Table 3

Malignancies, comparison between different bDMARDs/tsDMARDs (observational studies)

Study IDRegistryInterventionControlaHR (i vs C)Risk of bias
All types of cancer
De Germay et al 48 2020Pharmacov. databaseABAOther bDMARD0.98 (0.91; 1.05)High
Kim et al 49 2019Claims datasetTCZTNFi0.98 (0.80; 1.19)High
Montastruc et al 52 2019Claims datasetABAOther bDMARD 1.17 (1.06; 1.30)High
Ozen et al 73 2019FORWARDABAOther bDMARD1.89 (0.93; 3.84)Unclear
Kremer et al 71 2021CORRONATOFAbDMARD1.04 (0.68; 1.61)Low
Simon et al 74 2019Claims datasetABAother bDMARD 1.09 (1.02; 1.16)High
Non-melanoma skin cancer
Kremer et al 71 2021CORRONATOFAbDMARD1.02 (0.69; 1.50)Low
Montastruc et al 52 2019Claims datasetABAOther bDMARD 1.45 (1.03; 1.39)High
Ozen et al 73 2019FORWARDABAOther bDMARD1.10 (0.57; 2.11)Unclear
Melanoma
De Germay et al 48 2020Pharmacov. databaseABAOther bDMARD 1.56 (1.17; 2.08)High
Kim et al 49 2019Claims datasetTCZTNFi0.71 (0.36; 1.40)High
Montastruc et al 52 2019Claims datasetABAOther bDMARD0.86 (0.38; 1.59)High
Lymphoma
De Germay et al 48 2020Pharmacov. databaseABAOther bDMARD0.76 (0.60; 0.97)High
Hellgren et al 53 2021SRQADAETA1.02 (0.52; 1.99)Low
INF0.64 (0.27; 1.56)
CZP<5 lymphomas
GOL<5 lymphomas
ABA1.61 (0.50; 5.22)
RTX<5 lymphomas
TCZ<5 lymphomas
ANA<5 lymphomas
Kim et al 49 2019Claims datasetTCZTNFi1.31 (0.60; 2.88)High
Simon et al 74 2019Claims datasetABAOther bDMARD1.27 (0.94; 1.72)High
  • Values in bold highlight statistically significant effect sizes. Additional details in online supplemental tables S44-S67).

  • ABA, abatacept; ADA, adalimumab; aHR, adjusted HR; ANA, anakinra; bDMARD, biological disease-modifying antirheumatic drug; c, control; CORRONA, Consortium of Rheumatology Researchers of North America; CZP, certolizumab pegol; ETA, etanercept; FORWARD, National Databank for Rheumatic Diseases longitudinal prospective observational study; GOL, golimumab; i, intervention; INF, infliximab; Pharmacov, pharmacovigilance; RTX, rituximab; SRQ, Swedish Rheumatology Quality Register; TCZ, tocilizumab; TNFi, TNF inhibitor; TOFA, tofacitinib; tsDMARD, targeted synthetic DMARD.