Non-melanoma skin cancers and glucocorticoid therapy
2001

Glucocorticoids and Skin Cancer Risk

Sample size: 1405 publication Evidence: moderate

Author Information

Author(s): Karagas M R, Cushing G L Jr, Greenberg E R, Mott L A, Spencer S K, Nierenberg D W

Primary Institution: Dartmouth Medical School

Hypothesis

Do patients taking glucocorticoids have an increased risk of non-melanoma skin cancers?

Conclusion

The study suggests that oral glucocorticoids may increase the risk of non-melanoma skin cancers, particularly squamous cell carcinoma, in patients who are not organ transplant recipients.

Supporting Evidence

  • The risk of squamous cell carcinoma was increased among users of oral glucocorticoids.
  • The risk of basal cell carcinoma was modestly elevated among glucocorticoid users.
  • Inhaled steroids were not associated with an increased risk of either type of skin cancer.

Takeaway

People who take certain medications called glucocorticoids might have a higher chance of getting skin cancer.

Methodology

A population-based case-control study comparing glucocorticoid use in skin cancer cases and matched controls.

Participant Demographics

Participants included 592 basal cell carcinoma cases, 281 squamous cell carcinoma cases, and 532 matched controls, with no history of organ transplantation.

Statistical Information

Confidence Interval

95% CI = 1.27, 4.18 for SCC; 95% CI = 0.90, 2.47 for BCC

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1054/bjoc.2001.1931

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