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Research ArticleArticle

The Effect of Antiestrogen Agents on Risk of Autoimmune Disorders in Patients with Breast Cancer

Jason Y. Chen and Stanley P. Ballou
The Journal of Rheumatology January 2015, 42 (1) 55-59; DOI: https://doi.org/10.3899/jrheum.140367
Jason Y. Chen
From the Division of Rheumatology, Department of Medicine, MetroHealth Medical Center, Cleveland, Ohio, USA.
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Stanley P. Ballou
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  • For correspondence: sballou@metrohealth.org
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    Figure 1.

    Relationship between months of treatment with SERM and AI and OR of RA incidence. Statistically significant at *** p < 0.001. SERM: selective estrogen receptor modulator; AI: aromatase inhibitor; RA: rheumatoid arthritis.

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    Figure 2.

    Relationship between months of treatment with SERM and AI and OR of SLE incidence. Statistically significant at ** p < 0.01, *** p < 0.001. SERM: selective estrogen receptor modulator; AI: aromatase inhibitor; SLE: systemic lupus erythematosus.

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    Table 1.

    Antiestrogen use and incidence of RA and SLE in patients with breast cancer.

    RASLE
    DrugMos of TreatmentTotal PatientsNRate, %OR (95% CI)NRate, %OR (95% CI)
    None0190,62044602.341.00 (ref)13300.701.00 (ref)
    SERM2–1111,1803302.951.26*** (1.13–1.41)1100.981.41*** (1.16–1.71)
    12+1420805.632.41*** (1.92–3.02)201.412.02** (1.29–3.15)
    AI2–1120,4206303.091.32*** (1.21–1.44)1200.590.84 (0.70–1.02)
    12+37001604.321.85*** (1.57–2.17)200.540.77 (0.50–1.21)
    • Statistically significant at

    • ↵** p < 0.01,

    • ↵*** p < 0.001.

    • SERM: selective estrogen receptor modulator; AI: aromatase inhibitor; RA: rheumatoid arthritis; SLE: systemic lupus erythematosus.

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    Table 2.

    SLE and RA prevalence in women 18+ years and all patients with breast cancer.

    CohortPatients in CohortPatients with SLESLE PrevalencePatients with RARA Prevalence
    All women 18+ yrs12,087,76046,5900.39%117,5800.97%
    Patients with breast cancer238,88016600.69%59202.48%
    • RA: rheumatoid arthritis; SLE: systemic lupus erythematosus.

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The Journal of Rheumatology
Vol. 42, Issue 1
1 Jan 2015
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The Effect of Antiestrogen Agents on Risk of Autoimmune Disorders in Patients with Breast Cancer
Jason Y. Chen, Stanley P. Ballou
The Journal of Rheumatology Jan 2015, 42 (1) 55-59; DOI: 10.3899/jrheum.140367

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The Effect of Antiestrogen Agents on Risk of Autoimmune Disorders in Patients with Breast Cancer
Jason Y. Chen, Stanley P. Ballou
The Journal of Rheumatology Jan 2015, 42 (1) 55-59; DOI: 10.3899/jrheum.140367
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Keywords

AUTOIMMUNE DISEASES
SELECTIVE ESTROGEN RECEPTOR MODULATORS
AROMATASE INHIBITORS
ESTROGEN RECEPTOR-POSITIVE
SYSTEMIC LUPUS ERYTHEMATOSUS
RHEUMATOID ARTHRITIS

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Keywords

  • autoimmune diseases
  • SELECTIVE ESTROGEN RECEPTOR MODULATORS
  • AROMATASE INHIBITORS
  • ESTROGEN RECEPTOR-POSITIVE
  • systemic lupus erythematosus
  • rheumatoid arthritis

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