Association between rheumatoid arthritis and lung neoplasm; a systematic review and meta-analysis
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Tarih
2025
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Nickan Research Institute
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction: Lung cancer is one of the most common malignancies in patients with rheumatoid arthritis (RA). Therefore, this study aimed to determine the association between RA and lung neoplasm using a systematic review and meta-analysis. Materials and Methods: This research was conducted according to the PRISMA guidelines. The databases ProQuest, PubMed, Embase, Web of Science, Cochrane, Scopus, and the search engine Google Scholar were searched up to October 8, 2024. Data analysis was performed using STATA 14 software, and P<0.05 was considered statistically significant. Results: A total of 24 cohort studies, comprising 792,699 participants, were evaluated. The results indicated that RA increased the risk of lung neoplasm. Specifically, the hazard ratio (HR) was 1.54 (95% CI: 1.33–1.77), the standardized incidence ratio (SIR) was 1.30 (95% CI: 1.19–1.41), and the risk ratio (RR) was 1.50 (95% CI: 1.31–1.71). RA increased the risk of lung neoplasm in both women (SIR: 1.24; 95% CI: 1.12, 1.39) and men (SIR: 1.71; 95% CI: 1.37, 2.15). No significant statistical association was found between RA and lung neoplasm in patients aged 30-39 years (SIR: 1.40; 95% CI: 0.64, 3.08) and 40-49 years (SIR: 0.64; 95% CI: 0.21, 1.93). However, in patients aged 50-59 years (SIR: 1.31; 95% CI: 1.18, 1.45) and 60-69 years (SIR: 1.63; 95% CI: 1.51, 1.77), RA increased the risk of lung neoplasm. Conclusion: Rheumatoid arthritis was associated with an increased risk of lung neoplasm, and this risk increased with age. The risk of lung neoplasm was higher in men than in women. Therefore, advanced age and male gender were identified as risk factors for lung neoplasm in RA patients. © 2025 The Author(s)
Açıklama
Anahtar Kelimeler
Inflammatory rheumatism, Lung cancer, Lung neoplasms, Pulmonary neoplasm, Rheumatic arthritis, Rheumatic fever
Kaynak
Immunopathologia Persa
WoS Q Değeri
Scopus Q Değeri
Q2
Cilt
11
Sayı
2
