Thyroid disease

Hyperthyroidism and the risk of non-thyroid cancer: a Danish register-based long-term follow-up study

Eur Thyroid JPublished Register-based nationwide cohort study

Main finding · All-cause cancerResult — go to the resultSubdistribution hazard ratio 1.12 95% CI 1.10–1.14

Authors' conclusion

In this register-based study, patients with hyperthyroidism had an increased risk of cancer, in particular lung, prostate, and breast cancer. Whether a causal link exists remains to be proven.

Study context

Population
Danish nationwide registers; individuals with a diagnosis of hyperthyroidism and age- and sex-matched reference individualsmatched cohort
Participants
95,469 vs 364,494
Exposure
Hyperthyroidism vs matched reference individuals
  • Hyperthyroidismn = 95,469
  • Reference individualsn = 364,494reference
Outcome
Subsequent all-cause cancer diagnosis
Follow-up
Median 10.9 years (range: 5.2-17.2) hyperthyroidism; 11.2 years (range: 5.4-17.4) reference
Methodological detailsmatched on age and sex, four reference individuals per case, Fine and Gray competing risk regression, adjusted for preexisting morbidity
  • Matched on age and sex
  • Four reference individuals per case
  • Fine and Gray competing risk regression
  • Adjusted for preexisting morbidity

Main finding

All-cause cancer

Subdistribution hazard ratio

1.12

95% CI 1.10–1.14

Hyperthyroidismvs Reference individuals
SHR 1.12 (95% CI 1.10–1.14)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeSHR (95% CI)
Breast cancer1.07 (1.02–1.13)
Lung cancer1.20 (1.16–1.26)
Prostate cancer1.10 (1.02–1.19)
Colorectal cancerNot increased1.04 (0.99–1.09)

Sub-analyses by age at hyperthyroidism diagnosis and cause of hyperthyroidism

Sub-analyses stratified for age at diagnosis and cause of hyperthyroidism yielded similar results

Original publication

Hyperthyroidism and the risk of non-thyroid cancer: a Danish register-based long-term follow-up study. Eur Thyroid J. Published 1 April 2024. doi:10.1530/etj-23-0181

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