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Risk of uncommon cancers in patients with psoriasis: a Danish nationwide cohort study
P Jensen1, A Egeberg1,2, G Gislason2,3,4
1Department of Dermatology and Allergy, Herlev and Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.
Background:
Cancer-associated mortality is increased in psoriasis. However, little is known about the risk of less common cancers.
Objective:
We aimed to evaluate the risk of less common cancers in patients with psoriasis compared to persons without psoriasis using a nationwide cohort study.
Methods:
Between 1 January 2008 and 31 December 2012, we identified all Danish patients with a first-time hospital diagnosis of a less common cancer defined as <100 new cases/year/100.000 persons in Denmark. The primary endpoint was the occurrence of a diagnosis of cancer.
Results:
We included 4 361 869 individuals. Of these, 58 138 were classified as having psoriasis. After adjusting for age, sex, socio-economic status and healthcare consumption, we found significantly elevated hazard ratios for cancers of bone and cartilage (HR 4.97 [2.32-10.62], P < 0.0001) in patients with psoriasis on systemic treatment.
Conclusion:
We provide further evidence of an increased cancer of bone and cartilage risk in patients with psoriasis.
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