Pediatric rheumatology

Malignancy rates in children, young people and adults with JIA: an observational study using CPRD Aurum

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · Malignancy rate per 10 000 person yearsResult — go to the resultHazard ratio 2.2 95% CI 1.2–4.1

Authors' conclusion

This study found that those with JIA had a doubling risk for malignancies compared with the matched control population.

Study context

Population
Patients with JIA (diagnosed <16 years) in England, UK Primary Care data (CPRD Aurum), 2000–2018matched cohort
Participants
3,714 vs 10,858
Exposure
JIA vs matched non-JIA controls
  • JIAn = 3,714
  • Controlsn = 10,858reference
Outcome
Malignancy rates
Methodological detailsmatched 4-to-1 by birth year, gender and practice, Cox proportional hazards models, standardized incidence ratios (SIRs) vs ONS general population estimates
  • Matched 4-to-1 by birth year, gender and practice
  • Cox proportional hazards models
  • SIRs vs ONS general population estimates

Main finding

Malignancy rate per 10 000 person years

Hazard ratio

2.2

95% CI 1.2–4.1

By group

JIAvs Controls
HR 2.2 (95% CI 1.2–4.1)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Both cohorts had raised SIRs compared with ONS general population estimates

Original publication

Malignancy rates in children, young people and adults with JIA: an observational study using CPRD Aurum. Rheumatology (Oxford). Published 4 June 2026. doi:10.1093/rheumatology/keag291

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