 27,563 SSc patients)

Pooled age-SIR
3.85 (95% CI 2.63-5.63)

Original publication

Lung cancer risk in systemic sclerosis: data from an inception cohort and meta-analysis of published studies. Clin Exp Rheumatol. Published 31 December 2025. doi:10.55563/clinexprheumatol/by5ndi

Composed by AI from the published abstract and checked against it. How Briefs are made →

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