Rheumatoid arthritis

Rheumatoid Arthritis and Risk of Thyroid Cancer: A Nationwide Cohort Study

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Main finding · Thyroid cancerResult — go to the resultAdjusted hazard ratio 0.98 95% CI 0.85–1.13

Authors' conclusion

Patients with newly diagnosed RA did not show a different risk of thyroid cancer compared to a matched control group. The risk of thyroid cancer incidence was not affected by serologic status of RA, sex, or age.

Study context

Population
Patients with newly diagnosed rheumatoid arthritis (RA) (2010–2017) in a nationwide database and sex- and age-matched controls without RA1:5 matched cohort
Exposure
Newly diagnosed RA vs matched individuals without RA
  • RAn = 40,895
  • Controln = 204,475reference
Outcome
Thyroid cancer
Follow-up
5.5 years
Methodological detailsnationwide database, matched by sex and age at a 1:5 ratio, Cox regression
  • Nationwide database
  • Matched by sex and age at a 1:5 ratio
  • Cox regression

Main finding

As reported in the abstract

Adjusted hazard ratio

0.98

95% CI 0.85–1.13

RAvs Control
aHR 0.98 (95% CI 0.85–1.13)

Observational data: associations, not effects.

Further findings

OutcomeaHR (95% CI)
Thyroid cancer by RA serostatusSeropositive RAvs Seronegative RA1.03 (0.78–1.36)

Thyroid cancer stratified by age or sex

No statistical interaction

Original publication

Rheumatoid Arthritis and Risk of Thyroid Cancer: A Nationwide Cohort Study. Arthritis Care Res (Hoboken). Published 11 August 2025. doi:10.1002/acr.25582

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